Minimally invasive approach for inguinoscrotal hernia repair. A systematic literature review.

IF 2 4区医学 Q2 SURGERY

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-06-28 DOI:10.1080/13645706.2025.2524831

Andrea Balla, Alberto Sartori, Monica Ortenzi, Livia Bressan, Mauro Podda, Salvador Morales-Conde

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引用次数: 0

Abstract

Background: This systematic review reports the presently available evidence regarding the results of the minimally invasive surgery (MIS) approach for the treatment of inguinoscrotal hernias (ISHs).

Methods: After PROSPERO registration (CRD-42023493129), a search was performed in the MEDLINE, Embase, and Web of Science databases.

Results: One-thousand-fifty-two patients were included (78.3% and 21.7% underwent transabdominal preperitoneal repair [TAPP] and totally extraperitoneal repair [TEP], respectively). Twenty-one complications occurred during TAPP (2.5%), and 28 occurred during TEP (12.3%). Conversion to open surgery for TAPP procedure was reported in seven patients (0.8%). TEP procedure required conversion to TAPP in 19 patients (8.3%), and open surgery in 18 patients (7.9%) (overall conversion rate 16.2%). Postoperative complication rate was 30.1% (317 patients), with 193 after TAPP repair (23.4%) and 124 after TEP repair (54.4%) (including Clavien-Dindo I-IV). Length of hospital stay ranged between one to five days after both repairs. The overall recurrence rate was 1.6% (19 recurrences), of which 12 (1.3%) and seven (2.8%) recurrences after TAPP and TEP, respectively.

Conclusions: MIS approaches for ISH repair are technically challenging. TEP repair should be avoided in case of ISH repair, due to the high rate of postoperative complications, risk of conversion and recurrences.

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腹股沟阴囊疝微创修补术。系统的文献综述。

背景：本系统综述报告了目前可用的关于微创手术（MIS）方法治疗腹股沟阴囊疝（ISHs）的结果的证据。方法：在PROSPERO注册（CRD-42023493129）后，在MEDLINE、Embase和Web of Science数据库中进行检索。结果：共纳入1252例患者，其中78.3%行经腹腹膜前修复术（TAPP）， 21.7%行全腹膜外修复术（TEP）。TAPP期间发生并发症21例（2.5%），TEP期间发生并发症28例（12.3%）。7例患者（0.8%）报告TAPP手术转为开放手术。19例（8.3%）患者需要转换为TAPP， 18例（7.9%）患者需要开放手术（总转换率为16.2%）。术后并发症发生率为30.1%（317例），其中TAPP修复193例（23.4%），TEP修复124例（54.4%）（包括Clavien-Dindo I-IV）。两次修复后的住院时间在一到五天之间。总复发率为1.6%（19例），其中TAPP和TEP术后复发率分别为12例（1.3%）和7例（2.8%）。结论：MIS入路在ISH修复技术上具有挑战性。由于术后并发症发生率高，有转归和复发的风险，应避免在ISH修复的情况下进行TEP修复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minimally Invasive Therapy & Allied Technologies 医学-外科

CiteScore

3.80

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： Minimally Invasive Therapy and Allied Technologies (MITAT) is an international forum for endoscopic surgeons, interventional radiologists and industrial instrument manufacturers. It is the official journal of the Society for Medical Innovation and Technology (SMIT) whose membership includes representatives from a broad spectrum of medical specialities, instrument manufacturing and research. The journal brings the latest developments and innovations in minimally invasive therapy to its readers. What makes Minimally Invasive Therapy and Allied Technologies unique is that we publish one or two special issues each year, which are devoted to a specific theme. Key topics covered by the journal include: interventional radiology, endoscopic surgery, imaging technology, manipulators and robotics for surgery and education and training for MIS.