Highlights
- •Prior low abdominal or pelvic surgery increases risk of inguinal hernia.
- •Inguinal hernia repair (IHR) after prior pelvic surgery is complicated by scarring.
- •Minimally invasive IHR is safe compared to an open approach after prior surgery.
- •Laparoscopic IHR provides a faster recovery than open surgery.
- •Patient satisfaction is equivalent regardless of IHR surgical approach.
Abstract
Background
The ideal approach to inguinal hernia repair (IHR) after prior pelvic or low abdominal
surgery is not agreed upon. We compared safety and outcomes of IHR between open, laparoscopic,
and robotic approaches.
Methods
This retrospective review of a prospective database analyzed demographic, perioperative,
and quality of life data for patients who underwent IHR after pelvic or low abdominal
surgery.
Results
286 qualifying patients underwent IHR between 2008 and 2020; 119 open, 147 laparoscopic,
and 20 robotic. Laparoscopic repair led to faster cessation of narcotics and return
to ADLs than open repair (all p <0.05). Post-operative complications, 30-day readmission,
recurrences, and quality of life outcomes were equivalent, except less pain at 3-weeks
post-op in the minimally invasive groups, p < 0.01.
Conclusion
Minimally invasive IHR after prior pelvic or low abdominal surgery is safe compared
to an open approach. Laparoscopic repair provides faster recovery, yet patient satisfaction
is equivalent regardless of surgical approach.
Keywords
Abbreviations:
IHR (Inguinal Hernia Repair), MIS (Minimally Invasive Surgery), SOMS (Surgical Outcomes Measurement System), CCS (Carolinas Comfort Scale), TAPP (Transabdominal Preperitoneal), TEP (Totally Extraperitoneal)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: August 27, 2022
Accepted:
August 19,
2022
Received in revised form:
August 2,
2022
Received:
May 3,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
