Telescopic dissection versus balloon dissection during laparoscopic totally extraperitoneal inguinal hernia repair: A prospective randomised control trial
Background: Totally extraperitoneal (TEP) repair involves creating a preperitoneal space. The preperitoneal space can be created by balloon or telescopic dissection (TD). Nevertheless, these techniques may have some complications. However, there are very few studies that compare these two techniques...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Journal of Minimal Access Surgery |
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| Online Access: | https://journals.lww.com/10.4103/jmas.jmas_373_23 |
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| author | Rajanna Varun Oseen Hajilal Shaikh Prakash Sagar Chellappa Vijayakumar Gopal Balasubramanian Uday Shamrao Kumbhar |
| author_facet | Rajanna Varun Oseen Hajilal Shaikh Prakash Sagar Chellappa Vijayakumar Gopal Balasubramanian Uday Shamrao Kumbhar |
| author_sort | Rajanna Varun |
| collection | DOAJ |
| description | Background:
Totally extraperitoneal (TEP) repair involves creating a preperitoneal space. The preperitoneal space can be created by balloon or telescopic dissection (TD). Nevertheless, these techniques may have some complications. However, there are very few studies that compare these two techniques. This study aims to assess the impact and comprehensively compare the TD and balloon dissection (BD) methods in patients undergoing laparoscopic TEP inguinal hernia repair.
Patients and Methods:
This was a single-centre, double-blinded, prospective, randomised, controlled trial comparing BD and TD for the creation of the preperitoneal space. The primary end point was to compare the post-operative pain score, intraoperative complications and surgical site occurrence between the two groups. The secondary end point was to assess the impact of the dissection technique on operative time for the creation of extraperitoneal space during laparoscopic TEP inguinal hernia repair.
Results:
A total of 46 patients were included in the study (23 in each group). Baseline parameters were comparable between the groups. The total operative time between the groups (120 min vs. 160 min; P < 0.005) was statistically significant. The incidence of the peritoneal breach was statistically less in the BD group (43% vs. 13%; P < 0.005). Other short-term and long-term complications were less in the BD group but not statistically significant.
Conclusions:
BD in TEP inguinal hernia repair reduces the operative time and peritoneal breach. When compared to TD in terms of operative time, routine use of BD can be proposed. It will be beneficial in the early part of the learning curve. |
| format | Article |
| id | doaj-art-2cd7bb05b37a424686d4cfada9ba1187 |
| institution | DOAJ |
| issn | 0972-9941 1998-3921 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj-art-2cd7bb05b37a424686d4cfada9ba11872025-08-20T02:57:16ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212025-04-0121213314010.4103/jmas.jmas_373_23Telescopic dissection versus balloon dissection during laparoscopic totally extraperitoneal inguinal hernia repair: A prospective randomised control trialRajanna VarunOseen Hajilal ShaikhPrakash SagarChellappa VijayakumarGopal BalasubramanianUday Shamrao KumbharBackground: Totally extraperitoneal (TEP) repair involves creating a preperitoneal space. The preperitoneal space can be created by balloon or telescopic dissection (TD). Nevertheless, these techniques may have some complications. However, there are very few studies that compare these two techniques. This study aims to assess the impact and comprehensively compare the TD and balloon dissection (BD) methods in patients undergoing laparoscopic TEP inguinal hernia repair. Patients and Methods: This was a single-centre, double-blinded, prospective, randomised, controlled trial comparing BD and TD for the creation of the preperitoneal space. The primary end point was to compare the post-operative pain score, intraoperative complications and surgical site occurrence between the two groups. The secondary end point was to assess the impact of the dissection technique on operative time for the creation of extraperitoneal space during laparoscopic TEP inguinal hernia repair. Results: A total of 46 patients were included in the study (23 in each group). Baseline parameters were comparable between the groups. The total operative time between the groups (120 min vs. 160 min; P < 0.005) was statistically significant. The incidence of the peritoneal breach was statistically less in the BD group (43% vs. 13%; P < 0.005). Other short-term and long-term complications were less in the BD group but not statistically significant. Conclusions: BD in TEP inguinal hernia repair reduces the operative time and peritoneal breach. When compared to TD in terms of operative time, routine use of BD can be proposed. It will be beneficial in the early part of the learning curve.https://journals.lww.com/10.4103/jmas.jmas_373_23balloon dissectionelective hernia repairlaparoscopic hernia repairtelescopic dissectiontotally extraperitoneal repair |
| spellingShingle | Rajanna Varun Oseen Hajilal Shaikh Prakash Sagar Chellappa Vijayakumar Gopal Balasubramanian Uday Shamrao Kumbhar Telescopic dissection versus balloon dissection during laparoscopic totally extraperitoneal inguinal hernia repair: A prospective randomised control trial Journal of Minimal Access Surgery balloon dissection elective hernia repair laparoscopic hernia repair telescopic dissection totally extraperitoneal repair |
| title | Telescopic dissection versus balloon dissection during laparoscopic totally extraperitoneal inguinal hernia repair: A prospective randomised control trial |
| title_full | Telescopic dissection versus balloon dissection during laparoscopic totally extraperitoneal inguinal hernia repair: A prospective randomised control trial |
| title_fullStr | Telescopic dissection versus balloon dissection during laparoscopic totally extraperitoneal inguinal hernia repair: A prospective randomised control trial |
| title_full_unstemmed | Telescopic dissection versus balloon dissection during laparoscopic totally extraperitoneal inguinal hernia repair: A prospective randomised control trial |
| title_short | Telescopic dissection versus balloon dissection during laparoscopic totally extraperitoneal inguinal hernia repair: A prospective randomised control trial |
| title_sort | telescopic dissection versus balloon dissection during laparoscopic totally extraperitoneal inguinal hernia repair a prospective randomised control trial |
| topic | balloon dissection elective hernia repair laparoscopic hernia repair telescopic dissection totally extraperitoneal repair |
| url | https://journals.lww.com/10.4103/jmas.jmas_373_23 |
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