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Results and Complications of Inguinal Hernia Repair

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Abstract

Advances in anatomic understanding, operative technique, and prosthetic materials have made inguinal hernia repair a routine operation with excellent overall outcomes. However, serious and life-altering complications, such as chronic postoperative inguinal pain, can happen to patients. The potential for recurrence, infection, chronic postoperative inguinal pain, mesh-related complications, fertility issues, and serious vascular injuries should be recognized and disclosed. All general surgeons must have a solid grasp of the risks, benefits, and alternative operations and management associated with repairing a hernia.

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References

  1. Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet. 2003;362:1561–71. https://doi.org/10.1016/S0140-6736%2803%2914746-0

    Article  PubMed  Google Scholar 

  2. Fitzgibbons RJ, Giobbie-Hurder A, Gibbs JO, et al. Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: a randomized clinical trial. JAMA. 2006;295(3):285–92. https://doi.org/10.1001/jama.295.3.285.

    Article  CAS  PubMed  Google Scholar 

  3. O’Dwyer PJ, Norrie J, Alani A, Walker A, Duffy F, Horgan P. Observation or operation for patients with an asymptomatic inguinal hernia: a randomized clinical trial. Ann Surg. 2006;244(2):167–73. https://doi.org/10.1097/01.sla.0000217637.69699.ef.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Stroupe KT, Manheim LM, Luo P, et al. Tension-free repair versus watchful waiting for men with asymptomatic or minimally symptomatic inguinal hernias: a cost-effectiveness analysis. J Am Coll Surg. 2006;203:458–68. https://doi.org/10.1016/j.jamcollsurg.2006.06.010

    Article  PubMed  Google Scholar 

  5. de Goede B, Wijsmuller AR, van Ramshorst GH, et al. Watchful waiting versus surgery of mildly symptomatic or asymptomatic inguinal hernia in men aged 50 years and older: a randomized controlled trial. Ann Surg. 2018;267(1):42–9. https://doi.org/10.1097/SLA.0000000000002243.

    Article  PubMed  Google Scholar 

  6. Chung L, Norrie J, O’Dwyer PJ. Long-term follow-up of patients with a painless inguinal hernia from a randomized clinical trial. Br J Surg. 2011;98(4):596–9. https://doi.org/10.1002/bjs.7355.

    Article  PubMed  CAS  Google Scholar 

  7. van den Heuvel B, Dwars BJ, Klassen DR, Bonjer HJ. Is surgical repair of an asymptomatic groin hernia appropriate? A review. Hernia. 2011;15(3):251–9. https://doi.org/10.1007/s10029-011-0796-y.

    Article  PubMed  Google Scholar 

  8. Collaboration IT. Operation compared with watchful waiting in elderly male inguinal hernia patients: a review and data analysis. J Am Coll Surg. 2011;212(2):251–259.e1-e4. https://doi.org/10.1016/j.jamcollsurg.2010.09.030.

    Article  Google Scholar 

  9. Fitzgibbons RJ, Ramanan B, Arya S, et al. Long-term results of a randomized controlled trial of a nonoperative strategy (watchful waiting) for men with minimally symptomatic inguinal hernias. Ann Surg. 2013;228(3):508–15. https://doi.org/10.1097/SLA.0b013e3182a19725.

    Article  Google Scholar 

  10. Hwang M, Bhangu a WC, Bowley D, Gannon M, Karandikar S. Unintended consequences of policy change to watchful waiting for asymptomatic inguinal hernias. Ann R Coll Surg Engl. 2014;96(5):343–7. https://doi.org/10.1308/003588414X13946184902000.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  11. Simons MP, Aufenacker T, Bay-Nielsen M, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009;13:343–403. https://doi.org/10.1007/s10029-009-0529-7

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  12. Miserez M, Peeters E, Aufenacker T, et al. Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2014;18(2):151–63. https://doi.org/10.1007/s10029-014-1236-6.

    Article  CAS  PubMed  Google Scholar 

  13. Bury K, Śmietański M, Polish Hernia Study Group. Five-year results of a randomized clinical trial comparing a polypropylene mesh with a poliglecaprone and polypropylene composite mesh for inguinal hernioplasty. Hernia. 2012;16:549–53. https://doi.org/10.1007/s10029-012-0916-3

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  14. Nikkolo C, Vaasna T, Murruste M, Seepter H, Kirsimägi U, Lepner U. Randomized clinical study evaluating the impact of mesh pore size on chronic pain after Lichtenstein hernioplasty. J Surg Res. 2014;1:1–7. https://doi.org/10.1016/j.jss.2014.04.022.

    Article  Google Scholar 

  15. Pielacinski K, Szczepanik AB, Wroblewski T. Effect of mesh type, surgeon and selected patients’ characteristics on the treatment of inguinal hernia with the Lichtenstein technique. Randomized trial. Wideochir Inne Tech Maloinwazyjne. 2013;8:99–106. https://doi.org/10.5114/wiitm.2011.32824

    PubMed  PubMed Central  Google Scholar 

  16. Śmietański M, Bury K, Śmietańska IA, Owczuk R, Paradowski T. Five-year results of a randomised controlled multi-centre study comparing heavy-weight knitted versus lowweight, non-woven polypropylene implants in Lichtenstein hernioplasty. Hernia. 2011;15(5):495–501. https://doi.org/10.1007/s10029-011-0808-y.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Nikkolo C, Murruste M, Vaasna T, Seepter H, Tikk T, Lepner U. Three-year results of randomised clinical trial comparing lightweight mesh with heavyweight mesh for inguinal hernioplasty. Hernia. 2012;16(5):555–9. https://doi.org/10.1007/s10029-012-0951-0.

    Article  PubMed  CAS  Google Scholar 

  18. Koch A, Bringman S, Myrelid P, Smeds S, Kald A. Randomized clinical trial of groin hernia repair with titanium-coated lightweight mesh compared with standard polypropylene mesh. Br J Surg. 2008;95:1226–31. https://doi.org/10.1002/bjs.6325

    Article  PubMed  CAS  Google Scholar 

  19. Bringman S, Wollert S, Osterberg J, Smedberg S, Granlund H, Heikkinen T-J. Three-year results of a randomized clinical trial of lightweight or standard polypropylene mesh in Lichtenstein repair of primary inguinal hernia. Br J Surg. 2006;93(9):1056–9. https://doi.org/10.1002/bjs.5403.

    Article  PubMed  CAS  Google Scholar 

  20. Post S, Weiss B, Willer M, Neufang T, Lorenz D. Randomized clinical trial of lightweight composite mesh for Lichtenstein inguinal hernia repair. Br J Surg. 2004;91:44–8. https://doi.org/10.1002/bjs.4387

    Article  PubMed  CAS  Google Scholar 

  21. Agarwal BB, Agarwal KA, Mahajan KC. Prospective double-blind randomized controlled study comparing heavy- and lightweight polypropylene mesh in totally extraperitoneal repair of inguinal hernia: Early results. Surg Endosc. 2009;23:242–7. https://doi.org/10.1007/s00464-008-0188-2

    Article  PubMed  Google Scholar 

  22. Li J, Ji Z, Cheng T. Lightweight versus heavyweight in inguinal hernia repair: a meta-analysis. Hernia. 2012;16:529–39. https://doi.org/10.1007/s10029-012-0928-z

    Article  PubMed  CAS  Google Scholar 

  23. Sajid MS, Kalra L, Parampalli U, Sains PS, Baig MK. A systematic review and meta-analysis evaluating the effectiveness of lightweight mesh against heavyweight mesh in influencing the incidence of chronic groin pain following laparoscopic inguinal hernia repair. Am J Surg. 2013;205:726–36. https://doi.org/10.1016/j.amjsurg.2012.07.046

    Article  PubMed  Google Scholar 

  24. Currie A, Andrew H, Tonsi A, Hurley PR, Taribagil S. Lightweight versus heavyweight mesh in laparoscopic inguinal hernia repair: a meta-analysis. Surg Endosc. 2012;26:2126–33. https://doi.org/10.1007/s00464-012-2179-6

    Article  PubMed  Google Scholar 

  25. Amato B, Moja L, Panico S, et al. Shouldice technique versus other open techniques for inguinal hernia repair. Cochrane Database Syst Rev. 2009:CD001543. https://doi.org/10.1002/14651858.CD001543.pub3

  26. Nakagawa M, Nagase T, Akatsu T, et al. A randomized prospective trial comparing clinical outcomes 3 years after surgery by Marcy repair and Prolene Hernia System repair for adult indirect inguinal hernia. Surg Today. 2013;43:1109–15. https://doi.org/10.1007/s00595-012-0384-5

    Article  PubMed  Google Scholar 

  27. Naveen N, Srinath R. A comparative study between modified bassini’s repair and lichtenstein mesh repair of inguinal hernias in rural population. J Clin Diagn Res. 2014;8:88–91. https://doi.org/10.7860/JCDR/2014/7431.4016

    Google Scholar 

  28. Manyilirah W, Kijjambu S, Upoki A, Kiryabwire J. Comparison of non-mesh (Desarda) and mesh (Lichtenstein) methods for inguinal hernia repair among black African patients: a short-term double-blind RCT. Hernia. 2012;16:133–44. https://doi.org/10.1007/s10029-011-0883-0

    Article  PubMed  CAS  Google Scholar 

  29. Lermite E, Arnaud JP. Prospective randomized study comparing quality of life after shoudice or mesh plug repair for inguinal hernia: short-term results. Surg Technol Int. 2012;22:101–6.

    PubMed  Google Scholar 

  30. Szopinski J, Dabrowiecki S, Pierscinski S, Jackowski M, Jaworski M, Szuflet Z. Desarda versus Lichtenstein technique for primary inguinal hernia treatment: 3-year results of a randomized clinical trial. World J Surg. 2012;36(5):984–92.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Bay-Nielsen M, Kehlet H, Strand L, et al. Quality assessment of 26,304 herniorrhaphies in Denmark: a prospective nationwide study. Lancet. 2001;358(9288):1124–8. https://doi.org/10.1016/S0140-6736(01)06251-1.

    Article  PubMed  CAS  Google Scholar 

  32. Bay-Nielsen M, Kehlet H, Strand L, et al. The Danish Hernia Data Base—four years’ results [Danish] TT—Dansk Herniedatabase—fire ars resultater. Ugeskr Laeger. 2004;166:1894–8.

    PubMed  Google Scholar 

  33. Bisgaard T, Bay-Nielsen M, Kehlet H. Re-recurrence after operation for recurrent inguinal hernia. A nationwide 8-year follow-up study on the role of type of repair. Ann Surg. 2008;247(4):707–11. https://doi.org/10.1097/SLA.0b013e31816b18e3.

    Article  PubMed  Google Scholar 

  34. Lichtenstein IL, Shulman AG, Amid PK, Montllor MM. The tension-free hernioplasty. Am J Surg. 1989;157(2):188–93. https://doi.org/10.1016/0002-9610(89)90526-6.

    Article  PubMed  CAS  Google Scholar 

  35. Robbins AW, Rutkow IM. The mesh-plug hernioplasty. Surg Clin North Am. 1993;73(3):501–12.

    Article  PubMed  CAS  Google Scholar 

  36. Murphy JW. Use of the prolene hernia system for inguinal hernia repair: retrospective, comparative time analysis versus other inguinal hernia repair systems. Am Surg. 2001;67(10):919–23.

    PubMed  CAS  Google Scholar 

  37. Kapischke M, Schulze H, Caliebe A. Self-fixating mesh for the Lichtenstein procedure—a prestudy. Langenbeck’s Arch Surg. 2010;395:317–22. https://doi.org/10.1007/s00423-010-0597-2

    Article  Google Scholar 

  38. Campanelli G, Pascual MH, Hoeferlin A, et al. Randomized, controlled, blinded trial of tisseel/tissucol for mesh fixation in patients undergoing lichtenstein technique for primary inguinal hernia repair: results of the TIMELI trial. Ann Surg. 2012;255:650–7.

    Article  PubMed  Google Scholar 

  39. Pélissier EP. Inguinal hernia: preperitoneal placement of a memory-ring patch by anterior approach. Preliminary experience. Hernia. 2006;10(3):248–52.

    Article  PubMed  Google Scholar 

  40. Kugel RD. Minimally invasive, nonlaparoscopic, preperitoneal, and sutureless, inguinal 109 herniorrhaphy. Am J Surg. 1999;178(4):298–302.

    Article  CAS  PubMed  Google Scholar 

  41. Koning GG, Andeweg CS, Keus F, van Tilburg MWA, van Laarhoven CJHM, Akkersdijk WL. The transrectus sheath preperitoneal mesh repair for inguinal hernia: technique, rationale, and results of the first 50 cases. Hernia. 2012;16(3):295–9.

    Article  PubMed  CAS  Google Scholar 

  42. Lourenço A, Da Costa RS. The ONSTEP inguinal hernia repair technique: Initial clinical experience of 693 patients, in two institutions. Hernia. 2013;17(3):357–64.

    Article  PubMed  Google Scholar 

  43. Wantz G. The technique of giant prosthetic reinforcement of the visceral sac performed through an anterior groin incision. Surg Gynecol Obstet. 1993;176(5):497–500.

    PubMed  CAS  Google Scholar 

  44. Rives J. Surgical treatment of the inguinal hernia with Dacron patch: principles, indications, technique and results. Int Surg. 1976;47:360–1.

    Google Scholar 

  45. Zhao G, Gao P, Ma B, Tian J, Yang K. Open mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Ann Surg. 2009;250:35–42.

    Article  PubMed  Google Scholar 

  46. Li J, Ji Z, Li Y. Comparison of mesh-plug and Lichtenstein for inguinal hernia repair: a meta-analysis of randomized controlled trials. Hernia. 2012;16:541–8.

    Article  PubMed  CAS  Google Scholar 

  47. Nienhuijs SW, Rosman C. Long-term outcome after randomizing prolene hernia system, mesh plug repair and Lichtenstein for inguinal hernia repair. Hernia. 2015;19:77–81.

    Article  PubMed  Google Scholar 

  48. Droeser RA, Dell-Kuster S, Kurmann A, et al. Long-term follow-up of a randomized controlled trial of Lichtenstein’s operation versus mesh plug repair for inguinal hernia. Ann Surg. 2014;259:966–72.

    Article  PubMed  Google Scholar 

  49. Bruna Esteban M, Cantos Pallares M, Artigues Sanchez De Rojas E. [Use of adhesive mesh in hernioplasty compared to the conventional technique. Results of a randomised prospective study]. [Spanish] TT—Utilizacion de mallas autoadhesivas en la hernioplastia frente a la tecnica convencional. Resultados de un estudio pr. Cir Esp. 2010;88:253–8.

    Google Scholar 

  50. Kingsnorth A, Gingell-Littlejohn M, Nienhuijs S, et al. Randomized controlled multicenter international clinical trial of self-gripping Parietex ProGrip polyester mesh versus lightweight polypropylene mesh in open inguinal hernia repair: interim results at 3 months. Hernia. 2012;16:287–94.

    Article  PubMed  CAS  Google Scholar 

  51. Pierides G, Scheinin T, Remes V, Hermunen K, Vironen J. Randomized comparison of self-fixating and sutured mesh in open inguinal hernia repair. Br J Surg. 2012;99:630–6.

    Article  PubMed  CAS  Google Scholar 

  52. Jorgensen LN, Sommer T, Assaadzadeh S, et al. Randomized clinical trial of self-gripping mesh versus sutured mesh for Lichtenstein hernia repair. Br J Surg. 2013;100:474–81.

    Article  PubMed  CAS  Google Scholar 

  53. Zhang C, Li F, Zhang H, Zhong W, Shi D, Zhao Y. Self-gripping versus sutured mesh for inguinal hernia repair: a systematic review and meta-analysis of current literature. J Surg Res. 2013;185(2):653–60.

    Article  PubMed  Google Scholar 

  54. Sajid MS, Farag S, Singh KK, Miles WF. Systematic review and meta-analysis of published randomized controlled trials comparing the role of self-gripping mesh against suture mesh fixation in patients undergoing open inguinal hernia repair. Updat Surg. 2014;66:189–96.

    Article  Google Scholar 

  55. Li J, Ji Z, Li Y. The comparison of self-gripping mesh and sutured mesh in open inguinal hernia repair: the results of meta-analysis. Ann Surg. 2014;259(6):1080–5.

    Article  PubMed  Google Scholar 

  56. Pandanaboyana S, Mittapalli D, Rao A, Prasad R, Ahmad N. Meta-analysis of self-gripping mesh (Progrip) versus sutured mesh in open inguinal hernia repair. Surgeon. 2014;12:87–93.

    Article  PubMed  Google Scholar 

  57. Fang Z, Zhou J, Ren F, Liu D. Self-gripping mesh versus sutured mesh in open inguinal hernia repair: system review and meta-analysis. Am J Surg. 2014;207(5):773–81.

    Article  PubMed  Google Scholar 

  58. Chatzimavroudis G, Papaziogas B, Koutelidakis I, et al. Lichtenstein technique for inguinal hernia repair using polypropylene mesh fixed with sutures vs. self-fixating polypropylene mesh: a prospective randomized comparative study. Hernia. 2014;18:193–8.

    Article  PubMed  CAS  Google Scholar 

  59. Porrero JL, Castillo MJ, Pérez-Zapata A, et al. Randomised clinical trial: conventional Lichtenstein vs. hernioplasty with self-adhesive mesh in bilateral inguinal hernia surgery. Hernia. 2015;19(5):765–70.

    Article  PubMed  Google Scholar 

  60. Bruna Esteban M, Cantos Pallares M, Artigues Sanchez De Rojas E, Vila MJ. Prospective randomized trial of long-term results of inguinal hernia repair using autoadhesive mesh compared to classic Lichtenstein technique with sutures and polypropylene mesh. Cir Esp. 2014;92:195–200.

    Article  PubMed  Google Scholar 

  61. Sanders DL, Nienhuijs S, Ziprin P, Miserez M, Gingell-Littlejohn M, Smeds S. Randomized clinical trial comparing self-gripping mesh with suture fixation of lightweight polypropylene mesh in open inguinal hernia repair. Br J Surg. 2014;101:1373–82. discussion 1382.

    Article  CAS  PubMed  Google Scholar 

  62. Willaert W, Berrevoet F, De Bacquer D, Rogiers X, Troisi R. Open preperitoneal techniques versus Lichtenstein repair for inguinal hernia. Cochrane Database Syst Rev. 2009;4:1–28.

    Google Scholar 

  63. Sajid MS, Craciunas L, Singh KK, Sains P, Baig MK. Open transinguinal preperitoneal mesh repair of inguinal hernia: a targeted systematic review and meta-analysis of published randomized controlled trials. Gastroenterol Rep (Oxf). 2013;1:127–37.

    Article  Google Scholar 

  64. Koning GG, Keus F, Koeslag L, et al. Randomized clinical trial of chronic pain after the transinguinal preperitoneal technique compared with Lichtenstein’s method for inguinal hernia repair. Br J Surg. 2012;99:1365–73.

    Article  CAS  PubMed  Google Scholar 

  65. Arslan K, Erenoglu B, Turan E, Koksal H, Dogru O. Minimally invasive preperitoneal single-layer mesh repair versus standard Lichtenstein hernia repair for inguinal hernia: a prospective randomized trial. Hernia. 2014;19(3):373–81.

    Article  PubMed  Google Scholar 

  66. Ray R, Kar M, Mukhopadhyay M. Transinguinal preperitoneal technique of inguinal hernioplasty—a better alternative to lichtenstein procedure. J Clin Diagn Res. 2014;8:NC01–3.

    PubMed  PubMed Central  Google Scholar 

  67. Koning GG, Adang EMM, Stalmeier PFM, Keus F, Vriens PWHE, Van Laarhoven CJHM. TIPP and Lichtenstein modalities for inguinal hernia repair: a cost minimisation analysis alongside a randomised trial. Eur J Health Econ. 2013;14:1027–34.

    Article  CAS  PubMed  Google Scholar 

  68. Memon MA, Cooper NJ, Memon B, Memon MI, Abrams KR. Meta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br J Surg. 2003;90:1479–92.

    Article  CAS  PubMed  Google Scholar 

  69. O’Reilly EA, Burke JP, O’Connell PR. A meta-analysis of surgical morbidity and recurrence after laparoscopic and open repair of primary unilateral inguinal hernia. Ann Surg. 2012;255(5):846–53.

    Article  PubMed  Google Scholar 

  70. Chung RS, Rowland DY. Meta-analyses of randomized controlled trials of laparoscopic vs conventional inguinal hernia repairs. Surg Endosc. 1999;13(7):689–94.

    Article  PubMed  CAS  Google Scholar 

  71. Grant A. Laparoscopic compared with open methods of groin hernia repair: systematic review of randomized controlled trials. Br J Surg. 2000;87:860–7.

    Article  Google Scholar 

  72. Schmedt CG, Sauerland S, Bittner R. Comparison of endoscopic procedures vs Lichtenstein and other open mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Surg Endosc. 2005;19(2):188–99.

    Article  PubMed  CAS  Google Scholar 

  73. Bittner R, Sauerland S, Schmedt C-G. Comparison of endoscopic techniques vs Shouldice and other open nonmesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Surg Endosc. 2005;19(5):605–15.

    Article  PubMed  CAS  Google Scholar 

  74. Gokalp A, Inal M, Maralcan G, Baskonus I. A prospective randomized study of Lichtenstein open tension-free versus laparoscopic totally extraperitoneal techniques for inguinal hernia repair. Acta Chir Belg. 2003;103(5):502–6.

    Article  PubMed  CAS  Google Scholar 

  75. Lau H, Patil NG, Yuen WK. Day-case endoscopic totally extraperitoneal inguinal hernioplasty versus open Lichtenstein hernioplasty for unilateral primary inguinal hernia in males: a randomized trial. Surg Endosc. 2006;20(1):76–81.

    Article  PubMed  CAS  Google Scholar 

  76. Eklund A, Rudberg C, Smedberg S, et al. Short-term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair. Br J Surg. 2006;93:1060–8.

    Article  PubMed  CAS  Google Scholar 

  77. Eklund AS, Montgomery AK, Rasmussen IC, Sandbue RP, Bergkvist LA, Rudberg CR. Low recurrence rate after laparoscopic (TEP) and open (Lichtenstein) inguinal hernia repair: a randomized, multicenter trial with 5-year follow-up. Ann Surg. 2009;249:33–8.

    Article  PubMed  Google Scholar 

  78. Eklund A, Montgomery A, Bergkvist L, Rudberg C. Chronic pain 5 years after randomized comparison of laparoscopic and Lichtenstein inguinal hernia repair. Br J Surg. 2010;97(4):600–8.

    Article  PubMed  CAS  Google Scholar 

  79. Eklund A, Carlsson P, Rosenblad A, Montgomery A, Bergkvist L, Rudberg C. Long-term cost-minimization analysis comparing laparoscopic with open (Lichtenstein) inguinal hernia repair. Br J Surg. 2010;97(5):765–71.

    Article  PubMed  CAS  Google Scholar 

  80. Dahlstrand U, Sandblom G, Ljungdahl M, Wollert S, Gunnarsson U. TEP under general anesthesia is superior to Lichtenstein under local anesthesia in terms of pain 6 weeks after surgery: results from a randomized clinical trial. Surg Endosc. 2013;27:3632–8.

    Article  PubMed  Google Scholar 

  81. Dhankhar DS, Sharma N, Mishra T, Kaur N, Singh S, Gupta S. Totally extraperitoneal repair under general anesthesia versus Lichtenstein repair under local anesthesia for unilateral inguinal hernia: a prospective randomized controlled trial. Surg Endosc. 2014;28(3):996–1002.

    Article  PubMed  Google Scholar 

  82. Köninger J, Redecke J, Butters M. Chronic pain after hernia repair: a randomized trial comparing Shouldice, Lichtenstein and TAPP. Langenbeck’s Arch Surg. 2004;389(5):361–5.

    Article  Google Scholar 

  83. Krishna A, Misra MC, Bansal VK, Kumar S, Rajeshwari S, Chabra A. Laparoscopic inguinal hernia repair: transabdominal preperitoneal (TAPP) versus totally extraperitoneal (TEP) approach: a prospective randomized controlled trial. Surg Endosc. 2012;26(3):639–49.

    Article  PubMed  Google Scholar 

  84. Bansal VK, Misra MC, Babu D, et al. A prospective, randomized comparison of long-term outcomes: chronic groin pain and quality of life following totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) laparoscopic inguinal hernia repair. Surg Endosc. 2013;27:2373–82.

    Article  PubMed  Google Scholar 

  85. Czechowski A, Schafmayer A. TAPP versus TEP: a retrospective analysis 5 years after laparoscopic transperitoneal and total endoscopic extraperitoneal repair in inguinal and femoral hernia. [German] TT—TAPP versus TEPEine retrospektive Analyse funf Jahre postoperativ nach transper. Chirurg. 2003;74:1143–9.

    Google Scholar 

  86. Pokorny H, Klingler A, Schmid T. Recurrence and complications after laparoscopic versus open inguinal hernia repair: results of a prospective randomized multicenter trial. Hernia. 2008;12(4):385–9.

    Article  PubMed  CAS  Google Scholar 

  87. Bright E, Reddy VM, Wallace D, Garcea G, Dennison AR. The incidence and success of treatment for severe chronic groin pain after open, transabdominal preperitoneal, and totally extraperitoneal hernia repair. World J Surg. 2010;34(4):692–6.

    Article  PubMed  Google Scholar 

  88. Lepere M, Benchetrit S, Debaert M, et al. A multicentric comparison of transabdominal versus totally extraperitoneal laparoscopic hernia repair using PARIETEX meshes. JSLS. 2000;4(2):147–53.

    PubMed  PubMed Central  CAS  Google Scholar 

  89. Schrenk P, Woisetschläger R, Rieger R, Wayand W. Prospective randomized trial comparing postoperative pain and return to physical activity after transabdominal preperitoneal, total preperitoneal or Shouldice technique for inguinal hernia repair. Br J Surg. 1996;83(11):1563–6.

    Article  PubMed  CAS  Google Scholar 

  90. Butler RE, Burke R, Schneider JJ, Brar H, Lucha PA. The economic impact of laparoscopic inguinal hernia repair: results of a double-blinded, prospective, randomized trial. Surg Endosc. 2007;21(3):387–90.

    Article  PubMed  Google Scholar 

  91. Hamza Y, Gabr E, Hammadi H, Khalil R. Four-arm randomized trial comparing laparoscopic and open hernia repairs. Int J Surg. 2010;8(1):25–8.

    Article  PubMed  Google Scholar 

  92. Tetik C, Arregui ME, Dulucq JL, et al. Complications and recurrences associated with laparoscopic repair of groin hernias. A multi-institutional retrospective analysis. Surg Endosc. 1994;8(11):1313–6.

    Article  Google Scholar 

  93. Gass M, Banz VM, Rosella L, Adamina M, Candinas D, Güller U. TAPP or TEP? Population-based analysis of prospective data on 4,552 patients undergoing endoscopic inguinal hernia repair. World J Surg. 2012;36(12):2782–6.

    Article  PubMed  Google Scholar 

  94. Ramshaw B, Shuler FW, Jones HB, et al. Laparoscopic inguinal hernia repair: lessons learned after 1224 consecutive cases. Surg Endosc. 2001;15(1):50–4.

    Article  PubMed  CAS  Google Scholar 

  95. Kald A, Anderberg B, Smedh K, Karlsson M. Transperitoneal or totally extraperitoneal approach in laparoscopic hernia repair: results of 491 consecutive herniorrhaphies. Surg Laparosc Endosc. 1997;7(2):86–9.

    Article  PubMed  CAS  Google Scholar 

  96. Ramshaw BJ, Tucker JG, Conner T, Mason EM, Duncan TD, Lucas GW. A comparison of the approaches to laparoscopic herniorrhaphy. Surg Endosc. 1996;10(1):29–32.

    Article  PubMed  CAS  Google Scholar 

  97. Gong K, Zhang N, Lu Y, et al. Comparison of the open tension-free mesh-plug, transabdominal preperitoneal (TAPP), and totally extraperitoneal (TEP) laparoscopic techniques for primary unilateral inguinal hernia repair: a prospective randomized controlled trial. Surg Endosc. 2011;25(1):234–9.

    Article  PubMed  Google Scholar 

  98. Belyansky I, Tsirline VB, D a K, Walters AL, Lincourt AE, Heniford TB. Prospective, comparative study of postoperative quality of life in TEP, TAPP, and modified Lichtenstein repairs. Ann Surg. 2011;254(5):709–14. discussion 714–715.

    Article  PubMed  Google Scholar 

  99. Cohen RV, Alvarez G, Roll S, et al. Transabdominal or totally extraperitoneal laparoscopic hernia repair? Surg Laparosc Endosc. 1998;8(4):264–8.

    Article  PubMed  CAS  Google Scholar 

  100. Bittner R, Montgomery MA, Arregui E, et al. Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society). Surg Endosc. 2015;29(2):289–321.

    Article  CAS  PubMed  Google Scholar 

  101. Neumayer L, Giobbie-Hurder A, Jonasson O, et al. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med. 2004;350:1819–27.

    Article  PubMed  CAS  Google Scholar 

  102. Sevonius D, Gunnarsson U, Nordin P, Nilsson E, Sandblom G. Recurrent groin hernia surgery. Br J Surg. 2011;98(10):1489–94.

    Article  PubMed  CAS  Google Scholar 

  103. Alfieri S, Amid PK, Campanelli G, et al. International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery. Hernia. 2011;15(3):239–49.

    Article  CAS  PubMed  Google Scholar 

  104. Nienhuijs S, Staal E, Keemers-Gels M, Rosman C, Strobbe L. Pain after open preperitoneal repair versus Lichtenstein repair: a randomized trial. World J Surg. 2007;31(9):1751–7. discussion 1758–1759.

    Article  PubMed  Google Scholar 

  105. Cunningham J, Temple WJ, Mitchell P, Nixon JA, Preshaw RM, Hagen NA. Cooperative hernia study. Pain in the postrepair patient. Ann Surg. 1996;224:598–602.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  106. Bay-Nielsen M, Perkins FM, Kehlet H. Pain and functional impairment 1 year after inguinal herniorrhaphy: a nationwide questionnaire study. Ann Surg. 2001;233:1):1–7.

    Article  PubMed  PubMed Central  Google Scholar 

  107. Aasvang EK, Bay-Nielsen M, Kehlet H. Pain and functional impairment 6 years after inguinal herniorrhaphy. Hernia. 2006;10(4):316–21.

    Article  PubMed  CAS  Google Scholar 

  108. Koning GG, Wetterslev J, van Laarhoven CJ, Keus F. The totally extraperitoneal method versus Lichtenstein’s technique for inguinal hernia repair: a systematic review with meta-analyses and trial sequential analyses of randomized clinical trials. PLoS One. 2013;8:e52599. https://doi.org/10.1371/journal.pone.0052599

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  109. Poobalan AS, Bruce J, Smith WC, King PM, Krukowski ZH, Chambers WA. A review of chronic pain after inguinal herniorrhaphy. Clin J Pain. 2003;19:48–54.

    Article  PubMed  Google Scholar 

  110. Loos MJA, Roumen RMH, Scheltinga MRM. Classifying post-herniorrhaphy pain syndromes following elective inguinal hernia repair. World J Surg. 2007;31(9):1760–7.

    Article  PubMed  CAS  Google Scholar 

  111. Hakeem A, Shanmugam V. Current trends in the diagnosis and management of postherniorrhaphy chronic groin pain. World J Gastrointest Surg. 2011;3(6):73–81.

    Article  PubMed  PubMed Central  Google Scholar 

  112. Magnusson N, Gunnarsson U, Nordin P, Smedberg S, Hedberg M, Sandblom G. Reoperation for persistent pain after groin hernia surgery: a population-based study. Hernia. 2015;19(1):45–51.

    Article  PubMed  CAS  Google Scholar 

  113. Kennedy EM, Harms BA, Starling JR. Absence of maladaptive neuronal plasticity after genitofemoral-ilioinguinal neurectomy. Surgery. 1994;116(4):665–70. discussion 670–671.

    PubMed  CAS  Google Scholar 

  114. Klinge U, Klosterhalfen B. Modified classification of surgical meshes for hernia repair based on the analyses of 1,000 explanted meshes. Hernia. 2012;16(3):251–8. https://doi.org/10.1007/s10029-012-0913-6.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  115. Costello CR, Bachman SL, Ramshaw BJ, Grant SA. Materials characterization of 127 explanted polypropylene hernia meshes. J Biomed Mater Res B Appl Biomater. 2007;83((1):44–9.

    Article  CAS  Google Scholar 

  116. Nelson EC, Vidovszky TJ. Composite mesh migration into the sigmoid colon following ventral hernia repair. Hernia. 2011;15(1):101–3.

    Article  PubMed  CAS  Google Scholar 

  117. Moorman M, Price P. Migrating mesh plug complication of a well-established hernia repair technique. Am Surg. 2004;70(4):298–9.

    PubMed  Google Scholar 

  118. Murphy JW, Misra DC, Silverglide B. Sigmoid colonic fistula secondary to perfix-plug, 130 left inguinal hernia repair. Hernia. 2006;10(5):436–8.

    Article  PubMed  CAS  Google Scholar 

  119. Ferrone R, Scarone PC, Natalini G. Late complication of open inguinal hernia repair: small bowel obstruction caused by intraperitoneal mesh migration. Hernia. 2003;7(3):161–2.

    Article  PubMed  Google Scholar 

  120. Chuback JA, Singh RS, Sills C, Dick LS. Small bowel obstruction resulting from mesh plug migration after open inguinal hernia repair. Surgery. 2000;127(4):475–6.

    Article  PubMed  CAS  Google Scholar 

  121. Klosterhalfen B, Klinge U. Retrieval study at 623 human mesh explants made of polypropylene—impact of mesh class and indication for mesh removal on tissue reaction. J Biomed Mater Res B Appl Biomater. 2013;101(8):1393–9.

    Article  PubMed  CAS  Google Scholar 

  122. Amid PK. The Lichtenstein repair in 2002: an overview of causes of recurrence after Lichtenstein tension-free hernioplasty. Hernia. 2003;7(1):13–6.

    PubMed  CAS  Google Scholar 

  123. Schoenmaeckers EJP, Van Der Valk SBA, Van Den Hout HW, Raymakers JFTJ, Rakic S. Computed tomographic measurements of mesh shrinkage after laparoscopic ventral incisional hernia repair with an expanded polytetrafluoroethylene mesh. Surg Endosc. 2009;23(7):1620–3.

    Article  PubMed  Google Scholar 

  124. Silvestre AC, De Mathia GB, Fagundes DJ, Medeiros LR, Rosa MI. Shrinkage evaluation of heavyweight and lightweight polypropylene meshes in inguinal hernia repair: a randomized controlled trial. Hernia. 2011;15(6):629–34.

    Article  PubMed  CAS  Google Scholar 

  125. Celik A, Altinli E, Koksal N, et al. The shrinking rates of different meshes placed intraperitoneally: a long-term comparison of the TiMesh, VYPRO II, Sepramesh, and DynaMesh. Surg Laparosc Endosc Percutan Tech. 2009;19(4):e130.

    Article  PubMed  Google Scholar 

  126. Zogbi L, Trindade EN, Trindade MRM. Comparative study of shrinkage, inflammatory response and fibroplasia in heavyweight and lightweight meshes. Hernia. 2013;17(6):765–72.

    Article  PubMed  CAS  Google Scholar 

  127. Beldi G, Wagner M, Bruegger LE, Kurmann A, Candinas D. Mesh shrinkage and pain in laparoscopic ventral hernia repair: a randomized clinical trial comparing suture versus tack mesh fixation. Surg Endosc. 2011;25(3):749–55.

    Article  PubMed  Google Scholar 

  128. Sanchez-Manuel FJ, Lozano-García J, Seco-Gil JL. Antibiotic prophylaxis for hernia repair. Cochrane Database Syst Rev. 2012;(2):CD003769.

    Google Scholar 

  129. Aufenacker TJ. The danger of performing meta-analysis and the impact of guidelines: Invited comment to: Use of antibiotic prophylaxis in elective inguinal hernia repair in adults in London and south-east England: a cross-sectional survey. Aiken, A.M., et al., Hernia, 20. Hernia. 2013;17(5):665–8.

    Article  PubMed  Google Scholar 

  130. Mazaki T, Mado K, Masuda H, Shiono M. Antibiotic prophylaxis for the prevention of surgical site infection after tension-free hernia repair: a Bayesian and frequentist metaanalysis. J Am Coll Surg. 2013;217:784–8.

    Article  Google Scholar 

  131. Köckerling F, Bittner R, Jacob D, et al. Do we need antibiotic prophylaxis in endoscopic inguinal hernia repair? Results of the Herniamed Registry. Surg Endosc. 2015;29(12):3741–9.

    Article  PubMed  PubMed Central  Google Scholar 

  132. Antonescu I, Baldini G, Watson D, et al. Impact of a bladder scan protocol on discharge efficiency within a care pathway for ambulatory inguinal herniorrhaphy. Surg Endosc. 2013;27(12):4711–20.

    Article  PubMed  CAS  Google Scholar 

  133. Koch CA, Grinberg GG, Farley DR. Incidence and risk factors for urinary retention after endoscopic hernia repair. Am J Surg. 2006;191(3):381–5.

    Article  PubMed  Google Scholar 

  134. Tam KW, Liang HH, Chai CY. Outcomes of staple fixation of mesh versus nonfixation in laparoscopic total extraperitoneal inguinal repair: a meta-analysis of randomized controlled trials. World J Surg. 2010;34:3065–74.

    Article  PubMed  Google Scholar 

  135. Jensen P, Mikkelsen T, Kehlet H. Postherniorrhaphy urinary retention—effect of local, regional, and general anesthesia: a review. Reg Anesth Pain Med. 2002;27(6):612–7. https://doi.org/10.1053/rapm.2002.37122.

    Article  PubMed  Google Scholar 

  136. Treadwell J, Tipton K, Oyesanmi O, Sun F, Schoelles K. Surgical options for inguinal hernia: comparative effectiveness review. Rockville, MD: Agency Healthcare Research and Quality; 2012. p. 1–1219.

    Google Scholar 

  137. Oehlenschlager J, Hjorne FP, Albers M, et al. Fewer urological complications after laparoscopic inguinal hernia repair without indwelling catheter. Dan Med Bull. 2010;57(9):A4176.

    PubMed  Google Scholar 

  138. Bischoff JM, Linderoth G, Aasvang EK, Werner MU, Kehlet H. Dysejaculation after laparoscopic inguinal herniorrhaphy: a nationwide questionnaire study. Surg Endosc. 2012;26(4):979–83.

    Article  PubMed  Google Scholar 

  139. Aasvang EK, Mohl B, Kehlet H. Ejaculatory pain: a specific postherniotomy pain syndrome? Anesthesiology. 2007;107(2):298–304.

    Article  PubMed  Google Scholar 

  140. Fong Y, Wantz GE. Prevention of ischemic orchitis during inguinal hernioplasty. Surg Gynecol Obstet. 1992;174(5):399–402.

    PubMed  CAS  Google Scholar 

  141. Tekatli H, Schouten N, van Dalen T, Burgmans I, Smakman N. Mechanism, assessment, and incidence of male infertility after inguinal hernia surgery: a review of the preclinical and clinical literature. Am J Surg. 2012;204(4):503–9.

    Article  PubMed  Google Scholar 

  142. Peeters E, Spiessens C, Oyen R, et al. Laparoscopic inguinal hernia repair in men with lightweight meshes may significantly impair sperm motility: a randomized controlled trial. Ann Surg. 2010;252:240–6.

    Article  PubMed  Google Scholar 

  143. Shin D, Lipshultz LI, Goldstein M, et al. Herniorrhaphy with polypropylene mesh causing inguinal vasal obstruction. Ann Surg. 2005;241(4):553–8.

    Article  PubMed  PubMed Central  Google Scholar 

  144. Kuhry E, van Veen RN, Langeveld HR, Steyerberg EW, Jeekel J, Bonjer HJ. Open or endoscopic total extraperitoneal inguinal hernia repair? A systematic review. Surg Endosc. 2007;21:161–6.

    Article  PubMed  CAS  Google Scholar 

  145. Cavazzola LT, Rosen MJ. Laparoscopic versus open inguinal hernia repair. Surg Clin North Am. 2013;93(5):1269–79.

    Article  PubMed  Google Scholar 

  146. Bittner R, Schwarz J. Inguinal hernia repair: current surgical techniques. Langenbeck’s Arch Surg. 2012;397(2):271–82.

    Article  CAS  Google Scholar 

  147. McCormack K, Scott NW, Go PM, Ross S, Grant AM. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev. 2003;1:CD001785.

    Google Scholar 

  148. Bhangu A, Singh P, Pinkney T, Blazeby JM. A detailed analysis of outcome reporting from randomised controlled trials and meta-analyses of inguinal hernia repair. Hernia. 2015;19(1):65–75.

    Article  PubMed  CAS  Google Scholar 

  149. Leibl BJ, Schmedt CG, Kraft K, Ulrich M, Bittner R. Scrotal hernias: a contraindication for an endoscopic procedure? Results of a single-institution experience in transabdominal preperitoneal repair. Surg Endosc. 2000;14(3):289–92.

    Article  PubMed  CAS  Google Scholar 

  150. Berney CR. The Endoloop technique for the primary closure of direct inguinal hernia 68 defect during the endoscopic totally extraperitoneal approach. Hernia. 2012;16(3):301–5.

    Article  PubMed  CAS  Google Scholar 

  151. Reddy VM, Sutton CD, Bloxham L, Garcea G, Ubhi SS, Robertson GS. Laparoscopic repair of direct inguinal hernia: a new technique that reduces the development of postoperative seroma. Hernia. 2007;11:393–6.

    Article  PubMed  CAS  Google Scholar 

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Nguyen, D.K., Chen, D.C. (2018). Results and Complications of Inguinal Hernia Repair. In: Campanelli, G. (eds) The Art of Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-72626-7_40

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