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Minerva Chirurgica 2017 Apr 19

DOI: 10.23736/S0026-4733.17.07379-5

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

If time matters. A multicentre review of minimally-invasive hernia repair in 7176 cases

Kai WITZEL 1, 2, Michael WEITZENDORFER 1

1 Paracelsus Medical University, Department of Surgery, Salzburg, Austria; 2 Minimal Invasiv Center, Huenfeld, Germany


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BACKGROUND: In endoscopic hernia repair TEP and TAPP are seen as equivalent surgical techniques in quality, but not in procedure-time.
METHODS: We compared the two most common procedures in endoscopic hernia surgery. Focussing on the duration of the surgical procedure, we analyzed 7176 endoscopic hernia operations in 25 hospitals retrospectively and compared it to the literature.
RESULTS: In our study TEP (n=2799) took on average 59 minutes, TAPP (n=4377) took 67.5 minutes, thus with a significant difference (p=0.043). In high volume centres this difference was even bigger. As there are few consistent advantages of one of the procedures in general, the procedure’ s duration becomes more important.
CONCLUSIONS: If time is the main reason, the TEP procedure takes on average 8.5 minutes less time, so it can be more cost-effective.


KEY WORDS: Endoscopic hernia repair - Procedure’s duration - Cost-effectiveness - Hernia surgery - TEP, TAPP

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kw@micKW.de