Risk factors for conversion in laparoscopic totally extraperitoneal inguinal hernioplasty

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dc.authoridAhmet Cem Dural / 0000-0003-3479-725Xen_US
dc.authorscopusidAhmet Cem Dural / 35616379100
dc.authorwosidAhmet Cem Dural / P-2006-2014en_US
dc.contributor.authorKarabulut, Mehmet
dc.contributor.authorDönmez, Turgut
dc.contributor.authorŞahbaz, Nuri A.
dc.contributor.authorAkarsu, Cevher
dc.contributor.authorFerahman, Sina
dc.contributor.authorSürek, Ahmet
dc.contributor.authorGemici, Eyüp
dc.contributor.authorAydın, Hüsnü
dc.contributor.authorSunamak, Oğuzhan
dc.contributor.authorDural, Ahmet Cem
dc.date.accessioned2022-05-23T10:11:09Z
dc.date.available2022-05-23T10:11:09Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: Conversion is a surgical concern because the surgical technique can change during surgery. Surprisingly, there is no study in the literature on the causes and risk factors leading to conversion in laparoscopic total extraperitoneal inguinal repair (TEP). There is also no consensus on the prevention and causes of this condition in TEP. The aim of this study was to evaluate the risk factors underlying the development of conversion during TEP. Materials and Methods: We recruited 962 consecutive patients who underwent TEP between May 2016 and May 2021. All data were collected retrospectively. The outcomes of patients who converted to open surgery were compared with those without conversion. Multivariate analysis identified independent risk factors for conversion. Results: The overall incidence of conversion was 4.05% (n= 39). The median age was 42 years (18 to 83) and body mass index was 25.2 kg/m2 (15.67 to 32.9). Significant clinical factors associated with conversion included old age, American Society of Anesthesiologists (ASA) score, large peritoneal tear (PT), Charlson comorbidity index, previous surgery, large hernial defects, presence of scrotal hernia, and the defect size of inguinal hernia. Multivariate analysis identified independent risk factors for conversion: large hernial defect, large PT, previous lower abdominal surgery, previous hernia surgery, and scrotal hernia. Conclusion: Conversion is a minor complication seen during TEP and its incidence varies depending on many factors. Previous lower abdominal surgery and a large PT carries a 6-fold increased risk for conversion from laparoscopic to open surgery during TEPen_US
dc.identifier.citationKarabulut M, Donmez T, Sahbaz NA, Akarsu C, Ferahman S, Surek A, Gemici E, Aydin H, Sunamak O, Dural AC. Risk Factors for Conversion in Laparoscopic Totally Extraperitoneal Inguinal Hernioplasty. Surg Laparosc Endosc Percutan Tech. 2022 Apr 25. doi: 10.1097/SLE.0000000000001058. Epub ahead of print. PMID: 35583552.en_US
dc.identifier.doi10.1097/SLE.0000000000001058en_US
dc.identifier.issn1534-4908en_US
dc.identifier.pmid35583552en_US
dc.identifier.scopus2-s2.0-85129589592en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttp://doi.org/10.1097/SLE.0000000000001058
dc.identifier.urihttps://hdl.handle.net/20.500.12713/2717
dc.identifier.wosWOS:000804178800015en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorDural, Ahmet Cem
dc.language.isoenen_US
dc.publisherWolters Kluweren_US
dc.relation.ispartofSurgical Laparoscopy, Endoscopy & Percutaneous Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectInguinal Herniaen_US
dc.subjectConversionen_US
dc.subjectPrevious Surgeryen_US
dc.subjectTEPen_US
dc.titleRisk factors for conversion in laparoscopic totally extraperitoneal inguinal hernioplastyen_US
dc.typeArticleen_US

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