Laparoscopic Inguinal Hernia Repair

  • Ty Kirkpatrick
  • Brent W. AllainJr.
  • Karl A. LeBlanc
Chapter

Abstract

Laparoscopic hernia surgery has certainly evolved since its initial description in the early 1980s. Today it is now accepted as a good option to the traditional open repair. There are many benefits associated with the minimally invasive approach, but these benefits are countered with the increased learning curve and expense associated with the laparoscopic approach. The two described laparoscopic approaches described here in this chapter are the totally extraperitoneal and the transabdominal preperitoneal approaches. Both have been argued to be the better surgical approach. However, most data trends reveal that both are good options. The best method will be based upon individual surgeon preference and the outcomes achieved. Whichever approach is chosen, the surgeon must have a very good understanding of the inguinal anatomy to have success.

Notes

Acknowledgment

This is an updated version of the chapter authored by Karl A. LeBlanc, Brent W. Allain Jr., and William C. Streetman. William C. Streetman has not participated in the revision of this chapter for the fifth edition.

References

  1. 1.
    Ger R. The management of certain abdominal herniae by intra-abdominal closure of the neck of the sac. Ann R Coll Surg Engl. 1982;64:342–4.PubMedPubMedCentralGoogle Scholar
  2. 2.
    Corbitt JD. Laparoscopic herniorrhaphy. Surg Laparosc Endosc. 1991;1:23–5.Google Scholar
  3. 3.
    Schultz L, Graber J, Pietraffita J, et al. Laser laparoscopic herniorrhaphy: a clinical trial preliminary results. J Laparoendosc Surg. 1991;1:41–5.CrossRefGoogle Scholar
  4. 4.
    Stoppa RE, Rives JL, Warlaumont CR, Palot JP, Verhaeghe PJ, Delattre JF. The use of Dacron in the repair of hernias of the groin. Surg Clin North Am. 1984;64:269–85.CrossRefGoogle Scholar
  5. 5.
    Fitzgibbons RJ, Camps J, Cornet DA, et al. Laparoscopic inguinal herniorrhaphy. Results of a multicenter trial. Ann Surg. 1995;221:3–13.CrossRefGoogle Scholar
  6. 6.
    Leibl B, Schwarz J, Däubler P, Ulrich M, Bittner R. Standardisierte laparoskopische hernioplastik versus shouldice-reparation. Chirurg. 1995;66:895–8.PubMedGoogle Scholar
  7. 7.
    Felix EL. A unified approach to recurrent laparoscopic hernia repairs. Surg Endosc. 2001;15:969–71.CrossRefGoogle Scholar
  8. 8.
    Welsh DRJ. Sliding inguinal hernias. J Abdom Surg. 1964;6:204–9.Google Scholar
  9. 9.
    Hass BE, Schrager RE. Small bowel obstruction due to Richter’s hernia after laparoscopic procedures. J Laparoendosc Surg. 1993;3:421–3.CrossRefGoogle Scholar
  10. 10.
    Bringman S, Ek Å, Haglind E, Heikkinen T-J, Kald A, Kylberg F, Ramel S, Wallon C, Anderberg B. Is a dissection balloon beneficial in bilateral, totally extraperitoneal, endoscopic hernioplasty? A randomized, prospective, multicenter study. Surg Laparosc Endosc Percutan Tech. 2001;11(5):322–6.CrossRefGoogle Scholar
  11. 11.
    Khajanchee YS, Urbach DR, Swanstrom LL, Hansen PD. Outcomes of laparoscopic herniorrhaphy without fixation of mesh to the abdominal wall. Surg Endosc. 2001;15:1102–7.CrossRefGoogle Scholar
  12. 12.
    Shi Z, Fan X, Zhai S, et al. Fibrin glue versus staple for mesh fixation in laparoscopic transabdominal preperitoneal repair of inguinal hernia: a meta-analysis and systematic review. Surg Endosc. 2017;31:527.  https://doi.org/10.1007/s00464-016-5039-y.CrossRefPubMedGoogle Scholar
  13. 13.
    Kaul A, Hutfless S, Le H, et al. Staple versus fibrin glue fixation in laparoscopic total extraperitoneal repair of inguinal hernia: a systematic review and meta-analysis. Surg Endosc. 2012;26:1269.  https://doi.org/10.1007/s00464-011-2025-2.CrossRefPubMedGoogle Scholar
  14. 14.
    Kathouda N, Mavor E, Friedlander MH, Mason RJ, Kiyabu M, Grant SW, Achanta K, Kirkman EL, Narayanan K, Essani R. Use of fibrin sealant for prosthetic mesh fixation laparoscopic extraperitoneal inguinal hernia repair. Ann Surg. 2001;233(1):18–25.CrossRefGoogle Scholar
  15. 15.
    Lau H. Fibrin sealant versus mechanical stapling for mesh fixation during endoscopic extraperitoneal inguinal hernioplasty: a randomized prospective trial. Ann Surg. 2005;242(5):670–5.CrossRefGoogle Scholar
  16. 16.
    Lovisetto F, Zonta S, Rota E, Mazzilli M, Bardone M, Bottero L, Faillace G, Longoni M. Use of human fibrin glue (Tissucol) versus staples for mesh fixation in laparoscopic transabdominal preperitoneal hernioplasty: a prospective, randomized study. Ann Surg. 2007;245(2):222–31.CrossRefGoogle Scholar
  17. 17.
    Olmi S, Scaini A, Erba L, Guaglio M, Croce E. Quantification of pain in laparoscopic transabdominal preperitoneal (TAPP) inguinal hernioplasty identifies marked differences between prosthesis fixation systems. Surgery. 2007;142(1):40–6.CrossRefGoogle Scholar
  18. 18.
    Hollinsky C, et al. Comparison of a new self-gripping mesh with other fixation methods for laparoscopic hernia repair in a rat model. JACS. 2009;208(6):1–1107.Google Scholar
  19. 19.
    Kapischke M, Schulze H, Caliebe A. Self-fixating mesh for the Lichtenstein procedure—a prestudy. Langenbeck's Arch Surg. 2010;395(4):317–22.CrossRefGoogle Scholar
  20. 20.
    Bresnahan E, Bates A, Wu A, et al. The use of self-gripping (Progrip™) mesh during laparoscopic total extraperitoneal (TEP) inguinal hernia repair: a prospective feasibility and long-term outcomes study. Surg Endosc. 2015;29:2690.  https://doi.org/10.1007/s00464-014-3991-y.CrossRefPubMedGoogle Scholar
  21. 21.
    Kapris SA, Brough WA, Royston CMS, O’Boyle C, Sedman PC. Laparoscopic transabdominal preperitoneal (TAPP) hernia repair. Surg Endosc. 2001;15:972–5.CrossRefGoogle Scholar
  22. 22.
    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;29:289.  https://doi.org/10.1007/s00464-014-3917-8.CrossRefPubMedGoogle Scholar
  23. 23.
    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.  https://doi.org/10.1007/s00464-013-2797-7.CrossRefPubMedGoogle Scholar
  24. 24.
    Hallén M, et al. Risk factors for reoperation due to chronic groin postherniorrhaphy pain. Hernia. 2015;19:863–9.CrossRefGoogle Scholar
  25. 25.
    Payne JH, Grininger LM, Izawa MT, Podoll EF, Lindahl PJ, Balfour J. Laparoscopic or open inguinal herniorrhaphy? A randomized prospective trial. Arch Surg. 1994;129:973–81.CrossRefGoogle Scholar
  26. 26.
    Stoker DL, Spiegelhalter DJ, Singh R, Wellwood JM. Laparoscopic versus open inguinal hernia repair: randomized prospective trial. Lancet. 1994;343:1243–5.CrossRefGoogle Scholar
  27. 27.
    Maddern GJ, Rudkin G, Bessell JR, Devitt P, Ponte L. A comparison of laparoscopic and open hernia repair as a day surgical procedure. Surg Endosc. 1994;8:1404–8.CrossRefGoogle Scholar
  28. 28.
    Barkun JS, Wexler MJ, Hinchley EJ, Thibeault D, Meakins JL. Laparoscopic versus open inguinal herniorrhaphy: preliminary results of a randomized controlled trial. Surgery. 1995;118:703–10.CrossRefGoogle Scholar
  29. 29.
    Lawrence K, McWhinne D, Goodwin A, Doll H, Gordon A, Gray A, Britton J, Collin J. Randomized controlled trial of laparoscopic versus open repair of inguinal hernia: early results. Br Med J. 1995;311:981–5.CrossRefGoogle Scholar
  30. 30.
    Vogt DM, Curet MJ, Pitcher DE, Martin DT, Zucker KA. Preliminary results of a prospective randomized trial of laparoscopic onlay versus conventional inguinal herniorrhaphy. Am J Surg. 1995;169:84–90.CrossRefGoogle Scholar
  31. 31.
    Schrenk P, Bettelheim P, Woisetschläger R, Reiger R, Wayand WU. Metabolic responses after laparoscopic or open hernia repair. Surg Endosc. 1996;10:628–32.CrossRefGoogle Scholar
  32. 32.
    Liem MSL, Van der Graaf Y, Van Steensel CJ, et al. Comparison of conventional anterior surgery and laparoscopic surgery for inguinal hernia repair. N Engl J Med. 1997;336:1541–7.CrossRefGoogle Scholar
  33. 33.
    Johansson B, Hallerback B, Glise H, Anesten B, Smedberg S, Roman J. Laparoscopic mesh repair vs. open w/wh mesh graft for inguinal hernia (SCUR hernia repair study)—preliminary results. Surg Endosc. 1997;11:170.Google Scholar
  34. 34.
    Champault GG, Rizk N, Catheline J-M, et al. Inguinal hernia repair: totally preperitoneal laparoscopic approach versus stoppa operation: randomized trial of 100 cases. Surg Laparosc Endosc. 1997;7(6):445–50.CrossRefGoogle Scholar
  35. 35.
    Beets GL, Dirksen CD, Go P, Geisler FEA, Baeten CGMI, Kotstra G. Open or laparoscopic preperitoneal mesh repair for recurrent inguinal hernia? Surg Endosc. 1999;13:323–7.CrossRefGoogle Scholar
  36. 36.
    Wellwood J, Sculpher MJ, Stoker D, Nicholls GJ, Geddes C, Whitehead A, Singh R, Spieghalter D. Randomized controlled trial of laparoscopic versus open mesh repair for hernia: outcome and cost. BMJ. 1998;317:103–10.CrossRefGoogle Scholar
  37. 37.
    Cohen RV, Alvarez G, Roll S, Garcia ME, Kawahara N, Schiavon CA, Schaffa TD, Pereira PR, Margarido NF, Rodrigues AJ. Transabdominal or extraperitoneal laparoscopic hernia repair? Surg Laparosc Endosc. 1998;8:264–8.CrossRefGoogle Scholar
  38. 38.
    Khoury N. A randomized prospective controlled trial of laparoscopic extraperitoneal hernia repair and mesh-plug hernioplasty: a study of 315 cases. J Laparoendosc Adv Surg Tech A. 1998;8:367–72.CrossRefGoogle Scholar
  39. 39.
    Johansson B, Hallerback B, Glise H, Anesten B, Smedberg S, Roman J. Laparoscopic mesh versus open preperitoneal versus open conventional technique for inguinal hernia repair: a randomized multicenter trial (SCUR hernia repair study). Ann Surg. 1999;230:225–31.CrossRefGoogle Scholar
  40. 40.
    MRC Laparoscopic Groin Hernia Trial Group. Laparoscopic versus open repair of groin hernia: a randomized comparison. Lancet. 1999;354:185–90.CrossRefGoogle Scholar
  41. 41.
    Lorenz D, Stark E, Oestreich K, Richter A. Laparoscopic hernioplasty versus conventional hernioplasty (Shouldice): results of a prospective randomized trial. World J Surg. 2000;24:739–45.CrossRefGoogle Scholar
  42. 42.
    Sarli L, Iusco DR, Sansebastiano G, Costi R. Simultaneous repair of bilateral inguinal hernias. Surg Laparosc Endosc Percutan Tech. 2001;11(4):262–7.CrossRefGoogle Scholar
  43. 43.
    Wright D, Paterson C, Scott N, Hair A, Grant A, O’Dwyer PJ. Five-year follow up of patients undergoing laparoscopic or open groin hernia repair—a randomized controlled trial. Ann Surg. 2002;235:333–7.CrossRefGoogle Scholar
  44. 44.
    Bringman S, Ramel S, Heikkinen TJ, Englund T, Westman B, Anderberg B. Tension-free inguinal hernia repair: TEP versus mesh-plug versus lichtenstein: a prospective randomized controlled trial. Ann Surg. 2003;237(1):142–7.CrossRefGoogle Scholar
  45. 45.
    Liem MSL, Van Duyn EB, Van der Graff Y, Van Vroonhoven TJMV. Recurrences after conventional anterior and laparoscopic inguinal hernia repair: a randomized comparison. Ann Surg. 2003;237(1):136–41.CrossRefGoogle Scholar
  46. 46.
    Andersson B, Hallen M, Leveau P, Bergenfelz A, Westerdahl J. Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: a prospective randomized controlled trial. Surgery. 2003;133(5):464–72.CrossRefGoogle Scholar
  47. 47.
    Lal P, Kajla RK, Chander J, Saha R, Ramteke VK. Randomized controlled study of laparoscopic total extraperitoneal vs. open Lichtenstein inguinal hernia repair. Surg Endosc. 2003;17(6):850–6.CrossRefGoogle Scholar
  48. 48.
    Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R, Dunlop D, Gibbs J, Reda D, Henderson W. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med. 2004;350(18):1819–27.CrossRefGoogle Scholar
  49. 49.
    Eklund A, Rudberg C, Leijonmarck CE, Rasmussen I, Spangen L, Wickbom G, Wingren U, Montgomery A. Recurrent inguinal hernia: randomized multicenter trial comparing laparoscopic and Lichtenstein repair. Surg Endosc. 2007;21(4):634–40.CrossRefGoogle Scholar
  50. 50.
    Hallen M, Bergenfelz A, Westerdahl J. Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: long-term follow up of a randomized controlled trial. Surgery. 2008;143(3):313–7.CrossRefGoogle Scholar
  51. 51.
    Pokorny H, Klingler A, Schmid T, Fortelny R, Hollinsky C, Kawji R, Steiner E, Pernthaler H, Fugger R, Scheyer M. Recurrence and complications after laparoscopic versus open inguinal hernia repair: results of a prospective randomized multicenter trial. Hernia. 2008;12(4):385–9.CrossRefGoogle Scholar
  52. 52.
    Eklund A, Montgomery A, 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(1):33–8.CrossRefGoogle Scholar
  53. 53.
    Kouhia STH, Huttunen R, Silvasti SO, Heiskanen JT, Ahtola H, Uotila-Nieminen M, Kiviniemi VV, Hakala T. Lichtenstein hernioplasty versus totally extraperitoneal laparoscopic hernioplasty in treatment of recurrent inguinal hernia—a prospective randomized trial. Ann Surg. 2009;249(3):384–7.CrossRefGoogle Scholar
  54. 54.
    Wauschkuhn CA, Schwarz J, Boekeler U, et al. Laparoscopic inguinal hernia repair: gold standard in bilateral hernia repair? Results of more than 2800 patients in comparison to literature. Surg Endosc. 2010;24:3026.  https://doi.org/10.1007/s00464-010-1079-x.CrossRefPubMedGoogle Scholar
  55. 55.
    Froylich D, Haskins IN, Aminian A, et al. Laparoscopic versus open inguinal hernia repair in patients with obesity: an American College of Surgeons NSQIP clinical outcomes analysis. Surg Endosc. 2017;31:1305.  https://doi.org/10.1007/s00464-016-5112-6.CrossRefPubMedGoogle Scholar
  56. 56.
    Picchio M, Lombardi A, Zolovkins A, Mihelsons M, La Torre G. Tension-free laparoscopic and open hernia repair: randomized controlled trial of early results. World J Surg. 1999;23:1004–9.CrossRefGoogle Scholar
  57. 57.
    Rosen M, Garcia-Ruiz A, Malm J, Mayes JT, Steiger E, Ponsky J. Laparoscopic hernia repair enhances early return of physical work capacity. Surg Laparosc Endosc Percutan Tech. 2001;11(1):28–33.PubMedGoogle Scholar
  58. 58.
    Schmedt C-G, Däubler P, Leibl BJ, Kraft K, Bittner R. Simultaneous bilateral laparoscopic inguinal hernia repair. Surg Endosc. 2002;16:240–4.CrossRefGoogle Scholar
  59. 59.
    Eklund A, Carlsson P, et al. Long-term cost minimization analysis comparing laparoscopic with open (Lichtenstein) inguinal hernia. Br J Surg. 2010;97(5):765–71.CrossRefGoogle Scholar
  60. 60.
    Hynes D, Stroupe K, et al. Cost effectiveness of laparoscopic versus open mesh hernia operation: results of a department of veterans affairs randomized clinical trial. J Am Coll Surg. 2006;203(4):447–57.CrossRefGoogle Scholar
  61. 61.
    Fingerhut A, Millat B, Bataille N, Yachouchi E, Dziri C, Boudet M-J, Paul A. Laparoscopic hernia repair in 2000. Update of the European Association for Endoscopic Surgery (E.A.E.S.) consensus conference in Madrid, June 1994. Surg Endosc. 2001;15:1061–5.CrossRefGoogle Scholar
  62. 62.
    Van Hee R, Goverde P, Hendrick L, Van der Schelling G, Totte E. Laparoscopic transperitoneal versus extraperitoneal inguinal hernia repair: a prospective clinical trial. Acta Chir Belg. 1998;98:132–5.PubMedGoogle Scholar
  63. 63.
    McCormack K, Wake B, et al. Transabdominal pre-peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair: a systematic review. Cochrane Database Syst Rev. 2005;25(1):CD004703.Google Scholar
  64. 64.
    Köckerling F, Bittner R, Kuthe A, Hukauf M, Mayer F, Fortelny R, Schug-Pass C. TEP or TAPP for recurrent inguinal hernia repair – register-based comparison of outcome. Surg Endosc. 2017.  https://doi.org/10.1007/s00464-017-5416-1.
  65. 65.
    Köckerling F, Bittner R, Jacob DA, Seidelmann L, Keller T, Adolf D, Kraft B, Kuthe A. TEP vs TAPP: comparison of the perioperative outcome in 17,587 patients with a primary unilateral inguinal hernia. Surg Endosc. 2015;29:3750–60.CrossRefGoogle Scholar
  66. 66.
    Köckerling F, Bittner R, Kraft B, Hukauf M, Kuthe A, Schug-Pass C. Does surgeon volume matter in the outcome of endoscopic inguinal hernia repair? Surg Endosc. 2017;31:573–85.CrossRefGoogle Scholar
  67. 67.
    Liem MS, Van Steensel CJ, Boelhouwer RU, et al. The learning curve for totally extraperitoneal laparoscopic inguinal hernia repair. Am J Surg. 1996;171:281–5.CrossRefGoogle Scholar
  68. 68.
    DeTurris SV, Cacchione RN, Mungara A, Pecoraro A, Ferzli GS. Laparoscopic herniorrhaphy: beyond the learning curve. JACS. 2002;194(1S):65–73.Google Scholar
  69. 69.
    Edelman DS, Misiakos EP, Moses K. Extraperitoneal laparoscopic hernia repair with local anesthesia. Surg Endosc. 2001;15:976–80.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Ty Kirkpatrick
    • 1
  • Brent W. AllainJr.
    • 1
  • Karl A. LeBlanc
    • 1
  1. 1.Surgeons Group of Baton Rouge/Our Lady of the Lake Physician GroupBaton RougeUSA

Personalised recommendations