Tumescent TAPP: laparoscopic inguinal hernia repair after the preperitoneal tumescent injection of diluted lidocaine and epinephrine saline solution and carbon ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-05-10

AUTHORS

Hiromi Tokumura, Ryohei Nomura, Fumito Saijo, Naoki Matsumura, Akihiro Yasumoto, Mitsuhisa Muto, Yu Katayose, Kennichi Takahashi, Sho Haneda

ABSTRACT

PurposeLaparoscopic transabdominal preperitoneal inguinal hernia repair (TAPP) is technically difficult and not infrequently followed by postoperative complications and pain, especially when performed by inexperienced surgeons. To simplify TAPP and reduce postoperative pain, we devised a novel procedure whereby TAPP is carried out after the inguinal preperitoneal infiltration of diluted lidocaine and epinephrine saline solution and carbon dioxide gas (tumescent TAPP). This report introduces the concept of tumescent TAPP and summarizes its operative results.MethodsAbout 120 ml of diluted lidocaine and epinephrine solution and 60 ml of CO2 gas were infiltrated into the inguinal preperitoneal space through a transabdominal needle before TAPP. Tumescent TAPP was performed for 400 patients (355 men, 45 women; mean age, 63.2 years).ResultsUsing tumescent TAPP, we found it easier to confirm the inguinal anatomy and dissect the preperitoneal layer and inguinal floor, with less bleeding. The mean operation time was 101.9 min and there were few perioperative complications and minimal pain.ConclusionsTumescent TAPP makes conventional TAPP easier and safer; however, this procedure should be verified by a comparative study with conventional TAPP. More... »

PAGES

52-57

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00595-016-1349-x

DOI

http://dx.doi.org/10.1007/s00595-016-1349-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1048222742

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/27165268


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