AUTHOR=Soler Marc , Gillion Jean Francois 

TITLE=Are “European” Scrotal Hernias Repairable With the Minimal Open Pre-Peritoneal Technique?

JOURNAL=Journal of Abdominal Wall Surgery

VOLUME=Volume 4 - 2025

YEAR=2025

URL=https://www.frontierspartnerships.org/journals/journal-of-abdominal-wall-surgery/articles/10.3389/jaws.2025.13863

DOI=10.3389/jaws.2025.13863

ISSN=2813-2092

ABSTRACT=Background: In groin hernia repairs, minimal invasive open preperitoneal techniques are an alternative. Scrotal hernias (SH) are frequently difficult to repair laparoscopically, resulting in a significant conversion rate. Methods The aims of this exploratory monocentric retrospective study, based on data prospectively collected in the 'Club-Hernie' registry, were to assess feasibility, effectiveness, and safety of the MOPP technique in SH repairs compared with non-SH repairs. Results All the consecutive MOPP repairs performed from 11/Sep/2011 to 31/Dec/2022 were identified, in which1787 MOPP (126 SH and 1661 non-SH) met the inclusion criteria. The results were analyzed 'as treated' in 125 SH vs. 1661 non-SH.No statistically significant difference between these two groups was observed regarding age, BMI, and ASA classification. Symptomatic hernias (84% vs. 73% ; p<0.001), lateral hernias (87.80% vs. 61.33% ; p<0.0001) were more frequent in the SH group. The mean operating time was longer (58 min vs. 39 min ; p<0.0001) in the SH group. The SH procedures were performed under general anesthesia with laryngeal mask in 92% of cases.All the postoperative complications, except one reoperation in the non-SH group, were classified as Clavien-Dindo Grade I/II. Superficial surgical site occurrences were more frequent in the SH group (14.40% vs. 3% ; p<0.0001). No peri-prosthetic infection. The rate of outpatients was 83% vs. 95% in SH and non-SH respectively. Four rehospitalizations in the non-SH and none in the SH group were registered. The postoperative pain was low and similar in the 2 groups, except at M1, where the mean pain was lower in the SH group (p<0.001). A total of 113 (90%) in SH vs. 1553 (82%) in non-SH group patients were followed for one year or more. The number of identified recurrences, of reoperations were low and not different between the two studied groups. The result at one year was similar in the 2 groups, 98% of patients assessed their surgery as excellent or good for SH group versus 99% for non-SH group.
 Conclusion: The present study clearly demonstrated the feasibility and the safety of the MOPP technique in S1 scrotal hernia repairs.