A comparison of the approaches to laparoscopic herniorrhaphy

Ramshaw, Bruce; Tucker, J. G.; Conner, Tim; Mason, E. M.; Duncan, Titus D.; Lucas, G. W.

doi:10.1007/s004649910006

Cited by 112 publications

(79 citation statements)

References 10 publications

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“…Many series have been reported (Arregui et al, 1992;Kavic, 1993;Popp, 1993;Brown, 1994;Corbitt, 1994;Felix, 1994;Fernandez, 1994;Himpens et al, 1995;Khoury, 1995;Ramshaw et al, 1996), anatomic concepts discussed (Rosser, 1994;Colburn et al, 1995ab. ) and complications reported (MacFadyen et al, 1993;Spier et al, 1993;Kraus, 1994;Azurin et al, 1995;Petersen et al, 1995;Phillips et al, 1995;Takahara, 1995).…”

Section: Materials and Methods And Discussionmentioning

confidence: 94%

Is inguinal hernia a defect in human evolution and would this insight improve concepts for methods of surgical repair?

McArdle

1997

Clin. Anat.

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Section: Materials and Methods And Discussionmentioning

confidence: 94%

Is inguinal hernia a defect in human evolution and would this insight improve concepts for methods of surgical repair?

McArdle

1997

Clin. Anat.

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“…They also state that socioeconomic aspects are the deciding factors in hernia surgery [3] (rather than the recurrence rate). Most of the published series were able to document that there is a steep learning curve for laparoscopic hernia repair (more for the TEP than for the TAPP procedure), and that the increased operating time could be seriously decreased [28, 62]. Use of nondisposable instruments and the two-trocar technique without mesh fixation (self-expandable meshes [62, 69] can further decrease the direct costs.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the published series were able to document that there is a steep learning curve for laparoscopic hernia repair (more for the TEP than for the TAPP procedure), and that the increased operating time could be seriously decreased [28, 62]. Use of nondisposable instruments and the two-trocar technique without mesh fixation (self-expandable meshes [62, 69] can further decrease the direct costs. Most randomized data clearly demonstrate that laparoscopic repair can be performed as a day-case procedure (which was not the case for the ‘tension-free’ repair in the series of table 2).…”

Section: Discussionmentioning

confidence: 99%

“…TEP repair is recommended because of its lower complication rate [34, 62]. In cases with previous lower abdominal surgery or suspicion of bilateral hernia formation, diagnostic laparoscopy (or direct TAPP repair) should be added prior to the TEP repair [36].…”

Section: Discussionmentioning

confidence: 99%

“…Using TEP repair, bowel injuries only occur in patients with previous lower abdominal operations (appendectomy, gynecological and emergency procedures) with bowel adhesions to the scar [62]. For those patients, prior diagnostic laparoscopy or primary TAPP repair is recommended [36].…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Hernia Surgery:An Ov erview

et al. 1998

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Despite the fact that laparoscopic hernia repair was already described in 1979, its value has still not been well defined. The standard treatment for uncomplicated primary hernia repair in Europe is an open anterior approach (i.e. Shouldice), and ‘tension-free’ mesh plug repair in the USA. At present, posterior mesh insertion is used to repair so-called complicated hernias with a complete myopectineal defect, and recurrent and bilateral hernias. Laparoscopic hernia repair (transabdominally and extraperitoneally) mimics this posterior mesh insertion and is therefore mostly used for treating complicated hernias. Whether or not a transabdominal or extraperitoneal approach is used depends on the type and size of the hernia, the risk to the patient, previous abdominal operations and the surgeon’s experience. However, the extraperitoneal approach is now recommended because of its lower complication rate compared to the transabdominal approach. Compared to open surgical procedures the laparoscopic approach shows significant advantages in terms of less postoperative pain, decreased time off work and decreased overall costs. The disadvantages are increased operating time as well as difficulty in performing the procedure itself. A recent large randomized series has for the first time been able to demonstrate the advantages of the laparoscopic approach in a long-term follow-up. However, further studies are needed to define the exact place of laparoscopic hernia repair in the treatment of groin hernias.

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Laparoscopic inguinal hernia repair

Liem¹

1996

Br. J. Surg.

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Laparoscopic inguinal hernia repair may cause a revolution in general surgery if it proves to be the best treatment for inguinal hernia. Today there are several laparoscopic techniques that have been shown to be feasible. However, no information concerning long-term recurrence rates and cost-effectiveness is available. This review summarizes current knowledge, including all randomized studies that have appeared hitherto, and concludes that it is still premature to advocate a transition from the preferred individualized conventional technique to a laparoscopic technique on a large scale. However, a definite statement on the place of laparoscopic repair may be given in the near future in the light of larger randomized studies.

show abstract

A comparison of the approaches to laparoscopic herniorrhaphy

Cited by 112 publications

References 10 publications

Is inguinal hernia a defect in human evolution and would this insight improve concepts for methods of surgical repair?

Is inguinal hernia a defect in human evolution and would this insight improve concepts for methods of surgical repair?

Laparoscopic Hernia Surgery:An Ov erview

Laparoscopic inguinal hernia repair

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