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Is a dissection balloon beneficial in totally extraperitoneal endoscopic hernioplasty (TEP)? A randomized prospective multicenter study
Department of Surgery, Karolinska Institute, Huddinge University Hospital, S-141 86 Stockholm, Sweden.
Ek, Å., Department of Surgery, Karlskoga Hospital, Karlskoga, Sweden.
Department of Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Department of Surgery, Karolinska Institute, Huddinge University Hospital, S-141 86 Stockholm, Sweden.
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2001 (English)In: Surgical Endoscopy, ISSN 0930-2794, E-ISSN 1432-2218, Vol. 15, no 3, 266-270 p.Article in journal (Refereed) Published
Abstract [en]

Background: Laparoscopic hernioplasty has been criticized because of its technical complexity and increased costs. Disposable dissection balloons can be used to facilitate the creation of the initial working space in totally extraperitoneal endoscopic hernioplasty (TEP), but their use adds to the cost of the operation. Methods: A total of 322 men with unilateral, primary, or recurrent inguinal hernias were randomized to undergo TEP with or without a dissection balloon. Results: In the group with the balloon, three of 161 patients (2.5%) required conversion to transabdominal preperitoneal hernioplasty (TAPP), or open herniorraphy, whereas 17 of 161 patients (10.6%) were converted to TAPP or open herniorraphy in the group without the balloon (p = 0.002). The mean operation time was 55 min in the group with the balloon and 63 min in the group without the balloon (p = 0.004). There was no difference between them in postoperative morbidity, and there were no major complications in either group. The recurrence rate was 3.1% in the group with the balloon and 3.7 % in the group without the balloon (p = 0.8). Conclusion: The use of a dissection balloon in TEP reduces the conversion rate and may be especially beneficial early in the learning curve.

Place, publisher, year, edition, pages
2001. Vol. 15, no 3, 266-270 p.
Keyword [en]
Conversion rate, Dissection balloon, Hernia, Inguinal hernia, Laparoscopic surgery, Learning curve, Totally extraperitoneal endoscopic hernioplasty
National Category
Medical and Health Sciences
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URN: urn:nbn:se:liu:diva-47412DOI: 10.1007/s004640000367OAI: oai:DiVA.org:liu-47412DiVA: diva2:268308
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-13

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Kald, AndersWallon, Conny

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