A study of the effectiveness of the bilateral and contralateral occult inguinal hernia repair by total extraperitoneal repair with intraperitoneal examination

Purpose Of the various methods used, the laparoscopic surgical repair of inguinal hernias is widely performed. We aimed to estimate the incidence of bilateral and contralateral occult inguinal hernias in our surgical population and to compare the results of total extraperitoneal repair (TEP) for bil...

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Bibliographic Details
Published in:Asian journal of endoscopic surgery 2022-01, Vol.15 (1), p.97-102
Main Authors: Ota, Masato, Nitta, Toshikatsu, Kataoka, Jun, Fujii, Kensuke, Ishibashi, Takashi
Format: Article
Language:English
Subjects:
Adult
bilateral inguinal hernia
Hernia, Inguinal - surgery
Hernias
Herniorrhaphy
Humans
Laparoscopy
occult inguinal hernia
Operative Time
Postoperative Complications - epidemiology
Recurrence
Retrospective Studies
total extraperitoneal repair
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Summary:Purpose Of the various methods used, the laparoscopic surgical repair of inguinal hernias is widely performed. We aimed to estimate the incidence of bilateral and contralateral occult inguinal hernias in our surgical population and to compare the results of total extraperitoneal repair (TEP) for bilateral and unilateral inguinal hernias, occult and non‐occult hernias. Methods We retrospectively reviewed data of patients who underwent TEP for the repair of adult inguinal hernias from January 2012 to November 2018 in our hospital. Results Of the data of 259 patients included, 134 (51.7%) and 125 (48.3%) had unilateral and bilateral inguinal hernias, respectively, while 70 patients (27%) were found to have a contralateral occult inguinal hernia, intraoperatively. The mean operative time was 129 ± 48 minutes (range, 43–300 minutes) and 167 ± 55 minutes (range, 85–390 minutes) for the unilateral and bilateral groups, respectively, indicating a significantly longer duration of surgery for the bilateral group (P 
ISSN:1758-5902
1758-5910
DOI:10.1111/ases.12976