P-013 No recurrence after 15 years prospective long-term follow-up of open Total ExtraPeritoneal / TransInguinaI PrePeritoneal (oTEP/TIPP) inguinal hernia repair

Abstract

Abstract Aim Evaluation of long-term follow-up results after open transinguinal preperitoneal (TIPP) technique with preformed lightweight mesh (PLM). Method This unicentric study included all consecutive 102 patients(10 women, 92 men; 93 primary, 9 recurrent hernias) operated for a groin hernia by the same surgeon using the same technique between June 2008 – September 2009. All patients were postoperatively followed-up with a control after 1 month and a survey follow-up between 40 and 54 months after surgery with subsequent clinical control if something abnormal appeared in the survey in January 2013. Results up until January 2023 were retrieved from the Swedish Hernia Register. Results 102 hernia repairs - 54 in general, 48 in local anesthesia. Clinical control after 1 month: There was no infection of the mesh, no clinical recurrence. -No reoperations were required. Questionnaire follow-up: -95 patients (93%) were followed-up. Slight, not permanent pain in 8.8% of patients who did not require the consumption of systematic painkillers and are not limited in their activities. No reoperations have so far been recorded in the Swedish Hernia Register with 81 patients still alive in long-term follow-up . Discussion -No recorded recurrences after 15 years of follow-ups is encouraging. -This technique consisted of the placement of a patch in the preperitoneal space, which combines the benefits of the anterior approach (i.e., easy and safe technique, short learning curve, local anesthesia, low cost) and the preperitoneal placement of the mesh (less recurrence, less pain). This procedure is a good alternative to eTEP technique. PLM=PolysoftMesh/Bard