• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Laparoscopic Totally Extraperitoneal Hernia Repair Versus Open Hernia Repair: Comparison of Perioperative Outcomes

Introduction
Lichtenstein repair is generally accepted as a safe and widely practiced. Laparoscopic TEP herniorrhaphy is a recent technique and now increasing in number, but not generally accepted because of technical difficulties and not established peri-operative outcomes. This study compares perioperative outcomes and complications between open Lichtenstein repair and laparoscopic TEP repair.
Methods
This study is retrospective study and from January to August, 2008, total 43 cases(22 cases of TEP method, 21 cases of Lichitenstein repair) were enrolled in this study. All cases were operated by same surgeon. Operative time, hospital stay, analgesic uses, post-operative hematoma, recurrence, groin pain, were compared.
Results
The mean operative time was 78 ¡¾ 20 minutes(min) in the TEP group and 72 ¡¾ 13 min in the Lichtenstein group and there was no statistical difference (p=0.223). The mean hospital stay was significantly shorter in the TEP group (4.5 ¡¾ 0.7 days) than in the Lichtenstein group (5.2 ¡¾ 0.8 days) (p=0.015). Total analgesic uses is comparative in both groups(1.2 ¡¾ 1.1 times in the TEP group and 1.8 ¡¾ 1.7 times in the Lichtenstein group). But, if result was stratified into two groups(within 24 hours and after 24 hours), analgesic uses is significantly frequent in the Lichtenstein group(0.3 ¡¾ 0.5 times) than in the TEP group(0.7 ¡¾ 0.8 times) after 24 hours (p=0.038). There was no recurrence in the both groups. Hematoma was more frequent in the TEP group (36%) than in the Lichtenstein group (9.5%) (p=0.037). But except for 2 cases of sono-guided aspiration in the TEP group, all hematoma patients were self regressed about after 2 months. Groin pain was comparative in the both group.
Conclusion
In the TEP group, hospital stay is significantly shorter than in the Lichtenstein group and this is maybe because less post-operative pain after 24 hours from the operation. There was no difference in the operative time in the both groups and hematoma was more frequent in the TEP group than in the Lichtenstein group. Laparoscopic TEP herniorrhaphy may be performed efficiently with an acceptable operating time and shorter hospital stay.


Session: Poster

Program Number: P461

View Poster

94

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube
  • Instagram
  • TikTok

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons