Postoperative Outcomes and Recurrence Rate in Laparoscopic Tep Inguinal Hernia Repairs Using Partially Absorbable Meshes: A Retrospective Single-Surgeon Study Over A 5-Year Period

Objective: This study aimed to evaluate the postoperative outcomes and recurrence rate in laparoscopic inguinal hernia repairs performed over a 5-year period with totally extraperitoneal (TEP) technique and use of partially absorbable meshes.
Methods: A total of 100 patients (mean(SD, min-max) age: 51.0(14.6, 16-83) years, 91.0% were males) who underwent 150 laparoscopic TEP inguinal hernia repairs (bilateral in 50 patients) with use of the partially absorbable mesh were retrospectively reviewed. Data on patient demographics, hernia characteristics (side, subtype), date of operation, operating time, early and late postoperative complications as well as the recurrence rate were recorded over a 5-year period.
Results: The inguinal hernia was bilateral in 50(50.0%) patients and indirect hernia was noted in 53(53.0%) patients, while lipoma was evident in 17(17.0%) cases. Median operating time was 45.0 min (range, 23.0 to 140.0 min). Overall, seroma occurred in 6(6.0%) patients and treated conservatively, while none of patients developed preperitoneal hematoma, infection or persistent chronic inguinal pain. Recurrence rate was 0.67% (1/150 operations) within a median 30.0 months (range, 2 to 60 months) of postoperative follow up. Bilateral hernia was associated with significantly longer operating time compared to left or right unilateral hernia (median(min-max) 50.0(34.0-140.0) vs. 40.0(23-80) and 40.0(25.0-130.0) min, p<0.01 and p<0.001, respectively). Operating time was positively correlated both with patient age (r=0.240, p=0.017) and BMI (r=0.205, p=0.044).
Conclusion: In conclusion, our findings indicate that laparoscopic TEP inguinal hernia repair with use of the partially absorbable meshes enables a favorable postoperative outcome with minimal early and late postoperative complications and 0.67% recurrence rate over a 5-year period.

Kýsmi Emilebilir Mesh Kullanýmlý Laparoskopik Tep Inguinal Herni Onarýmlarýnda Postoperatif Sonuçlar ve Rekürrens Oraný: 5 Yýllýk Dönemi Kapsayan Retrospektif Tek-Cerrah Çalýþmasý

Amaç: Bu çalýþmada total ekstraperitoneal (TEP) tekniðiyle ve kýsmi emilebilir mesh kullanýlarak yapýlan laparoskopik inguinal herni onarýmlarýnýn 5 yýllýk bir dönemde postoperatif sonuçlar ve rekürrens oraný açýsýndan incelenmesi amaçlandý.
Yöntem: Toplamda 100 hastada (ort. (SS) yaþ: 51.0(14.6, 16-83) yýl, popülasyonun %91,0’i erkek hastalar) gerçekleþtirilen 150 kýsmi emilebilir mesh kullanýmlý laparoskopik TEP inguinal herni onarýmý (50 hastada bilateral) retrospektif olarak deðerlendirildi. Hastalarýn demografik özellikleri, herni özellikleri (taraf, alt tip), operasyon tarihi ve süresi, erken ve geç-dönem postoperatif komplikasyonlar ve rekürrens oraný 5-yýllýk dönemde kaydedildi.
Bulgular: Hastalarýn yaklaþýk yarýsýndaÝ inguinal herni 50 hastada (%50.0) bilateral (50.0%) ve 53(%53.0) hastada ya indirekt (53.0%) olup, 17(%17,0) olguda lipoma tespit edildi. Medyan operasyon süresi 45.0 dk (23.0 ila 40.0 dk aralýðýnda) oldu. Toplamda, 6(%6,0) hastada konservatif olarak tedavi edilen eroma oluþumu gözlenirken, hiçbir hastada preperitoneal hematom, enfeksiyon veya persistan kronik inguinal aðrý gözlenmedi. Postoperatif takipte 30 ay içinde (2 ila 60 ay aralýðýnda) rekürrens geliþim oraný %0,67 (1/150 operasyonda) idi. Bilateral hernide operasyon süresi, sol veya sað unilateral herni ile kýyaslandýðýnda, anlamlý olarak daha uzundu (median(minimum-maksimum) 50.0(34.0-140.0) dk’ya karþýn sýrasýyla 40.0(23-80) ve 40.0(25.0-130.0) dk, p<0.01 ve p<0.001). Operasyon süresi, hasta yaþý (r=0.240, p=0.017) ve VKÝ (r=0.205, p=0.044) ile pozitif korelasyon gösterdi.
Sonuç: Sonuç olarak, bu retrospektif tek-cerrah çalýþmasýbulgularýmýz, kýsmi emilebilir mesh kullanýlan laparoskopik TEP inguinal herni onarýmlarýnýn erken ve geç dönem komplikasyonlar bazýnda olumlu postoperatif sonuçlar ve 5 yýllýk süre zarfýnda %0,67 rekürrens oraný ile iliþkili olduðunu göstermektedir. (SETB-2024-06-110)