A new self-made electric hook for laparoscopic inguinal hernia repair

Hongfu Lin, Yu Zhao, KunSong Wang, Caixing Huang, Zihua Li, Lishuo Yang


Background: Current investigation was conducted to explore the clinical application of self-made electric hook in laparoscopic indirect inguinal hernia repair.

Methods: Randomized controlled trial was conducted that compared two groups of patients who underwent laparoscopic inguinal hernia repair from 2013 to 2017 at our institution. A laparoscopic indirect inguinal hernia repair with beak-like electrocoagulation instrument as modified trans-abdominal preperitoneal prosthesis was performed on 42 patients. As a comparison, 40 patients with traditional TAPP were collected and analyzed. In the end, we compared the operation time, blood loss, complications, and recurrence of two groups.

Results: 82 patients have successfully completed surgery without conversion to open inguinal hernia repair. Patients were follow-up visited for 18 to 78 months, and no recurrence was found. 1 case of scrotal edema occurred using a self-made electric hook in modified TAPP, and cured by conservative treatment. In traditional TAPP group, there was 1 case of postoperative seroma, which cured by conservative treatment. There was no significant difference between these 2 groups in terms of complications and recurrence (p>0. 05). However, the differences in operation time and blood loss were significant (p<0. 05).

Conclusions: Self-made electrical hook showed in laparoscopic inguinal hernia repair of indirect inguinal hernia has the advantages of shortening operation time, reducing bleeding, easing the difficulty of operation, and improving the safety of surgery, it is worthy of further clinical application.


Hernia, Inguinal, Herniorrhaphy, Laparoscopes

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Khoury N. A comparative study of laparoscopic extraperitoneal and transabdominal preperitoneal herniorrhaphy. J laparoendosc Surg. 1995;5:349-55.

Tait L. A discussion of treatment of hernia by median abdominal section. Br Med J. 1891;2:685-91.

Marcy HO. The radical cure of hernia by the antiseptic use of carbolized catgut ligatures. USA: Riverside Press; 1879.

Semm K. Endoscopic appendectomy. Endoscopy. 1983;15:59-64.

Berndsen F, Arvidsson D, Enander LK. Postoperative convalescence after inguinal hernia surgery: prospective, randomized multicenter study of laparoscopic versus Should inguinal hernia repair in 1042 patients. Hernia. 2002;6:56-61.

Bueno J, Serralta A, Planells M, Rodero D. Inguinodynia after two inguinal herniorrhaphy methods. Surg Laparosc Endosc Percutan Tech. 2004; 14:210-4.

Mahon D, Decadt B, Rhodes M. Prospective randomized trial of laparoscopic (transabdominal preperitoneal) vs open (mesh) repair for bilateral and recurrent inguinal hernia. Surg Endosc. 2003;6:1386-90.

Onofrio L, Cafaro D, Manzo F, Cristiano SF. Tension-free laparoscopic versus open inguinal hernia repair. Minerva Chir. 2004;59:369-77.

Poobalan AS, Bruce J, King PM, Chambers WA, Krukowski ZH, Smith WC. Chronic pain and quality of life following open inguinal hernia repair. Br J Surg. 2001;88:1122-6.

Quilici PJ, Greaney EM, Quilici J, Anderson S. Laparoscopic inguinal hernia repair: optimal technical variations and results in 1,700 cases. Am Surg. 2000;66:848-52.

Smith JR, Demers ML, Pollack R, Gregory S. Prospective comparison between laparoscopic preperitoneal herniorrhaphy and open mesh herniorrhaphy. Am Surg. 2001;67: 115-7.

LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernia using expanded polytetrafluoroethylene: preliminary findings. Surg Endosc. 1993;3:39-41.

Rives J, Pire J, Flament JB, Palot JP, Boby C. Treatment of large eventration. New therapeutic indications apropos of 322 cases. Chirurgie. 1985; 111:215-25.

Stoppa RE. The treatment of complicated groin and incisional hernia. World J Surg. 1989;13:545-54.

Catarci M, Carlini M, Gentileschi P, Santoro E. Major and minor injuries during the creation of pneumoperitoneum: a multicenter study on 12,919 cases. Surg Endosc. 2001;15:566-9.

Duron JJ, Hay JM, Msika S, Gashard D, Domergue J, Gainant A, Fingerhut A. Prevalence and mechanisms of small intestinal obstruction following laparoscopic abdominal surgery: a retrospective multicenter study. Arch Surg. 2000;135:208-12.

Felix E, Scott S, Crafton B, Geis P, Duncan T, Sewell R, McKernan B. Causes of recurrence after laparoscopic hernioplasty: a multicenter study. Surg Endosc. 1998;12:226-31.

Leibl BJ, Schmedt CG, Kraft K, Ulrich M, Bittner R. Scrotal hernias: a contraindication for an endoscopic procedure? Results of a single-institution experience in transabdominal preperitoneal repair. Surg Endosc. 2000;14:289-92.

Mahon D, Decadt B, Rhodes M. Prospective randomized trial of laparoscopic (transabdominal preperitoneal) vs open (mesh) repair for bilateral and recurrent inguinal hernia. Surg Endosc. 2003;17: 1386-90.

McCormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E, et al. Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess. 2005;9: 1-203.

Ger R.The management of certain abdominal hernia by intraabdominal closure of the neck of the sac. Ann R Coll Surg Engl. 1982;64:342-4.

Feng B, He ZR, Li JW.Feasibility of incremental laparoscopic inguinal hernia repair development in China, all 11-year experience.J Am Coll Surg. 2013; 216:258-65.

Schultz L,Graber J,Pietrafina J.Laser laparoscopic herniorrhaphy: a clinical trial preliminary results.J Laparoendosc Surg. 1990;1: 41-5.

Arber A, Klein E, Bruce S, Sankoh S, Mohideen P. Metformin-glibenclamide versus metformin plus rosiglitazone in patients with type 2 diabetes inadequately controlled on metformin monotherapy. Diabetes Obes Metab. 2006;8(2):156-63.

O'Brien C. Drug addiction and drug abuse. In: Brunton LB, Lazo JS, Parker KL, eds. Goodman & Gilman's the pharmacological basis of therapeutics. 11th ed. NY: McGraw-Hill; 2005:607-29.

National Cancer Institute, fact sheet: targeted cancer therapies, 2012. Available at cancertopics/factsheet/Therapy/targeted#q1. Accessed on 9 June 2014.