Management of inguinal hernias using TAPP (transabdominal preperitoneal Hernioplasty)
Article Sidebar
Main Article Content
Abstract
Introduction. It is estimated that between 10% and 15% of the world's population currently has or will have a hernia in the abdominal wall, with 60% of these hernias being specifically in the inguinal region and with a lifetime risk of suffering an inguinal hernia between 27% to 43% in men. Minimally invasive surgery, including inguinal hernioplasty, has become one of the most common surgical procedures worldwide. Currently, the laparoscopic technique has become an option for the repair of hernia pathology. The results have been favorable due to the use of tension-free meshes. Objective: to describe the management of inguinal hernias by means of the preperitoneal transabdominal laparoscopic technique. Methodology. A narrative bibliographic review of systematic reviews, meta-analyses, and bibliographic reviews in English and Spanish, compiled in databases such as PubMed, LILACS and Medline, published in the last 5 years in humans older than 65 years, was carried out. Results. This analysis addressed the approach to inguinal hernia management in older adults through the technique of transabdominal preperitoneal hernioplasty, based on the review and analysis of 15 studies, following the application of inclusion and exclusion criteria. The studies provided substantial data regarding various complications such as seroma, hematoma, and wound infection. Additionally, less common complications were explored, and the advantages and disadvantages of employing this technique were evaluated, also considering the impact in terms of costs and length of hospital stay. This comprehensive analysis provides an essential perspective on the effectiveness and feasibility of transabdominal preperitoneal hernioplasty in the older adult population. Conclusion. Preperitoneal transabdominal hernioplasty offers positive results in patient recovery, less postoperative pain, and a significantly reduced probability of infections, allowing an early return to daily activities and work. However, late complications may arise, such as chronic groin pain and hernia recurrence.
Downloads
Article Details
References
Alonso Rodríguez, Y., López Martín, J. E., Gil Soto, R., Hernández Núñez, A., Hernández Pérez, R., Alonso Rodríguez, Y., López Martín, J. E., Gil Soto, R., Hernández Núñez, A., & Hernández Pérez, R. (2020). Caracterización de los pacientes con hernia inguinal operados por la técnica de Lichtenstein. Revista Cubana de Cirugía, 59(4). http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0034-74932020000400004&lng=es&nrm=iso&tlng=es
Amaral, P. H. D. F., Pivetta, L. G. A., Dias, E. R. M., Carvalho, J. P. V. D., Furtado, M., Malheiros, C. A., & Roll, S. (2022). Robotic re-TAPP: A minimally invasive alternative for the failed posterior repair. Revista Do Colegio Brasileiro De Cirurgioes, 49, e20223063. https://doi.org/10.1590/0100-6991e-20223063
Aydin, M., Fikatas, P., Denecke, C., Pratschke, J., & Raakow, J. (2021). Cost analysis of inguinal hernia repair: The influence of clinical and hernia-specific factors. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 25(5), 1129-1135. https://doi.org/10.1007/s10029-021-02372-1
Barrientos Fortes, T., Rodríguez Arias, J. I., & Chávez Peón Pérez, F. (2020). Metaanálisis comparativo de hernioplastia inguinal TAPP vs Lichtenstein. Acta Médica Grupo Ángeles, 18(4), 373-381. https://doi.org/10.35366/97263
Carrera Laureán, N., Camacho López, M. R., Carrera Laureán, N., & Camacho López, M. R. (2018). Tipo de hernia inguinal encontrado en la población general, según la clasificación de Nyhus. Cirujano general, 40(4), 250-254.
Cubas, S., Varela, M., Brito, M. N., Pouy, A., Muniz, N. D., Parada, U., Haro, C., Almada, M., Martínez, M., & Canessa, C. E. (2021). Técnica TAPP en manos jóvenes. Es posible reproducir los resultados de la técnica Lichtenstein para la hernia inguinal sintomática primaria unilateral. Revista argentina de cirugía, 113(4), 434-443. https://doi.org/10.25132/raac.v113.n4.1498
Diallo, M. S., Fernández, Z. R., Álvarez, G. J., Yodú, R. L. G., & Callejas, E. C. (2019). Factores asociados a las complicaciones de la cirugía electiva de las hernias inguinales [retractado]. Revista Cubana de Medicina Militar, 48(4), Article 4.
Eltair, M., Hajibandeh, S., Hajibandeh, S., Balakrishnan, S., Alyamani, A., Radoi, D., Goh, Y. L., Hanif, M., Kumar, Y., & Mobarak, D. (2019). Meta-analysis of laparoscopic groin hernia repair with or without mesh fixation. International Journal of Surgery (London, England), 71, 190-199. https://doi.org/10.1016/j.ijsu.2019.10.004
Furtado, M., Claus, C. M. P., Cavazzola, L. T., Malcher, F., Bakonyi-Neto, A., & Saad-Hossne, R. (2019). Systemization of laparoscopic inguinal hernia repair (TAPP) based on a new anatomical concept: inverted y and five triangles. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo), 32, e1426. https://doi.org/10.1590/0102-672020180001e1426
INEC, I. N. de E. y. (2020). Camas y Egresos Hospitalarios. Instituto Nacional de Estadística y Censos. https://www.ecuadorencifras.gob.ec/camas-y-egresos-hospitalarios/
Leyba et al. (2021). Tratamiento laparoscópico de la hernia inguinal por técnica transabdominal preperitoneal. https://www.revistavenezolanadecirugia.com/index.php/revista/article/view/392
Li, J., Qin, C., Lai, D., Hu, Y., & Wang, L. (2020). Safety and effectiveness of inguinal hernia repair in patients with liver cirrhosis: A retrospective study and literature review. Hernia, 24(3), 489-494. https://doi.org/10.1007/s10029-019-02087-4
Manatakis, D. K., Tasis, N., Antonopoulou, M. I., Anagnostopoulos, P., Acheimastos, V., Papageorgiou, D., Fradelos, E., Zoulamoglou, M., Agalianos, C., Tsiaoussis, J., & Xynos, E. (2021). Revisiting Amyand’s Hernia: A 20-Year Systematic Review. World Journal of Surgery, 45(6), 1763-1770. https://doi.org/10.1007/s00268-021-05983-y
Martínez, L. C., & Rodríguez, D. L. D. (2018). Epidemiología de pacientes afectos de hernia inguinal bilateral.
Morrell, A. C., Morrell, A. L. G., Malcher, F., Morrell, A. G., & Morrell-Junior, A. C. (2020). Primary abandon-of-the-sac (PAS) technique: preliminary results of a novel minimally invasive approach for inguinoscrotal hernia repair. Arquivos Brasileiros de Cirurgia Digestiva: ABCD = Brazilian Archives of Digestive Surgery, 33(2), e1519. https://doi.org/10.1590/0102-672020200002e1519
Peña, M. E., Dreifuss, N. H., & Sadava, E. E. (2018). Factores de riesgo de recidiva luego de la hernioplastia inguinal laparoscópica: Seguimiento de una cohorte a 5 años. Revista argentina de cirugía, 110(4), 206-210.
Quispe, M. R. F., & Salgado, W. (2019). Transabdominal preperitoneal (TAPP) versus open Lichtenstein hernia repair. Comparison of the systemic inflammatory response and the postoperative pain 1. Acta Cirúrgica Brasileira, 34(2), e201900206. https://doi.org/10.1590/s0102-8650201900206
Simons, M. P., Smietanski, M., Bonjer, H. J., Bittner, R., Miserez, M., Aufenacker, Th. J., Fitzgibbons, R. J., Chowbey, P. K., Tran, H. M., Sani, R., Berrevoet, F., Bingener, J., Bisgaard, T., Bury, K., Campanelli, G., Chen, D. C., Conze, J., Cuccurullo, D., de Beaux, A. C., … The HerniaSurge Group. (2018). International guidelines for groin hernia management. Hernia, 22(1), 1-165. https://doi.org/10.1007/s10029-017-1668-x
Tam, V., Rogers, D. E., Al-Abbas, A., Borrebach, J., Dunn, S. A., Zureikat, A. H., Zeh, H. J., & Hogg, M. E. (2019). Robotic Inguinal Hernia Repair: A Large Health System’s Experience With the First 300 Cases and Review of the Literature. The Journal of Surgical Research, 235, 98-104. https://doi.org/10.1016/j.jss.2018.09.070
The HerniaSurge Group. (2018). International guidelines for groin hernia management. Hernia, 22(1), 1-165. https://doi.org/10.1007/s10029-017-1668-x
Tulin, A., Slavu, I., Braga, V., Mihaila, D., & Alecu, L. (2019). TAAP vs. TEP in Inguinal Hernia Repair - What is the Evidence? A Single Center Experience. Chirurgia, 114(1), 67. https://doi.org/10.21614/chirurgia.114.1.67
Uili, J. C., Nemer, F., Araujo, G., El, A. V., Freitas, B., Hass, Y. S., & Paggi, C. M. (2021). Hérnia femoral: incomum, mas associada a complicações potencialmente graves.
Vacca, J. (2018). Hernia inguinal. La lucha contra la profusión. Nursing, 35(2), 26-33. https://doi.org/10.1016/j.nursi.2018.03.009
Varela, D. P. S. (s. f.). Hernias de la pared abdominal. Clin Quir FM UdelaR.
Zhou, Y., Chen, M., Zhang, Y., Zhou, H., Yu, X., & Chen, G. (2019). Ilioinguinal/iliohypogastric nerve block versus transversus abdominis plane block for pain management following inguinal hernia repair surgery. Medicine, 98(42), e17545. https://doi.org/10.1097/MD.0000000000017545