Comparison of Conventional Anterior Surgery and Laparoscopic Surgery for Inguinal Hernia Repair

Liem, Mike S L; Graaf, Y. Vander; Steensel, C. J. Van; Boelhouwer, Roelof U.; Clevers, G. J.; Meijer, W. S.; Stassen, Laurents P. S.; Vente, J. P.; Weidema, W. F.; Schrijvers, A. J. P.; Wiklund, Richard A.

doi:10.1097/00132586-199712000-00056

Cited by 127 publications

(221 citation statements)

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“…In a study by Pavlidis et al 14 , the recurrence rate after tension free technique for inguinal hernia repair was as low as 1.5%. Gianetta et al 23 reported a low recurrence rate of 1.8%, Liem et al 24 reported 6% recurrence, Champault et al 25 reported 2% recurrence and the MRC Laparoscopic Groin Hernia trial Group 26 and Amid et al 3 reported as low as 0% recurrence rate after open repair of groin hernia surgeries. Our study is also consistent with these findings with a low recurrence rate of 1.75%.…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

Inguinal hernias in patients of 50 years and above. Pattern and outcome

Shyam

Rapsang

2013

Rev. Col. Bras. Cir.

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ABSTRACT ABSTRACT ABSTRACTObjective: Objective: Objective: Objective: Objective: to evaluate a one year experience with inguinal hernia repair, in patients of > 50years, with respect to the type of inguinal hernia, type of surgery, postoperative complications and recurrence. Methods:Methods: Methods: Methods: Methods: a prospective descriptive study of patients (n=57) > 50 years operated for inguinal hernia during a one year period. Tension-free meshplasty and herniorrhaphy, using 3"x6" polypropylene mesh and 2-0 polypropylene suture, were performed in elective and emergency surgery respectively. Follow-up visits were scheduled at six weeks, three and six months postoperatively. Results:Results: Results: Results: Results: the most representative age group was 61-70 years, and all patients were male. 52 (91.22%) patients had unilateral inguinal hernias, while five (8.77%) had bilateral hernias. In 50 (87.71%) patients, the hernia was uncomplicated, while seven (12.28%) patients presented with some complication such as obstruction or strangulation. Elective surgery was performed in 50 (87.71%) patients while seven (12.28%) patients were operated in emergency. Postoperatively, 50 (87.7%) patients had uneventful recovery, while seven (12.28%) patients developed some complications which were treated conservatively. Mean hospital stay was six days. One recurrence was observed and there was no peri/postoperative death. Conclusion: Conclusion: Conclusion: Conclusion: Conclusion: tension-free meshplasty and herniorrhaphy are safe, simple and applicable even in elderly patients after adequate preoperative assessment and optimization. Although associated with longer hospital stay, the mortality rate is nil and complication as well as recurrence rate is low. Hence, timely repair is necessary in elderly patients even in those with comorbid conditions.

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Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

Inguinal hernias in patients of 50 years and above. Pattern and outcome

Shyam

Rapsang

2013

Rev. Col. Bras. Cir.

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“…Laparoscopic total extraperitoneal (TEP) repair gains access to the preperitoneum without the associated pain and morbidity of a larger incision, and it potentially allows for a more rapid recovery. [1][2][3][4] Recurrent hernia had previously been considered to be more challenging to manage than primary hernia, since performing a dissection for a recurrent hernia is more difficult due to the hard scar tissue and the frequently altered anatomy. 5 Schiller 6 reported recurrence rates for open procedures of up to 20% or more for primary hernia and up to 30% for recurrent hernia repair.…”

Section: Introductionmentioning

confidence: 99%

The Safety and Effectiveness of Laparoscopic Total Extraperitoneal (TEP) Repair for Recurrent Inguinal Hernia After Open Hernioplasty

Choi

Kim

Hur

2010

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Background: Many studies have reported that laparoscopic total extraperitoneal (TEP) repair for recurrent inguinal hernia after an open hernioplasy was safe and effective. This study was conducted to evaluate TEP repair for recurrent inguinal hernia through a retrospective analysis of our data. Materials and Methods: We performed a retrospective analysis of the medical records of patients who were scheduled for laparoscopic TEP repair from December 2000 to December 2008. A total of 1065 cases of laparoscopic TEP repairs were performed for 944 patients by a single surgeon, and 100 cases of recurrent inguinal hernias were enrolled. Results: The mean operation time was longer in the recurrent hernia group than that in the primary hernia group (P < 0.001), and peritoneal tearing occurred more frequently in the recurrent hernia group (P < 0.001). Direct hernia was more frequent in the recurrent hernia group (P < 0.001). The mean number of hospital days and complications, such as seroma and postoperative pain, were similar in both groups. Three cases of recurrence occurred (0.28%): 2 occurred in the recurrent hernia group (2%) and the other occurred in the primary hernia group (0.1%). Conclusions: Laparoscopic TEP repair is safe and effective for treating recurrent inguinal hernia after an open hernioplasty, because the recurrence rate was low (2%) and other complications were similar for both groups. Direct inguinal hernia was more frequent in patients who had recurrent inguinal hernia.

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“…Laparoscopic techniques are a minimally procedures, aiming to reduce the risks associated with conventional surgery, that proved superior to postoperative pain and recovery 1 .…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic guided local injection in the X-linked muscular dystrophy mouse (mdx) diaphragm. An advance in experimental therapies for Duchenne Muscular Dystrophy

Lessa

Carvalho²,

Spagnolo³

et al. 2014

Acta Cir. Bras.

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PURPOSE:To investigate the development of a laparoscopy technique for local injection into the X-linked muscular dystrophy (mdx) diaphragm. METHODS:It was used 10 mice Balb/C57 and 5 mdx mice and three differents decubitus type were tested: the right lateral, supine, and supine decubitus with 20 degrees elevation of the forelimb. Abdominal caudal face and the 10 intercostal space were tested as spot to introduce the needle into the diaphragm. RESULTS:Supine position with elevation of 20 degrees forelimb and the 10th intercostal space are the beneficial position to apply a local injection. CONCLUSION:It was proved to be possible to perform the laparoscopy technique in the X-linked muscular dystrophy diaphragm and this requires a specific position and technique during the surgery.

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Comparison of Conventional Anterior Surgery and Laparoscopic Surgery for Inguinal Hernia Repair

Cited by 127 publications

References 0 publications

Inguinal hernias in patients of 50 years and above. Pattern and outcome

Inguinal hernias in patients of 50 years and above. Pattern and outcome

The Safety and Effectiveness of Laparoscopic Total Extraperitoneal (TEP) Repair for Recurrent Inguinal Hernia After Open Hernioplasty

Laparoscopic guided local injection in the X-linked muscular dystrophy mouse (mdx) diaphragm. An advance in experimental therapies for Duchenne Muscular Dystrophy

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