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Laparoscopic Inguinal Hernia
            pain might lead to an increased incidence of urinary retention by   references
            increasing sympathetic tone causing urine retention. A second
            explanation for decreased urinary retention in patients in group     1.  Campanelli G, Canziani M, et al. Inguinal hernia: state-of-the art.
                                                                    Int J Surg 2008;6(Suppl 1):S26–S28. DOI: 10.1016/j.ijsu.2008.12.021.
            II is that decreased pain leads to decreased use of postoperative     2.  van Wessem KJ, Simons MP, et al. The etiology of indirect inguinal
            analgesia. Mulroy hypothesized that increased postoperative   hernias: congenital and/or acquired hernia? Hernia 2003;7(2):76–79.
            pain might lead to an increased incidence of urinary retention by   DOI: 10.1007/s10029-002-0108-7.
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            increasing sympathetic tone impeding urination.      3.  McCormack K, Scott NW, et al. EU Hernia Trialists collaboration.
               No incidence of hydrocele in both groups. Contrary to our   laparoscopic techniques vs open techniques for inguinal hernia
            results, Bátorfi in 11 years (1994–2005) and in 964 TAPP procedures   repair. Cochrane Database Syst Rev 2003;1:CD001785.
            found that sero-haematoma (86 = 7.1%) which is the most common     4.  Kuhry E, van Veen RN, et al. Open or endoscopic total extraperitoneal
            mild complication did not occur after the introduction of routine   inguinal hernia repair? A systematic review. Surg Endosc
                                                                    2007;21(2):161–166. DOI: 10.1007/s00464-006-0167-4.
            preperitoneal drainage. Also, Bátorfi, between March 1994 and     5.  Quilici PJ, Greaney Jr EM, et al. Laparoscopic inguinal hernia repair:
            February 1997 on 160 TAPP found 20 (12%) cord/scrotal transient   optimal technical variations and results in 1700 cases. Am Surg
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            seromas–hematomas and 2 (1.2%) hydrocele.  However, Hussain   2000;66(9):848–852.
            et al. between September 1999 and July 2009 had a study on     6.  Fazzio FJ. Cost effective, reliable, laparoscopic hernia repair: a report
            more than 2000 patients whom underwent transabdominal   on 500 consecutive repair. Surg Endues 2002;16(6):931–935. DOI:
            preperitoneal repair of groin hernia and a hematoma was reported   10.1007/s004640080073.
            in six patients (0.27%), with two patients (0.09%) needed blood      7.  Takata MC, Duh QY. Laparoscopic inguinal hernia repair. Surg Clin
                                                                    North Am 2008;88(1):157–178. DOI: 10.1016/j.suc.2007.10.005.
            transfusion whereas one patient needed re-exploration and four     8.  Hamza Y, Gabr E, et al. Four-arm randomized trial comparing
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            (0.1%) hydroceles were confirmed.                       laparoscopic and open hernia repairs. Int J Surg 2010;8(1):25–28. DOI:
               The patients with mesh fixation had a significantly higher   10.1016/j.ijsu.2009.09.010.
            incidence of seroma formation than the patients with nonfixation     9.  Kumar B. Surgical options in inguinal hernia: Which is the best? J MAS
            of the mesh. The exact reason for this could not be ascertained. A   2006;4:191–200.
            possible explanation is irritation of the peritoneum by the metallic     10.  Bittner R. Laparoscopic Surgery—15 Years After Clinical Introduction.
            tacks, leading to more serum formation. Also, compartmentalization   World J Surg 2006;30(7):1190–1203. DOI: 10.1007/s00268-005-0644-2.
            of the preperitoneal space by mesh fixation may lead to a delayed     11.  Bay-Nielson M, Nilsson E, et al. Chronic pain after open mesh and
            resolution of physiologic serous collection in the dissected space,   sutured repair of indirect inguinal hernia in young males. Br J Surg
                                                                    2004;91(10):1372–1376. DOI: 10.1002/bjs.4502.
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            with later presentation of seroma.                   12.  Kapiris SA, Brough WA, et al. Laparoscopic transadominal
               We found that dissection was very difficult in long-standing   preperitoneal (TAPP) hernia repair. Surg Endosco 2001;15(9):972–975.
            hernia with more than one year complain. Thus, we prefer to do   DOI: 10.1007/s004640080090.
            incomplete dissection from the start to decrease operative time,     13.  Sievers D, Barkhausen S, et al. Laparoscopic transperitoneal inguinal
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            hospital stay, and scrotal edema. In addition, as regards the left-  study. Langenbecks Arch Chir Suppl Kongressbd 1997;114:
            sided hernia, we observed that the dissection was more difficult   1116–1118.
            than right-sided hernia for the right-handed surgeon.    14.  Soltés M, Pazinka P, et al. Laparoscopic hernioplasty TAPP in treatment
                                                                    of groin hernia—10 years experience. Rozhl Chir 2010;89(6):384–389.
                                                                 15.  Hussain A, Nicholls J, et al. Technical tips following more than 2000
            conclusIon                                              transabdominal preperitoneal (TAPP) repair of the groin hernia. Surg
            There is no difference between TEP and TAPP, but TAPP technique   Laparosc Endosc Percutan Tech 2010;20(6):384–388. DOI: 10.1097/
                                                                    SLE.0b013e3182006845.
            appears to be superior to the TEP repair in patients undergoing     16.  Bátorfi J. The treatment of inguinofemoral hernias with laparoscopic
            unilateral inguinal hernia repair.                      herniorraphy. Our experience of 1210 transabdominal preperitoneal
                                                                    (TAPP) reconstructions. Magy Seb 2005;58(6):385–397.
            clInIcAl sIgnIfIcAnce                                17.  Wilhelm W, Vassiliadis N, et al. Optimization of perioperative
                                                                    management in laparoscopic hernioplasty. Anaesthesist
            The TEP approach can be offered to patients with bilateral and   2008;57(9):915–925. DOI: 10.1007/s00101-008-1402-2.
            recurrent hernias. TEP procedure was associated with more adverse     18.  Taylor C, Layani L, et al. Laparoscopic inguinal hernia repair without
            events during surgery but less postoperative pain, faster recovery   mesh fixation, early results of a large randomised clinical trial. Surg
            of daily activities, quicker return to work, and less impairment of   Endosc 2008;22(3):757–762. DOI: 10.1007/s00464-007-9510-7.
            sensibility after 1 year.                            19.  Garg P, Rajagopal M, et al. Laparoscopic total extraperitoneal inguinal
                                                                    hernia repair with nonfixation of the mesh for 1692 hernias. Surg
                                                                    Endosc 2009;23:1241–1245. DOI: 10.1007/s00464-008-0137-0.
            AcknowledgMents                                      20.  Mulroy MF. Hernia surgery, anesthetic technique, and urinary
            The authors would like to offer their sincere thanks to all people   retention-apples, oranges, and kumquats? Reg Anesth Pain Med
            who participated in the study.                          2002;27(6):587–589. DOI: 10.1097/00115550-200211000-00008.













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