Journal List > J Korean Surg Soc > v.77(3) > 1011005

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Han, Lee, Choi, Joo, and Hong: Comparison of Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair and Tension-Free Herniorrhaphy Using Perfix®: Short-Term Follow-Up Results
Original Article
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2009; 77(3): 189-194.

Published online: 4 September 2009

DOI: https://doi.org/10.4174/jkss.2009.77.3.189

Comparison of Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair and Tension-Free Herniorrhaphy Using Perfix®: Short-Term Follow-Up Results

Min Soo Han, M.D., Sang Mok Lee, M.D., Sung Il Choi, M.D., Sun Hyung Joo, M.D., Sung Wha Hong, M.D.

Department of Surgery, Kyung Hee University College/School of Medicine, Seoul, Korea.

Corresponding author (hbplapa@khu.ac.kr)

Received 17 November 2008       Accepted 25 June 2009

Copyright © 2009 The Korean Surgical Society

Abstract

Purpose

Tension-free open repair for inguinal hernia is a safe and popular operation with a high success rate, but laparoscopic techniques are fairly recent. Comparing the tension-free herniorrhaphy using mesh and plug (Perfix®) with laparoscopic totally extraperitoneal (TEP) hernia repair is the aim of this study.

Methods

We compared two groups of patients in which 39 patients with inguinal hernias were treated by tension-free repair using Perfix® (group P) and 39 patients were treated by laparoscopic TEP repair (group T). Information about operation time, length of hospital stay, use of analgesics (pain), recurrence, complications, cosmetic satisfaction, medical costs, and time until return to work were evaluated retrospectively.

Results

Mean operation time, postoperative hospital stay, and the time until return to work were 101±33 min, 1.9±1.0 days, 11±8 days in group T, 86±28 min, 2.0±0.8 days, 12±10 days in group P. Postoperative complications, medical costs and the cosmetic satisfaction were 20.5%, 821,048 won, 94% (32/24) in group T, 7.7%, 692,149 won, 79% (19/24) in group P. There was difference between the two groups but not significant statistically. Group P used more analgesics than group T, significantly (P<0.05). There was only 1 recurrence in group T.

Conclusion

Although we need more experience in patients with inguinal hernias, laparoscopic TEP repair may be a secure and feasible procedure compared to tension-free repair using Perfix®.

Keywords: Laparoscopic hernia repair, Totally extraperitoneal approach, Tension free hernia repair

Figures and Tables

Fig. 1
(A) Polyester mesh for totally extraperiotoneal approach (Parietex®, Sofradim, Formans, France). (B) Polyprophylene mesh and plug for tension free repair (Perfix®, C.R. Bard Inc., Murray Hill, USA).
jkss-77-189-g001
Table 1
Clinical characteristics of the patients
jkss-77-189-i001

*NS = not significant; †ASA = American Society of Anesthesiologists.

Table 2
Postoperative complications
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Table 3
Operation time, hospital stay, and time until return to work
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Table 4
Medical costs, use of analgesics, and cosmetic satisfaction
jkss-77-189-i004

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