Laparoscopic vs. Open Approach in Emergent Inguinal Hernia: Our Experience and Review of Literature
There is currently no consensus or homogeneous recommendation about the role of the laparoscopic approach in emergent inguinal hernia surgery. The aim of this manuscript is showing our experience and results of laparoscopic approach for emergent groin hernia repair comparing with open approach. A re...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-06-01
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| Series: | Journal of Abdominal Wall Surgery |
| Subjects: | |
| Online Access: | https://www.frontierspartnerships.org/articles/10.3389/jaws.2023.11242/full |
| _version_ | 1826995547617099776 |
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| author | Francisco Moreno-Suero Luis Tallon-Aguilar José Tinoco-González Alejandro Sánchez-Arteaga Juan Manuel Suárez-Grau Miriam Alvarez-Aguilera Salvador Morales-Conde Javier Padillo-Ruiz |
| author_facet | Francisco Moreno-Suero Luis Tallon-Aguilar José Tinoco-González Alejandro Sánchez-Arteaga Juan Manuel Suárez-Grau Miriam Alvarez-Aguilera Salvador Morales-Conde Javier Padillo-Ruiz |
| author_sort | Francisco Moreno-Suero |
| collection | DOAJ |
| description | There is currently no consensus or homogeneous recommendation about the role of the laparoscopic approach in emergent inguinal hernia surgery. The aim of this manuscript is showing our experience and results of laparoscopic approach for emergent groin hernia repair comparing with open approach. A retrospective review of a prospectively maintained database between January 2011 and December 2021 of acute incarcerated groin hernia that were operated at Virgen del Rocio University Hospital. In this period, they were identified 463 patients with groin hernia that required an emergency repair. 454 patients underwent open surgery (group 1) and 36 patients underwent laparoscopic approach (TAPP procedure) (group 2). Median length stay was 1 day in lap group and 2 days in open approach. Reintervention was necessary in 20 cases (4.40%) from group 1 and one (2.27%) from group 2. In laparoscopic approach, no mortality was described but in open approach, 10 patients (2.20%) died. Globally, 58 cases (12.77%) from group 1 and six patients (16.66%) from group 2 presented any complication. Wound infection was higher in group of open repairs (5.94% vs. 2.77%). Non-surgical complications were higher in open approach (19 vs. 0). There is no statistical significance in any of these items. Laparoscopic approach is a safe, feasible and effective therapeutic option for the treatment of incarcerated groin hernia that require emergency surgery, but prospective and randomized comparative studies are needed to establish the best approach. |
| first_indexed | 2024-03-13T05:12:39Z |
| format | Article |
| id | doaj.art-0b554697e1b84ed286324ae6c9c108b1 |
| institution | Directory Open Access Journal |
| issn | 2813-2092 |
| language | English |
| last_indexed | 2025-02-18T09:34:06Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Journal of Abdominal Wall Surgery |
| spelling | doaj.art-0b554697e1b84ed286324ae6c9c108b12024-11-02T17:58:37ZengFrontiers Media S.A.Journal of Abdominal Wall Surgery2813-20922023-06-01210.3389/jaws.2023.1124211242Laparoscopic vs. Open Approach in Emergent Inguinal Hernia: Our Experience and Review of LiteratureFrancisco Moreno-SueroLuis Tallon-AguilarJosé Tinoco-GonzálezAlejandro Sánchez-ArteagaJuan Manuel Suárez-GrauMiriam Alvarez-AguileraSalvador Morales-CondeJavier Padillo-RuizThere is currently no consensus or homogeneous recommendation about the role of the laparoscopic approach in emergent inguinal hernia surgery. The aim of this manuscript is showing our experience and results of laparoscopic approach for emergent groin hernia repair comparing with open approach. A retrospective review of a prospectively maintained database between January 2011 and December 2021 of acute incarcerated groin hernia that were operated at Virgen del Rocio University Hospital. In this period, they were identified 463 patients with groin hernia that required an emergency repair. 454 patients underwent open surgery (group 1) and 36 patients underwent laparoscopic approach (TAPP procedure) (group 2). Median length stay was 1 day in lap group and 2 days in open approach. Reintervention was necessary in 20 cases (4.40%) from group 1 and one (2.27%) from group 2. In laparoscopic approach, no mortality was described but in open approach, 10 patients (2.20%) died. Globally, 58 cases (12.77%) from group 1 and six patients (16.66%) from group 2 presented any complication. Wound infection was higher in group of open repairs (5.94% vs. 2.77%). Non-surgical complications were higher in open approach (19 vs. 0). There is no statistical significance in any of these items. Laparoscopic approach is a safe, feasible and effective therapeutic option for the treatment of incarcerated groin hernia that require emergency surgery, but prospective and randomized comparative studies are needed to establish the best approach.https://www.frontierspartnerships.org/articles/10.3389/jaws.2023.11242/fullinguinal herniahernia repairincarceratedlaparoscopic surgeryemergency surgery |
| spellingShingle | Francisco Moreno-Suero Luis Tallon-Aguilar José Tinoco-González Alejandro Sánchez-Arteaga Juan Manuel Suárez-Grau Miriam Alvarez-Aguilera Salvador Morales-Conde Javier Padillo-Ruiz Laparoscopic vs. Open Approach in Emergent Inguinal Hernia: Our Experience and Review of Literature Journal of Abdominal Wall Surgery inguinal hernia hernia repair incarcerated laparoscopic surgery emergency surgery |
| title | Laparoscopic vs. Open Approach in Emergent Inguinal Hernia: Our Experience and Review of Literature |
| title_full | Laparoscopic vs. Open Approach in Emergent Inguinal Hernia: Our Experience and Review of Literature |
| title_fullStr | Laparoscopic vs. Open Approach in Emergent Inguinal Hernia: Our Experience and Review of Literature |
| title_full_unstemmed | Laparoscopic vs. Open Approach in Emergent Inguinal Hernia: Our Experience and Review of Literature |
| title_short | Laparoscopic vs. Open Approach in Emergent Inguinal Hernia: Our Experience and Review of Literature |
| title_sort | laparoscopic vs open approach in emergent inguinal hernia our experience and review of literature |
| topic | inguinal hernia hernia repair incarcerated laparoscopic surgery emergency surgery |
| url | https://www.frontierspartnerships.org/articles/10.3389/jaws.2023.11242/full |
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