A multicentric comparison of transabdominal versus totally extraperitoneal laparoscopic hernia repair using PARIETEX meshes

The authors report a series of 1972 inguinal hernias treated between 1993 and 1997 by the insertion of a PARIETEX mesh via either a transabdominal-preperitoneal (TAPP) (1,290 procedures) or a totally extraperitoneal TEP approach (682 procedures). Pain scores were equivalent in both groups, while the...

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Veröffentlicht in:Journal of the Society of Laparoendoscopic Surgeons 2000-04, Vol.4 (2), p.147-153
Hauptverfasser: Lepere, M, Benchetrit, S, Debaert, M, Detruit, B, Dufilho, A, Gaujoux, D, Lagoutte, J, Saint Leon, L M, Pavis d'Escurac, X, Rico, E, Sorrentino, J, Therin, M
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container_issue 2
container_start_page 147
container_title Journal of the Society of Laparoendoscopic Surgeons
container_volume 4
creator Lepere, M
Benchetrit, S
Debaert, M
Detruit, B
Dufilho, A
Gaujoux, D
Lagoutte, J
Saint Leon, L M
Pavis d'Escurac, X
Rico, E
Sorrentino, J
Therin, M
description The authors report a series of 1972 inguinal hernias treated between 1993 and 1997 by the insertion of a PARIETEX mesh via either a transabdominal-preperitoneal (TAPP) (1,290 procedures) or a totally extraperitoneal TEP approach (682 procedures). Pain scores were equivalent in both groups, while the hospital stay and time to return to normal activity was lower in the TEP group than in the TAPP group (p
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Pain scores were equivalent in both groups, while the hospital stay and time to return to normal activity was lower in the TEP group than in the TAPP group (p&lt;0.001). In both groups, the average incidence of the total reported events (complications) was around 10% with no statistical difference. This ratio seemed to compare favorably to previously published reports. Chronic pain was extremely rare (0.6% and 0.7% in the TAPP and TEP groups, respectively). Whatever the approach was, sepsis was also very rare (1/1,526 laparoscopic procedures). These findings illustrate the local tolerance of the mesh. Recurrence rates were below 1% with no statistical difference between groups. This retrospective study demonstrates the clinically apparent local tolerance of this type of mesh. 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subjects Abdominal Muscles - surgery
Biocompatible Materials
Collagen
Hernia, Inguinal - surgery
Humans
Laparoscopy - methods
Peritoneum - surgery
Polyesters
Postoperative Complications
Prosthesis Design
Prosthesis Implantation - instrumentation
Retrospective Studies
Scientific Papers
Secondary Prevention
title A multicentric comparison of transabdominal versus totally extraperitoneal laparoscopic hernia repair using PARIETEX meshes
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