Does prior lower abdominal surgery prevent laparoscopic hernia repair (totally extraperitoneal or transabdominal preperitoneal)? a prospective observational study

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dc.contributor.authorSakoğlu, Nevin
dc.contributor.authorDönmez, Turgut
dc.date.accessioned2025-12-08T09:02:17Z
dc.date.available2025-12-08T09:02:17Z
dc.date.issued2025
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractObjective: Totally extraperitoneal (TEP) surgeries were considered contraindicated in patients who underwent lower abdominal surgery until recently. However, in recent surgeries, it has been reported that they can be performed safely in those cases. Our aim in this study is to investigate the effectiveness of laparoscopic hernia repair methods in patients who have and have not had lower abdominal surgery before. Patients and Method: This study was a prospective observational study between May 2018 and May 2023. Two hundred eighty-eight patients were included in the study. The operation was started with the TEP technique in all patients. Patients, classified in two groups who had not previously undergone abdominal surgery (n = 216) (Group I) and who had surgery (n = 72) (Group II). Demographic characteristics of patients, intraoperative and postoperative complications were determined. In addition to descriptive statistical methods (mean, standard deviation), Shapiro-Wilk normality test, independent t test, and chi-square test were used to evaluate the data. Logistic regression analysis was performed to determine the factors affecting the presence of Previous Surgery and Peritoneal Tear. Results were evaluated at the significance level of P < .05. Results: Two hundred fifty-nine patients were operated with TEP method. TEP method was converted to transabdominal preperitoneal (TAPP) in 9 patients from Group I and 20 patients from Group II. Intraoperative and postoperative complications were recorded. Conclusion: With increasing experience in laparoscopic hernia surgery, it is now possible to perform hernia surgeries with preperitoneal (TEP) and abdominal approaches (TAPP) in patients who have previously undergone lower abdominal surgery.
dc.identifier.citationSakoğlu, N. ve Dönmez, T. (2025). Does prior lower abdominal surgery prevent laparoscopic hernia repair (totally extraperitoneal or transabdominal preperitoneal)? a prospective observational study. Journal of Laparoendoscopic and Advanced Surgical Techniques, 35(2), 162-169. http://dx.doi.org/10.1089/lap.2024.0349
dc.identifier.doi10.1089/lap.2024.0349
dc.identifier.endpage169
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue2
dc.identifier.pmid39648762
dc.identifier.scopus2-s2.0-85211985713
dc.identifier.scopusqualityQ2
dc.identifier.startpage162
dc.identifier.urihttp://dx.doi.org/10.1089/lap.2024.0349
dc.identifier.urihttps://hdl.handle.net/20.500.12511/13301
dc.identifier.volume35
dc.identifier.wosWOS:001373342800001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSakoğlu, Nevin
dc.institutionauthorid0000-0001-6406-4095
dc.language.isoen
dc.relation.ispartofJournal of Laparoendoscopic and Advanced Surgical Techniques
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectConversion
dc.subjectInguinal
dc.subjectLaparoscopic Transabdominal Preperitoneal Repair
dc.subjectPrevious Lower Abdominal Surgery
dc.subjectScrotal Hernia
dc.subjectTotally Extraperitoneal Repair
dc.titleDoes prior lower abdominal surgery prevent laparoscopic hernia repair (totally extraperitoneal or transabdominal preperitoneal)? a prospective observational study
dc.typeArticle

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