Day-case laparoscopic hernia repair in a single unit

Abstract

Laparoscopic hernia repair is suitable for day-case surgery for unilateral, bilateral, and recurrent herniae. TAPP repair allows inspection of the contralateral groin, with repair of defects as necessary.

Day case laparoscopic herniorraphy

“…This is consistent with results from previous reports [10,15]. More than 50% of our patients did not require analgesia beyond 24 h. Ninetyeight percent of patients (704) were suitable for sameday discharge.…”

“…Our data from 840 procedures demonstrate that, with experience, LH can be performed within 40 min. Quilici et al [20] had similar findings, and McCloud and Evans [15] performed unilateral repairs within 25 min.…”

“…This observation suggests that learning is specific to operator experience as the operators pass through the unit, rather than a simple selection of more experienced trainees into the latter group. As with previous authors, we demonstrated that a learning curve for LH procedures does exist [7,15,21]. Edwards and Bailey [15] found that surgeons with an experience of 30 laparoscopic procedures were less likely to convert to an open hernia repair, less likely to have intraoperative complications, and less likely to have prolonged inpatient stay.…”

“…As a consequence of reduced postoperative pain and minimal complications, it is more commonly being performed as a day case procedure [8,15]. However, recent publications have suggested significantly increased operating times and increased costs compared with open herniorraphy [9,13,23].…”

Leistenhernienchirurgie als ambulante und kurzzeitstation�re Chirurgie

“…In jüngster Zeit erscheinen auch Berichte über die Durchführbarkeit tageschirurgischer endoskopischer Hernienreparationen als TEP oder TAPP [16,19] in Intubationsnarkose und auch in Epiduralanästhesie [7]. Die Wirtschaftlichkeit solcher Maßnah-men für eine chirurgische Tagesklinik muss mit der Einführung von DRGs in Deutschland sicher kritisch beurteilt werden.…”