Totally Extraperitoneal (TEP) Approach for Femoral Hernia

Abstract

Purpose:The aims of this study were to evaluate the efficacy of laparoscopic totally extraperitoneal (TEP) repair of femoral hernia. Methods: Eight patients who underwent laparoscopic TEP repair for femoral hernia between 2008 and 2010 were reviewed retrospectively. In total, 256 adult patients underwent inguinal or femoral hernia repair; TEP was performed in 224 patients. The preoperative diagnosis, clinical symptom, operative finding, postoperative complications, chronic pain, and recurrence were analyzed. Results: The incidence of femoral hernia was 8 (3.1%) in the present study. The female to male ratio was 3：1 (6 females and 2 males). Seven patients were preoperatively misdiagnosed with inguinal hernia using ultrasonography. Computed tomography (CT) was performed in three patients, and femoral hernia was diagnosed in two patients. Two patients had synchronous femoral hernia with direct or indirect inguinal hernia. One patient has previously undergone ipsilateral inguinal hernia repair. In all patients, the hernia sac was irreducible by gas insufflation. Seven patients had lipoma-like soft tissue in hernia sac. Peritoneal tears developed in three patients. There was one postoperative complication: chronic discomfort due to seroma. There was no recurrence during median 6.5 months (range 2∼26).

Goodness-of-Fit Analysis for Wind Speed Distributions Using Measurement Data from Domestic Wind Farms in Korea

“…Accordingly, the estimation and prediction of wind turbine output have been the subject of increasing research to better account for the intermittency of wind and variable wind speeds. A wide variety of models and methods have been proposed to predict the power output from wind generation under a range of circumstances [5][6][7]. The amount of power that can be harvested from the wind largely depends on wind speed and the given specifications of the wind turbine, such as its size and blade length.…”