Laparoscopic vs. Open Approach in Emergent Inguinal Hernia: Our Experience and Review of Literature.

Autor:	Moreno-Suero F; Virgen del Rocío University Hospital, Seville, Spain., Tallon-Aguilar L; Virgen del Rocío University Hospital, Seville, Spain., Tinoco-González J; Virgen del Rocío University Hospital, Seville, Spain., Sánchez-Arteaga A; Virgen del Rocío University Hospital, Seville, Spain., Suárez-Grau JM; Virgen del Rocío University Hospital, Seville, Spain., Alvarez-Aguilera M; Virgen del Rocío University Hospital, Seville, Spain., Morales-Conde S; Virgen del Rocío University Hospital, Seville, Spain., Padillo-Ruiz J; Virgen del Rocío University Hospital, Seville, Spain.
Jazyk:	angličtina
Zdroj:	Journal of abdominal wall surgery : JAWS [J Abdom Wall Surg] 2023 Jun 16; Vol. 2, pp. 11242. Date of Electronic Publication: 2023 Jun 16 (Print Publication: 2023).
DOI:	10.3389/jaws.2023.11242
Abstrakt:	There is currently no consensus or homogeneous recommendation about the role of the laparoscopic approach in emergent inguinal hernia surgery. The aim of this manuscript is showing our experience and results of laparoscopic approach for emergent groin hernia repair comparing with open approach. A retrospective review of a prospectively maintained database between January 2011 and December 2021 of acute incarcerated groin hernia that were operated at Virgen del Rocio University Hospital. In this period, they were identified 463 patients with groin hernia that required an emergency repair. 454 patients underwent open surgery (group 1) and 36 patients underwent laparoscopic approach (TAPP procedure) (group 2). Median length stay was 1 day in lap group and 2 days in open approach. Reintervention was necessary in 20 cases (4.40%) from group 1 and one (2.27%) from group 2. In laparoscopic approach, no mortality was described but in open approach, 10 patients (2.20%) died. Globally, 58 cases (12.77%) from group 1 and six patients (16.66%) from group 2 presented any complication. Wound infection was higher in group of open repairs (5.94% vs. 2.77%). Non-surgical complications were higher in open approach (19 vs. 0). There is no statistical significance in any of these items. Laparoscopic approach is a safe, feasible and effective therapeutic option for the treatment of incarcerated groin hernia that require emergency surgery, but prospective and randomized comparative studies are needed to establish the best approach. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Moreno-Suero, Tallon-Aguilar, Tinoco-González, Sánchez-Arteaga, Suárez-Grau, Alvarez-Aguilera, Morales-Conde and Padillo-Ruiz.)
Databáze:	MEDLINE
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