Minilaparoscopy for inguinal hernia repair

Flavio Malcher, Leandro Totti Cavazzola, Gustavo L. Carvalho, Guilherme D.E. Araujo, José Antônio José, Prashanth Rao, Antonio Carlos Iglesias

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background and Objectives: Inguinal hernia repair is among the most common procedures performed worldwide and the laparoscopic totally extraperitoneal (TEP) approach is a recognized and effective surgical technique. Although technically advantageous because of the option of no mesh fixation and no need for creation of a peritoneal flap resulting, in less postoperative pain and faster recovery, TEP has not achieved the popularity it deserves, mainly because of its complexity and steep learning curve. Minilaparoscopy was first described in the 1990s and has recently gained significantly from better instrumentation that may increase TEP’s effectiveness and acceptance. We performed a prospective study, to analyze the outcomes of minilaparoscopy in pain and operative time when compared to the conventional laparoscopic technique in hernia repair. Methods: Fifty-eight laparoscopic inguinal hernia repairs were performed: 36 by traditional laparoscopic technique and 22 by minilaparoscopic instruments (mini). A study protocol was applied prospectively for data collection. Variables analyzed were early postoperative pain (at hour 6 after procedure), pain at discharge, use of on-demand analgesics, and operative time. Results: The mini group presented reduced early postoperative pain and operative time. The present study also suggests less postoperative pain at discharge with mini procedures, although this difference was not statistically significant. No difference between the groups regarding on-demand use of analgesics was found. Conclusions: This study corroborates findings in previously published papers that have shown the feasibility of minilaparoscopy in laparoscopic TEP hernia repair and its benefits regarding postoperative pain, operative time, and aesthetic outcomes.

Original languageEnglish (US)
Article numbere2016.00066
JournalJournal of the Society of Laparoendoscopic Surgeons
Volume20
Issue number4
DOIs
StatePublished - Oct 1 2016
Externally publishedYes

Fingerprint

Inguinal Hernia
Herniorrhaphy
Postoperative Pain
Operative Time
Analgesics
Pain
Learning Curve
Esthetics
Prospective Studies

Keywords

  • Endoscopic hernia repair
  • Microlaparoscopy
  • Minilaparoscopy
  • Minimal access hernia surgery
  • Needlescopic surgery

ASJC Scopus subject areas

  • Surgery

Cite this

Malcher, F., Cavazzola, L. T., Carvalho, G. L., Araujo, G. D. E., José, J. A., Rao, P., & Iglesias, A. C. (2016). Minilaparoscopy for inguinal hernia repair. Journal of the Society of Laparoendoscopic Surgeons, 20(4), [e2016.00066]. https://doi.org/10.4293/JSLS.2016.00066

Minilaparoscopy for inguinal hernia repair. / Malcher, Flavio; Cavazzola, Leandro Totti; Carvalho, Gustavo L.; Araujo, Guilherme D.E.; José, José Antônio; Rao, Prashanth; Iglesias, Antonio Carlos.

In: Journal of the Society of Laparoendoscopic Surgeons, Vol. 20, No. 4, e2016.00066, 01.10.2016.

Research output: Contribution to journalArticle

Malcher, F, Cavazzola, LT, Carvalho, GL, Araujo, GDE, José, JA, Rao, P & Iglesias, AC 2016, 'Minilaparoscopy for inguinal hernia repair', Journal of the Society of Laparoendoscopic Surgeons, vol. 20, no. 4, e2016.00066. https://doi.org/10.4293/JSLS.2016.00066
Malcher F, Cavazzola LT, Carvalho GL, Araujo GDE, José JA, Rao P et al. Minilaparoscopy for inguinal hernia repair. Journal of the Society of Laparoendoscopic Surgeons. 2016 Oct 1;20(4). e2016.00066. https://doi.org/10.4293/JSLS.2016.00066
Malcher, Flavio ; Cavazzola, Leandro Totti ; Carvalho, Gustavo L. ; Araujo, Guilherme D.E. ; José, José Antônio ; Rao, Prashanth ; Iglesias, Antonio Carlos. / Minilaparoscopy for inguinal hernia repair. In: Journal of the Society of Laparoendoscopic Surgeons. 2016 ; Vol. 20, No. 4.
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