title: A 10-year experience of totally extraperitoneal endoscopic repair for adult inguinal hernia.
abstract: OBJECTIVE
  Laparoscopic surgery is fast becoming the treatment of choice for inguinal hernia. By reviewing our 10-year experience of performing totally extraperitoneal repair (TEP), we sought to establish its clinical significance in the treatment of adult inguinal hernia.
  
  
  METHODS
  We reviewed retrospectively the clinical records of patients who underwent TEP for adult inguinal hernia between January 2003 and December 2012.
  
  
  RESULTS
  None of the 303 patients with adult primary or recurrent inguinal hernia in our study needed TEP converted to other procedures or suffered serious complications during the procedure. A significant difference was noted in the operation time between direct (n = 32) vs indirect (n = 128) hernias in the primary unilateral inguinal hernia group (91 ± 27 vs 80 ± 32 min, p = 0.033) and between direct/direct (n = 31) vs indirect/indirect (n = 24) hernias (136 ± 58 vs 89 ± 24 min, p = 0.01) in the primary bilateral inguinal hernia group. The only postoperative complications recorded were four cases of hernia recurrence (1.3 %) and one case of chronic pain (0.3 %).
  
  
  CONCLUSIONS
  The results obtained for TEP over 10 years support this as a promising procedure for the treatment of adult inguinal hernia.
authors.affiliation: Department of Surgery, Harasanshin Hospital, Taihakucho, 1-10 Hakataku, Fukuoka, Japan. toma@surg1.med.kyushu-u.ac.jp.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Toma
authors.affiliation: Department of Surgery, Harasanshin Hospital, Taihakucho, 1-10 Hakataku, Fukuoka, Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Eguchi
authors.affiliation: Department of Surgery, Harasanshin Hospital, Taihakucho, 1-10 Hakataku, Fukuoka, Japan.
authors.forename: Shuichi
authors.initials: S
authors.lastname: Toyoda
authors.affiliation: Department of Surgery, Harasanshin Hospital, Taihakucho, 1-10 Hakataku, Fukuoka, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Okabe
authors.affiliation: Department of Surgery, Harasanshin Hospital, Taihakucho, 1-10 Hakataku, Fukuoka, Japan.
authors.forename: Tomonari
authors.initials: T
authors.lastname: Kobarai
authors.affiliation: Department of Surgery, Harasanshin Hospital, Taihakucho, 1-10 Hakataku, Fukuoka, Japan.
authors.forename: Gen
authors.initials: G
authors.lastname: Naritomi
authors.affiliation: Department of Surgery, Harasanshin Hospital, Taihakucho, 1-10 Hakataku, Fukuoka, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Ogawa
authors.affiliation: Department of Surgery, Harasanshin Hospital, Taihakucho, 1-10 Hakataku, Fukuoka, Japan.
authors.forename: Ichio
authors.initials: I
authors.lastname: Hirota
mesh_terms: D000368:Aged; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome
keywords: Inguinal hernia; Laparoscopic surgery; TEP