Laparoscopic inguinal hernia repair in a developing nation: Short-term outcomes in 103 consecutive procedures

Cawich, Shamir O; Mohanty, Sanjib K.; Bonadie, Kimon O; Simpson, Lindberg K.; Johnson, Peter; Shah, Sundeep; Williams, Eric H.

doi:10.4103/2006-8808.118601

Cited by 10 publications

(11 citation statements)

References 17 publications

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“…4.5 In our study all the patients had unilateral inguinal hernia among bith open and laparoscopic group similar to study by Cawich et al with 24 recurrent unilateral hernias and 49 primary unilateral inguinal hernia. 5 Similarly in the study of Spencer et al, among the open inguinal hernia repair group, 117 (92.9%) patients had unilateral inguinal hernia while among the laparoscopic group, 94 (79.7%) patients had unilateral inguinal hernia. 4 The mean operative time of Lichtenstein tension free inguinal hernia repair in our study was 85 mins which was greater than that of study done by Heikkinen et al (53 minutes), Schrenk et al (38.4 minutes) and comparable to study done by Spencer et al (84 minutes).…”

Section: Discussionmentioning

confidence: 85%

“…There were 6 complications in laparoscopic hernia repair in the study conducted by Cawich et al which were groin hematoma in 1 patient, vascular injury in 1 patient, scrotal seroma in 2 patients, bowel injury in 1 patient and urinary retention in 1 patient. 5 According to Liem et al, the mean post-operative hospital stay was 1 day and 2 days in open and laparoscopic group respectively. 11 Colak et al showed it to be 1.8 vs 2.7 days respectively.…”

Section: Discussionmentioning

confidence: 98%

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Comparative study of laparoscopic and conventional (Lichtenstein tension free) inguinal hernia repair in a tertiary care institute

Dhawan¹,

Goyal²,

Sodhi³

et al. 2019

Int Surg J

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Background: Inguinal hernia repair is the most frequently performed operation in general surgery. The standard method for inguinal hernia repair had changed little over a hundred years.Methods: Present study was conducted on 60 patients having inguinal hernia and were operated by two different methods i.e. Lichtenstein tension free inguinal hernia repair (Group A) and laparoscopic hernia repair (Group B). Aim of the study conducted was to compare the various observations and complications in post-operative period.Results: There was no statistically significant difference in the age group, side and type of hernia in the two groups. Laparoscopic repair was a longer procedure than Lichtenstein inguinal hernia repair and it was statistically significant (p<0.05). Postoperatively urinary retention was the most common complication in Group A. Other complications were genital oedema (13.33%), haematoma (13.33%), seroma (13.33%) and wound infection (6.67%) which led to increased post-operative hospital stay. In Group B, pneumoscrotum was the most common complication. Other complications included subcutaneous emphysema (6.67%) and seroma (6.67%).Conclusions: Lichtenstein tension free inguinal hernia repair is safe, efficient and cheaper procedure with no extra equipment being required while Laparoscopic repair takes more time, laparoscopic equipment and training in minimal access surgery.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 98%

Comparative study of laparoscopic and conventional (Lichtenstein tension free) inguinal hernia repair in a tertiary care institute

Dhawan¹,

Goyal²,

Sodhi³

et al. 2019

Int Surg J

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“…In 2006, Dr Clive Thomas and Dr McFarlane were preceptored by Dilip Dan on multiple occasions on anti-reflux surgery at St Joseph's Hospital, Jamaica, and this surgery as well as sleeve gastrectomy for morbid obesity is being done. In 2006, the first laparoscopic inguinal hernia repair was done by Cawich et al (43).…”

Section: The Jamaican Experiencementioning

confidence: 99%

The History of Laparoscopic General Surgery in the Caribbean

Dan¹,

Naraynsingh²,

Cawich³

et al. 2012

West Indian Med J

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Objective: The first world witnessed a laparoscopic revolution in the 1990s. At the start, laparoscopic surgery was heavily criticized and ridiculed. Despite this, the specialty has blossomed where almost any procedure can be done laparoscopically with the now obvious tremendous benefit to the patients. The objective of this paper is to examine where the Caribbean is placed relative to the rest of the world in terms of laparoscopic surgery and to understand why we are here. Design and Methods: The literature written on laparoscopy in the region was reviewed and contributions were taken from key surgeons in three main islands, Trinidad and Tobago, Barbados and Jamaica. Results: Though the first laparoscopic cholecystectomy in the Caribbean, in most islands, took place in the early 1990s like the rest of the world, there was relative dormancy for at least a decade in Trinidad and Tobago and even longer in other islands with regards to implementing advanced procedures or increasing case volumes. Reasons for this included lack of funding, lack of operating time in public facilities, lack of information of the public and the medical fraternity but most importantly lack of trained laparoscopic surgeons. This last factor was proven to be the key one in Trinidad and Tobago in 2003, Jamaica 2005 and Barbados 2011, when the return of trained personel engineered the transition from basic to advanced laparoscopy. Conclusion: Despite the delay of approximately 10 years in Trinidad and Tobago and 15 years in other islands, the return of trained surgeons has seen a rapid increase in case variety and volumes in laparoscopy. The wheels of motion of the laparoscopic revolution in the Caribbean have finally begun. RESUMENObjetivo: El primer mundo fue testigo de una revolución laparoscópica en los años 1990. Al comienzo, la cirugía laparoscópica fue muy criticada y ridiculizada. A pesar de ello, la especialidad ha florecido, siendo el caso que ahora casi cualquier procedimiento puede hacerse laparoscópicamente, con evidentes grandes beneficios para los pacientes. El objetivo de este trabajo es examinar donde se encuentra el Caribe en relación con el resto del mundo en lo que se refiere a la cirugía laparoscópica, y asimismo el por qué nos hallamos en ese lugar. Diseño y Métodos: Se examinó la literatura sobre laparoscopia escrita en la región, y se tomaron contribuciones de cirujanos claves de tres islas principales, a saber, Trinidad y Tobago, Barbados y Jamaica. Resultados: Aunque las primeras colecistectomías laparoscópicas en la mayoría de las islas del Caribe, tuvieron lugar a principio de los años 1990 como en el resto del mundo, hubo un período de relativa inactividad por espacio de casi una década en Trinidad y Tobago, y aun por más largo tiempo en otras islas, en relación con la implementación de procedimientos avanzados o el aumento del volumen de casos. Las razones para esta relativa inactividad incluyeron la falta de fondos, la falta de tiempo de operación de los centros públicos, la falta de información del público y l...

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“…Mesh infection is very uncommon post laparoscopic inguinal hernia repair-with rates of infection being noted as low as 0% in Caribbean literature. However, some authors have described rates as high as 0.5% -1% in other literature, and, despite the varied incidence of mesh infection-it is clear, that it is certainly not the common phenomena [3,4].…”

Section: Introductionmentioning

confidence: 97%

Laparoscopic Inguinal Hernia Repair and Mesh Infection: Does the Type of Mesh Used Matter?

Bascombe¹,

Calderon²,

Payne³

et al. 2017

J Surg Anesth

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Objective: Mesh infection post laparoscopic inguinal hernia repair is an uncommon complication. This increases patient morbidity and overall cost of a relatively low risk procedure. In this article, we sought to highlight the possible relationship between mesh infection and the biological nature of the mesh.Methods: Data of laparoscopic inguinal hernia repair was collected retrospectively from two separate private institutions, which were performed over a 5-year period. All information collected, including type of mesh used and arising complications, were documented on a computerized database.Results: Over the period of January 2011 and December 2015, a total of 81 elective laparoscopic inguinal hernia repairs were performed-59 from institution A and 22 from institution B. All repairs were performed by the same surgeon, using the Trans abdominal pre-peritoneal (TAPP) approach. Twelve repairs demonstrated evidence of mesh infection during this time frame, six (6) from each institution. Of these 12 cases, all underwent laparoscopic removal of the infected mesh, except one. All removed mesh was made of a polyester material. Conclusion:The associated advantages of using mesh to repair inguinal hernias are numerous and it is a great asset in modern day surgery. The choice of the "right" mesh to use should depend on surgeon experience, personal outcome and of course, evidence-based.

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Laparoscopic inguinal hernia repair in a developing nation: Short-term outcomes in 103 consecutive procedures

Cited by 10 publications

References 17 publications

Comparative study of laparoscopic and conventional (Lichtenstein tension free) inguinal hernia repair in a tertiary care institute

Comparative study of laparoscopic and conventional (Lichtenstein tension free) inguinal hernia repair in a tertiary care institute

The History of Laparoscopic General Surgery in the Caribbean

Laparoscopic Inguinal Hernia Repair and Mesh Infection: Does the Type of Mesh Used Matter?

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