An Update on the Status of Laparoscopic Inguinal Hernia Repairs: Narrative Review Article | Chapter 2 | Medical Science: Recent Advances and Applications Vol. 10

 

The utilisation of laparoscopic techniques for inguinal hernia repair has been increasingly adopted in clinical practice. The Transabdominal Preperitoneal (TAPP) and Total Extraperitoneal (TEP) approaches are the predominant procedures employed for the treatment of primary, recurrent, and bilateral inguinal hernias. These techniques, however, necessitate specialised equipment and training, and they present a significant learning curve. This article aims to examine the advantages and disadvantages of the TAPP and TEP repair methods. Furthermore, we will compare these laparoscopic techniques with traditional open inguinal repairs and explore the role of robotic-assisted inguinal hernia repair.

 

 

Author(s) Details

Kumar Hari Rajah
Department of Surgery, Taylor’s University School of Medicine and Health Science, 47500 Subang Jaya, Selangor, Malaysia.

 

Please see the book here:- https://doi.org/10.9734/bpi/msraa/v10/6148

Comparative Analysis of Ventral Hernia Repair Techniques | Chapter 7 | Medical Science: Trends and Innovations Vol. 10

Background: Ventral hernia repair has evolved with the introduction of minimally invasive techniques, including laparoscopic and robotic-assisted approaches. This study compares open, laparoscopic, and robotic transabdominal pre-peritoneal (rTAPP) repair in terms of postoperative pain, recovery, hospital stay, complications, and cost-effectiveness.

Methods: A comparative observational study was conducted over 12 months at two tertiary care hospitals. A total of 71 patients were analyzed for open vs. laparoscopic repair, while 111 patients (78 IPOM, 33 rTAPP) were compared for laparoscopic vs. robotic surgery. Data on demographics, pain scores, recovery time, complications, and costs were collected and analyzed.

Results: Laparoscopic and robotic techniques significantly reduced post-operative pain, hospital stay, and return-to-work duration compared to open surgery. rTAPP had the lowest pain scores (VAS 0.36 at 1 month), shortest hospital stays (1.18 days), and fastest recovery. Open surgery had higher complication rates (7.04%) compared to laparoscopic (1.4%) and robotic (0%). However, robotic surgery incurred higher costs (INR 245,174.55 vs. INR 187,177.69 for IPOM).

Conclusion: Minimally invasive techniques offer superior outcomes in ventral hernia repair. While robotic rTAPP provides enhanced precision, reduced pain, and faster recovery, its high cost remains a limitation. Future studies should assess long-term outcomes, recurrence rates, and cost-benefit balance to optimize surgical decision-making.

 

Author (s) Details

Vinamra Mittal
Department of General Surgery, GEIMS, Dehradun, Uttarakhand, India.

 

Divyanshu Ghildiyal
Department of General Surgery, Himalayan Institute of Medical Sciences, SRH University, India.

 

Vivek Bindal
Institute of Minimal Access, Bariatrics & Robotic Surgery, Max Super Specialty Hospitals, Vaishali, India.

 

Dhananjay Pandey
Institute of Minimal Access, Bariatrics & Robotic Surgery, Max Super Specialty Hospitals, Vaishali, India.

 

P.K Sachan
Department of General Surgery, Himalayan Institute of Medical Sciences, SRH University, India.

 

Yamini Mittal
Synergy Hospital, Dehradun, India.

 

Please see the book here:- https://doi.org/10.9734/bpi/msti/v10/4645