Short Term Outcomes of Laparoscopic Totally Extraperitoneal Repair of Uncomplicated Groin Hernia Using Polyester Anatomical Mesh Without Fixation

Hamdy Sedky Abdalla; Sherief Abd-Alfattah Saber; Ahmad Waheed Al-Zayady; Mohammad Hamdy Abo-Ryia; Sherif Abd-Alaziem Mustafa; Gamal Ibrahim Moussa

doi:doi:10.11648/j.js.20170506.13

Short Term Outcomes of Laparoscopic Totally Extraperitoneal Repair of Uncomplicated Groin Hernia Using Polyester Anatomical Mesh Without Fixation

Hamdy Sedky Abdalla, Sherief Abd-Alfattah Saber, Ahmad Waheed Al-Zayady, Mohammad Hamdy Abo-Ryia, Sherif Abd-Alaziem Mustafa, Gamal Ibrahim Moussa

Published in Journal of Surgery (Volume 5, Issue 6)

Received: 17 September 2017 Accepted: 29 September 2017 Published: 12 November 2017

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Abstract

Background: Totally extraperitoneal (TEP) repair of groin hernia can be performed with or without mesh ﬁxation. Fixation can result in postoperative pain or paresthesia due to nerve entrapment. Compared to polypropylene mesh, polyester anatomical mesh (Parietex^®, Covidien, Mansfield, MA, USA) has a special configuration to fit the posterior inguinal anatomy. Also, the polyester-based chemistry and the rapidly absorbable biological coating increase the hydrophilicity of the mesh, which is thought to result in a fast and intimate tissue ingrowth that may obviate the need for fixation. Patients and Methods: Laparoscopic TEP repair using Parietex^® anatomical mesh without ﬁxation was performed for 60 patients presenting with 63 uncomplicated groin hernias. Results: All patients were males with a mean age of 44.7±14.75 years. There were 60 (95.3%) primary, 3 (5%) bilateral inguinal and 2 (3.3%) femoral hernias. The mean operative time was 64.8±22.6 minutes. There were no major operative complications or conversions to transabdominal preperitoneal or open repair. In the early postoperative period, 54 patients (90%) had mild or no pain. Nine patients (15%) developed minor postoperative complications. The mean length of hospital stay was 1.1±0.3 days and the mean time of return to normal daily activities and to work was 2.6±0.64 and 7.15±1.13 days respectively. No patient developed chronic groin pain, mesh-related complications or recurrences during the study period. Ninety one percent of patients described their satisfaction with surgery as good or excellent. Conclusion: laparoscopic TEP repair of uncomplicated groin hernia using Parietex^® anatomical mesh without fixation is safe and does not increase the risk of hernia recurrence.

Published in	Journal of Surgery (Volume 5, Issue 6)
DOI	10.11648/j.js.20170506.13
Page(s)	97-104
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hernia, Groin, Parietex, Mesh, Laparoscopy, TEP

References

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Hamdy Sedky Abdalla, Sherief Abd-Alfattah Saber, Ahmad Waheed Al-Zayady, Mohammad Hamdy Abo-Ryia, Sherif Abd-Alaziem Mustafa, et al. (2017). Short Term Outcomes of Laparoscopic Totally Extraperitoneal Repair of Uncomplicated Groin Hernia Using Polyester Anatomical Mesh Without Fixation. Journal of Surgery, 5(6), 97-104. https://doi.org/10.11648/j.js.20170506.13

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Hamdy Sedky Abdalla; Sherief Abd-Alfattah Saber; Ahmad Waheed Al-Zayady; Mohammad Hamdy Abo-Ryia; Sherif Abd-Alaziem Mustafa, et al. Short Term Outcomes of Laparoscopic Totally Extraperitoneal Repair of Uncomplicated Groin Hernia Using Polyester Anatomical Mesh Without Fixation. J. Surg. 2017, 5(6), 97-104. doi: 10.11648/j.js.20170506.13

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AMA Style

Hamdy Sedky Abdalla, Sherief Abd-Alfattah Saber, Ahmad Waheed Al-Zayady, Mohammad Hamdy Abo-Ryia, Sherif Abd-Alaziem Mustafa, et al. Short Term Outcomes of Laparoscopic Totally Extraperitoneal Repair of Uncomplicated Groin Hernia Using Polyester Anatomical Mesh Without Fixation. J Surg. 2017;5(6):97-104. doi: 10.11648/j.js.20170506.13

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@article{10.11648/j.js.20170506.13,
  author = {Hamdy Sedky Abdalla and Sherief Abd-Alfattah Saber and Ahmad Waheed Al-Zayady and Mohammad Hamdy Abo-Ryia and Sherif Abd-Alaziem Mustafa and Gamal Ibrahim Moussa},
  title = {Short Term Outcomes of Laparoscopic Totally Extraperitoneal Repair of Uncomplicated Groin Hernia Using Polyester Anatomical Mesh Without Fixation},
  journal = {Journal of Surgery},
  volume = {5},
  number = {6},
  pages = {97-104},
  doi = {10.11648/j.js.20170506.13},
  url = {https://doi.org/10.11648/j.js.20170506.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20170506.13},
  abstract = {Background: Totally extraperitoneal (TEP) repair of groin hernia can be performed with or without mesh ﬁxation. Fixation can result in postoperative pain or paresthesia due to nerve entrapment. Compared to polypropylene mesh, polyester anatomical mesh (Parietex®, Covidien, Mansfield, MA, USA) has a special configuration to fit the posterior inguinal anatomy. Also, the polyester-based chemistry and the rapidly absorbable biological coating increase the hydrophilicity of the mesh, which is thought to result in a fast and intimate tissue ingrowth that may obviate the need for fixation. Patients and Methods: Laparoscopic TEP repair using Parietex® anatomical mesh without ﬁxation was performed for 60 patients presenting with 63 uncomplicated groin hernias. Results: All patients were males with a mean age of 44.7±14.75 years. There were 60 (95.3%) primary, 3 (5%) bilateral inguinal and 2 (3.3%) femoral hernias. The mean operative time was 64.8±22.6 minutes. There were no major operative complications or conversions to transabdominal preperitoneal or open repair. In the early postoperative period, 54 patients (90%) had mild or no pain. Nine patients (15%) developed minor postoperative complications. The mean length of hospital stay was 1.1±0.3 days and the mean time of return to normal daily activities and to work was 2.6±0.64 and 7.15±1.13 days respectively. No patient developed chronic groin pain, mesh-related complications or recurrences during the study period. Ninety one percent of patients described their satisfaction with surgery as good or excellent. Conclusion: laparoscopic TEP repair of uncomplicated groin hernia using Parietex® anatomical mesh without fixation is safe and does not increase the risk of hernia recurrence.},
 year = {2017}
}

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TY - JOUR
T1 - Short Term Outcomes of Laparoscopic Totally Extraperitoneal Repair of Uncomplicated Groin Hernia Using Polyester Anatomical Mesh Without Fixation
AU - Hamdy Sedky Abdalla
AU - Sherief Abd-Alfattah Saber
AU - Ahmad Waheed Al-Zayady
AU - Mohammad Hamdy Abo-Ryia
AU - Sherif Abd-Alaziem Mustafa
AU - Gamal Ibrahim Moussa
Y1 - 2017/11/12
PY - 2017
N1 - https://doi.org/10.11648/j.js.20170506.13
DO - 10.11648/j.js.20170506.13
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 97
EP - 104
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20170506.13
AB - Background: Totally extraperitoneal (TEP) repair of groin hernia can be performed with or without mesh ﬁxation. Fixation can result in postoperative pain or paresthesia due to nerve entrapment. Compared to polypropylene mesh, polyester anatomical mesh (Parietex®, Covidien, Mansfield, MA, USA) has a special configuration to fit the posterior inguinal anatomy. Also, the polyester-based chemistry and the rapidly absorbable biological coating increase the hydrophilicity of the mesh, which is thought to result in a fast and intimate tissue ingrowth that may obviate the need for fixation. Patients and Methods: Laparoscopic TEP repair using Parietex® anatomical mesh without ﬁxation was performed for 60 patients presenting with 63 uncomplicated groin hernias. Results: All patients were males with a mean age of 44.7±14.75 years. There were 60 (95.3%) primary, 3 (5%) bilateral inguinal and 2 (3.3%) femoral hernias. The mean operative time was 64.8±22.6 minutes. There were no major operative complications or conversions to transabdominal preperitoneal or open repair. In the early postoperative period, 54 patients (90%) had mild or no pain. Nine patients (15%) developed minor postoperative complications. The mean length of hospital stay was 1.1±0.3 days and the mean time of return to normal daily activities and to work was 2.6±0.64 and 7.15±1.13 days respectively. No patient developed chronic groin pain, mesh-related complications or recurrences during the study period. Ninety one percent of patients described their satisfaction with surgery as good or excellent. Conclusion: laparoscopic TEP repair of uncomplicated groin hernia using Parietex® anatomical mesh without fixation is safe and does not increase the risk of hernia recurrence.
VL - 5
IS - 6
ER -

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Author Information

Hamdy Sedky Abdalla

General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Sherief Abd-Alfattah Saber

General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Ahmad Waheed Al-Zayady

General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Mohammad Hamdy Abo-Ryia

General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Sherif Abd-Alaziem Mustafa

General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Gamal Ibrahim Moussa

General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt

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Hamdy Sedky Abdalla, Sherief Abd-Alfattah Saber, Ahmad Waheed Al-Zayady, Mohammad Hamdy Abo-Ryia, Sherif Abd-Alaziem Mustafa, et al. (2017). Short Term Outcomes of Laparoscopic Totally Extraperitoneal Repair of Uncomplicated Groin Hernia Using Polyester Anatomical Mesh Without Fixation. Journal of Surgery, 5(6), 97-104. https://doi.org/10.11648/j.js.20170506.13

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Hamdy Sedky Abdalla; Sherief Abd-Alfattah Saber; Ahmad Waheed Al-Zayady; Mohammad Hamdy Abo-Ryia; Sherif Abd-Alaziem Mustafa, et al. Short Term Outcomes of Laparoscopic Totally Extraperitoneal Repair of Uncomplicated Groin Hernia Using Polyester Anatomical Mesh Without Fixation. J. Surg. 2017, 5(6), 97-104. doi: 10.11648/j.js.20170506.13

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Hamdy Sedky Abdalla, Sherief Abd-Alfattah Saber, Ahmad Waheed Al-Zayady, Mohammad Hamdy Abo-Ryia, Sherif Abd-Alaziem Mustafa, et al. Short Term Outcomes of Laparoscopic Totally Extraperitoneal Repair of Uncomplicated Groin Hernia Using Polyester Anatomical Mesh Without Fixation. J Surg. 2017;5(6):97-104. doi: 10.11648/j.js.20170506.13

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@article{10.11648/j.js.20170506.13,
  author = {Hamdy Sedky Abdalla and Sherief Abd-Alfattah Saber and Ahmad Waheed Al-Zayady and Mohammad Hamdy Abo-Ryia and Sherif Abd-Alaziem Mustafa and Gamal Ibrahim Moussa},
  title = {Short Term Outcomes of Laparoscopic Totally Extraperitoneal Repair of Uncomplicated Groin Hernia Using Polyester Anatomical Mesh Without Fixation},
  journal = {Journal of Surgery},
  volume = {5},
  number = {6},
  pages = {97-104},
  doi = {10.11648/j.js.20170506.13},
  url = {https://doi.org/10.11648/j.js.20170506.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20170506.13},
  abstract = {Background: Totally extraperitoneal (TEP) repair of groin hernia can be performed with or without mesh ﬁxation. Fixation can result in postoperative pain or paresthesia due to nerve entrapment. Compared to polypropylene mesh, polyester anatomical mesh (Parietex®, Covidien, Mansfield, MA, USA) has a special configuration to fit the posterior inguinal anatomy. Also, the polyester-based chemistry and the rapidly absorbable biological coating increase the hydrophilicity of the mesh, which is thought to result in a fast and intimate tissue ingrowth that may obviate the need for fixation. Patients and Methods: Laparoscopic TEP repair using Parietex® anatomical mesh without ﬁxation was performed for 60 patients presenting with 63 uncomplicated groin hernias. Results: All patients were males with a mean age of 44.7±14.75 years. There were 60 (95.3%) primary, 3 (5%) bilateral inguinal and 2 (3.3%) femoral hernias. The mean operative time was 64.8±22.6 minutes. There were no major operative complications or conversions to transabdominal preperitoneal or open repair. In the early postoperative period, 54 patients (90%) had mild or no pain. Nine patients (15%) developed minor postoperative complications. The mean length of hospital stay was 1.1±0.3 days and the mean time of return to normal daily activities and to work was 2.6±0.64 and 7.15±1.13 days respectively. No patient developed chronic groin pain, mesh-related complications or recurrences during the study period. Ninety one percent of patients described their satisfaction with surgery as good or excellent. Conclusion: laparoscopic TEP repair of uncomplicated groin hernia using Parietex® anatomical mesh without fixation is safe and does not increase the risk of hernia recurrence.},
 year = {2017}
}

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