Laparoscopic hernioplasty

Felix, Edward L.; Michas, Constantine A.; Gonzalez, Mário H.

doi:10.1007/bf00188456

Cited by 201 publications

(119 citation statements)

References 16 publications

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“…It is less important to the patient than a successful operation; the time taken to perform the surgery can have cost implications. 6 The operative time to perform unilateral primary inguinal repair has frequently been reported as longer for laparoscopic compared to open repair, however the mean difference in 36 of 37 randomized trials is 14.81 minutes. 7 These differences disappear in bilateral and recurrent hernia repairs.…”

Section: Operating Timementioning

confidence: 99%

Laparoscopic Versus Open Repair of Inguinal Hernia

Fegade¹

2008

WJOLS

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Background: Despite a large number of clinical studies in recent years no consensus has been achieved on the surgical technique of inguinal hernia repair for various reasons. "Experts" believe that their own preferred open methods have the lowest possible recurrence and complication rates. They tend to attribute any negative results, as shown by a number of regional quality studies, to other surgeons' poor skill rather than to the technique itself. This review article aimed to compare laparoscopic versus open Laparoscopic hernia repair.

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Section: Operating Timementioning

confidence: 99%

Laparoscopic Versus Open Repair of Inguinal Hernia

Fegade¹

2008

WJOLS

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“…Coexistence of femoral hernia is given depending on the gender at 2 to 7% (17)(18)(19)(20)(21). Regarding hernias operated bilaterally where the femoral hernias were found, we observed higher ratio of women with medial hernias that is shown by statistics (22,23,24).…”

Section: Discussionmentioning

confidence: 75%

Anatomopathologic Analysis of Synchronically Operated Bilateral Inguinal Hernias

Scierski¹

2009

Polish Journal of Surgery

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the aim of the study was statistic evaluation of anatomopathologic changes of synchoperated groin hernias. material and methods. In 1994In , 2099 patients were operated due to inguinal hernias. 1343 times the operation was conducted unilaterally, 756 (36.2%) bilaterally (1512 hernias). Patients were divided into three age groups: A ≤ 45 years of age, B -46-64 years of age and C ≥ 65 years of age. results. Among those operated bilaterally and synchronically the most frequent were lateral hernias, constituting from 57.2% to 69.8%, medial from 21.41% to 28.4%, combined from 8.81% to 14.52% of all operated hernias in all age groups. Hernias size I (<1.5 cm) constituted among bilateral hernias 29.66% of cases in age group A and 15% in age group C. For unilateral hernias the numbers were respectively 32.95% and 8.32%. Hernias size III (>3 cm) made up for bilateral hernias 26.14% of cases in age A, for unilateral hernias that was 18.9%. In age group C the figures were respectively 47.05% and 47.54%. Hernias size II in all age groups constituted from 37.95% to 48.15% of all cases. Recurrent hernias constituted 8.46% of operated bilateral hernias (128 cases). Among unilateral hernias, 124 recurrent cases were operated (9.23%). Femoral hernias coexisted among 25 men (1.75%) and 10 women (11.9%) operated bilaterally and among 41 patients operated unilaterally (3.05%). conclusions. In case of bilateral hernias there was no correlation found between coexistence of femoral hernia and age of patients; among men they were mainly left, and in case of women -right side cases. Among unilaterally operated patients the coexistence of femoral hernia was observed more frequently in the elderly group, among women mostly on the right side. Key words: inguinal bilateral hernias, inguinal unilateral hernias, anatomopathologic changes, appearance of hernias Groin hernias have accompanied men since we took standing erect position. Hernias operations are one of the most frequently conducted surgeries. The origins of scientific classification of hernias date back to the end of XIX century. There is still no uniform division and full data regarding etiopathogenesis of hernias available (1). Reports about synchexistence and bilateral operations of groin hernias are sparse and incomplete.Purpose of thesis: Statistic evaluation of anatomopathologic changes of sync-operated groin hernias. StatisticData about hernias were introduced immediately after operation to electronic data base. Statistic analysis was conducted with the use of statistic programme SPSS version 15.0 (SPSS, Chicago, IL, USA). Statistic calculations were carried out using paired Student's t-test , Mann-Whitney's U-test and Pearson's c²-test. MATERIAL AND METHODSIn 1994-2005 there were 2099 patients operated in our clinic because of inguinal hernias.

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“…In contrast, TEP approach eliminates this possibility. [5,6,11,12] . In the present study, age of patients was comparable in both groups.…”

Section: Discussionmentioning

confidence: 99%

“…Mesh is used to seal all potential hernia sites from outside the peritoneum. This approach is considered to be more difficult than TAPP, but may lessen the risks of damage to the internal organs and of adhesion formation leading to intestinal obstruction, which has been linked to TAPP [5,6] Material and Methods This comparative study was conducted in the Department of Surgery, IGMC, Shimla from 1st July 2013 to 30th June 2014 after approval of ethical committee and included 40 patients with inguinal hernia. After taking an informed consent, patients were allocated to each group in an alternate fashion i.e.…”

Section: Introductionmentioning

confidence: 99%