Background The aim of this article is to explore the clinical effects between open
extraperitoneal approaches and totally extraperitoneal laparoscopic hernioplasty (TEP) in
the repair of inguinal hernias. Methods The electronic databases Pubmed, Medline,
Embase, Web of science and the Cochrane Library were used to search for articles from
January 1992 to March 2013. The present meta-analysis pooled the effects of outcomes of a
total of 1157 patients with 1377 hernias enrolled into 10 randomized controlled trials and 2 …

Methods Between August 2004 and March 2008, 99 patients with unilateral inguinal hernia
who underwent TEP without mesh fixation through 4 different variants of surgical approach
depended on the anatomical positions of abdominal wall were enrolled in this prospective
randomized study. The primary endpoints were operative time, incidence of peritoneal tear,
and incidence of the arcuate line impeding the position of the mesh. Secondary endpoints
were postoperative analgesic requirements and incidence of seroma. Results Ninety-nine …