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ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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4/2022
vol. 17
 
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General surgery
abstract:
Original paper

Feasibility of laparoscopic indirect inguinal hernia repair with lateral umbilical fold covering internal inguinal ring combined with patch repair

En-Wen Xu
1
,
Zhong-Qi Mao
2
,
Hua-Chun Wang
3
,
Lei Li
1
,
Yan-Hui Si
1
,
Wei-Wei Zhang
1

  1. Department of General Surgery, Public Health Clinical Center Affiliated to Fudan University, Shanghai, China
  2. The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China
  3. Department of Gynaecology and Obstetrics, Suzhou Science and Technology City Hospital, Suzhou Jiangsu, China
Videosurgery Miniinv 2022; 17 (4): 652–659
DOI: https://doi.org/10.5114/wiitm.2022.120421
Online publish date: 2022/10/19
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Introduction
For an indirect inguinal hernia (IIH), it is a challenge to repair the internal inguinal ring (IIR) with self-tissue reconstruction in laparoscopic repair. Aim: To evaluate the efficacy and safety of covering the IIR with the lateral umbilical fold (LUF) combined with patch repair in laparoscopic indirect inguinal hernia repair.

Material and methods
Patients with IIH treated by trans-abdominal preperitoneal (TAPP) hernia repair at the Department of General Surgery, Shanghai Public Health Clinical Centre between September 2019 and March 2021 were retrospectively analyzed. In group I (n = 57) the LUF was overturned and sutured to cover the IIR under a laparoscope and subsequently repaired with a patch. In group II (n = 62), the IIR was not covered by the LUF but only repaired with a self-gripping mesh.

Results
We noted a longer suture time in group I than in group II. Although the LUF was covered after suturing, no significant difference in postoperative pain was observed between the two groups. However, significant differences in surgery time and hospitalization cost (p < 0.05) were found. One case of recurrence was observed in group II.

Conclusions
The LUF can be used in IIH to cover the IIR and is a feasible approach. The LUF covering the IIR has no significant difference in pain.

keywords:

trans-abdominal preperitoneal, self-gripping mesh, laparoscopic, indirect inguinal hernia, lateral umbilical fold, inferior epigastric vessels
  
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