Simultaneous TAPP (transabdominal pre-peritoneal technique) for inguinal hernia and cholecystectomy – a feasible and safe procedure
Languages of publication
Inguinal hernia repair and cholecystectomy are amongst the most common surgical procedures performed worldwide. In the recent decades, early disease detection has notably increased due to easily accessible ultrasound. The aim of the study was to assess the safety and the possibility of performing a simultaneous hernia repair and cholecystectomy using the laparoscopic approach. Material and methods. Eight patients (M=100%) with inguinal hernia (3 with bilateral hernia) and cholelithiasis were included in the study. The presence of gallstones was confirmed by imaging. Mean age of the patients was 61.75 years (ranging from 47-72). Simultaneous laparoscopic cholecystectomy and transabdominal pre-peritoneal hernia repair was performed in all patients. Postoperative complications were analyzed to assess the safety and feasibility of the procedure. Results. Mean operating time was 55 minutes (ranging from 30-60) and average length of stay was 3.625 days (ranging from 2-7). In order to perform a cholecystectomy, 1-2 additional trocars were used. No intra-operative complications were observed. At a follow-up visit on postoperative day 7, a small hematoma (10 ml of blood was punctured) in the right groin was noted in one patient. Another patient developed fever postoperatively, treated conservatively with antibiotics. Conclusions. Simultaneous TAPP and cholecystectomy proved to be a safe and feasible procedure. Acceptable operating time and hospital stay, as well as lack of influence on the length of convalescence, may present an interesting alternative to two separate procedures
1 - 02 - 2014
25 - 03 - 2014
- 1. Bittner R: The standard of laparoscopic cholecystectomy. Langenbecks Arch Surg 2004; 389: 157-63.
- 2. Paat-Ahi G, Swiderek M, Sakowski P et al.: DRGs in Europe: a cross country analysis for cholecystectomy.Health Econ 2012; 21 Suppl 2: 66-76.[Crossref]
- 3. Kingsnorth AN, LeBlanc KA: Management of abdominal hernias. 3rd ed. London, New York: Edward Arnold, 2003: 40-47.
- 4. www.hernia.pl (streszczenia zjazdowe, Kongres PKP Maciejewo 2012)
- 5. Miserez M, Alexandre J H, Campanelli G et al.: The European hernia society groin hernia classification: simple and easy to remember. Hernia 2007; 11(2): 113-16.[PubMed][Crossref][WoS]
- 6. Bittner R, Arregui ME, Bisgaard T et al.: Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (InternationalEndoherniaSociety (IEHS)).Surg Endosc 2011; 25(9): 2773-2843.[Crossref][PubMed]
- 7. Sarli L, Villa F, Marchesi F: Hernioplasty and simultaneous laparoscopic cholecystectomy: a prospective randomized study of open tension-free versus laparoscopic inguinal hernia repair. Surgery 2001; 129(5): 530-36.[Crossref][PubMed]
- 8. El-labban Gouda, Hokkam Emad,El-labban Mohamed et al.: Laparoscopic elective cholecystectomy with and without drain: A controlled randomized trial. J Minim Access Surg 2012; 8(3): 90-92.
- 9. Kurpiewski W, Pesta W, Kowalczyk M et al.: The outcomes of SILS cholecystectomy in comparison with classic four-trocar laparoscopic cholecystectomy.Wideochir Inne Tech Malo Inwazyjne 2012; 7(4): 286-93.[PubMed]
- 10. Shea JA, Healey MJ, Berlin JA et al.: Mortality and complications associated with laparoscopic cholecystectomy. A meta-analysis. Ann Surg 1996; 224: 609-20.
- 11. Sato H, Shimada M, Kurita N et al.: The safety and usefulness of the single incision, transabdominalpre- peritoneal (TAPP) laparoscopic technique for inguinal hernia. J Med Invest 2012; 59(3-4): 235-40.[Crossref][PubMed]
- 12. McCormack K, Wake BL, Fraser C et al.: Transabdominalpre- peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair: a systematic review. Hernia 2005; 9(2): 109-14.[PubMed][Crossref]
- 13. Wang MG, Tian ML, Zhao XF et al.: Effectiveness and safety of n-butyl-2-cyanoacrylate medical adhesive for noninvasive patch fixation in laparoscopic inguinal hernia repair. Surg Endosc 2013 10. (Epubahead of print).[WoS][Crossref]
Publication order reference