Simple Purse String Laparoscopic Versus Open Hernia Repair

Background: Inguinal mesh hernioplasty is one of the common procedures performed all over the world. It can be done either through open or laparoscopic techniques. The aim of this study was to compare the outcomes of Lichtenstein tension free hernioplasty versus laparoscopic transabdominal pre-peritoneal (TAPP) mesh repair considering, duration of the surgery, hospital stay, and duration to resume normal activity, degree of postoperative pain, wound infection, recurrence and complications.Methods: Adult patients presented to the general surgical OPD, with the diagnosis of inguinal hernia underwent either Lichtenstein repair or laparoscopic repair by TAPP.Results: Patients in Group A (open-repair) had significantly greater level of local pain during rest and during routine activities than those within Group B (laparoscopic group) during the postoperative period assessed on the visual-analogue scale. Mean operative time for open hernia repair was 43.7 minutes and for laparoscopic hernia repair was 59.03 minutes and the difference were statistically significant (p=0.0001). The mean duration of hospital stay for open hernia repair was 2.16 days and that for laparoscopic hernia repair was 1.08 days with a (p=0.00001) which was statistically significant. The time to resume routine activities was much shorter among Group B patients than patients in Group A. Only one recurrence (3.3%) was seen in Group B after 6 months follow up.Conclusions: It is concluded that laparoscopic TAPP repair of inguinal hernia in adults is safe and preferred operation as compared to open inguinal hernia repair.

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Wound protectors for improved exposure in open hernia repair

Hernia ◽

10.1007/s10029-019-01952-6 ◽

2019 ◽

Vol 23 (6) ◽

pp. 1215-1219

Author(s):

J. Lawson ◽

A. McGill ◽

H. Meares ◽

H. Coleman ◽

C. Riveros ◽

...

Keyword(s):

Hernia Repair ◽

Open Hernia Repair

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Brief report: De Garengeot’s hernia

Case Studies in Surgery ◽

10.5430/css.v5n2p9 ◽

2019 ◽

Vol 5 (2) ◽

pp. 9

Author(s):

M. Hunter Witt ◽

Adam R. Eppler ◽

Ahmed M. Mahmoud

Keyword(s):

Hernia Repair ◽

Ct Scan ◽

Laparoscopic Appendectomy ◽

Amyand’S Hernia ◽

Femoral Canal ◽

Blunt Dissection ◽

Incarcerated Hernia ◽

De Garengeot’S Hernia ◽

Open Hernia Repair

We describe a case of a 70-year-old female who presented with pain and swelling in her right groin. CT scan of the abdomen and pelvis found Amyand’s hernia with evidence of inflammation of the appendiceal tip consistent with appendicitis. Laparoscopic appendectomy and open hernia repair revealed an incarcerated hernia. Using blunt dissection, the inflamed tip of the appendix was found in the femoral canal. The appendix was removed. The patient had a De Garengeot’s hernia, not the Amyand’s hernia initially suspected. Patient was discharged home the following day.

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Systemic Stress Responses after Laparoscopic or Open Hernia Repair

The European Journal of Surgery ◽

10.1080/110241500750008781 ◽

2000 ◽

Vol 166 (6) ◽

pp. 467-471 ◽

Cited By ~ 25

Author(s):

Ali Uzunköy, Ali Coskun, O. Far

Keyword(s):

Hernia Repair ◽

Stress Responses ◽

Systemic Stress ◽

Open Hernia Repair

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Comparative study of laparoscopic hernia repair versus open hernia repair

Journal of Nobel Medical College ◽

10.3126/jonmc.v7i2.22303 ◽

2018 ◽

Vol 7 (2) ◽

pp. 30-34

Author(s):

Rohit Prasad Yadav ◽

Dipendra Thakur ◽

Bashu Dev Baskota ◽

Amit Kumar Shah ◽

Kaushal Samsher Thapa ◽

...

Keyword(s):

Hernia Repair ◽

Comparative Study ◽

Hospital Stay ◽

Laparoscopic Hernia Repair ◽

Fatty Tissue ◽

Duration Of Surgery ◽

Group 2 ◽

Lower Pain Score ◽

Open Hernia Repair ◽

Group 1

Background: Hernia is the abnormal exit of an organ or fatty tissue, such as the bowel, through the weak wall of the cavity in which it normally resides. Repair of inguinal hernia is common surgical procedures. This study aims to compare between laparoscopic and open hernia repair. Method: Study is non randomized comparative study. Study includes 76 patients who had undergone surgery for hernioplasty. Among them 38 undergone laparoscopic hernioplasty and 38 undergone open hernioplasty from June 2016 to August 2018. Results: Mean hospital stay was 2.95 days in group 1 and 4.03 in group 2 .VAS was found to be 2.45 in group 1 and 5.71 in group 2 which is significantly low in group 1 patients with p<0.001. Duration of surgery is more in group 1 with mean duration of 94.08 minutes comparing to group 2 with mean duration of 43.55 minutes (with p<0.001). Conclusion: Laparoscopic hernia repair offers advantages over open repair in terms of less hospital stay and lower pain score for patient not contraindicated for general anesthesia and complicated hernia.

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Inflammatory markers following laparoscopic and open hernia repair

Surgical Endoscopy ◽

10.1007/bf00187942 ◽

1995 ◽

Vol 9 (6) ◽

Cited By ~ 19

Author(s):

A.D.K. Hill ◽

P.E. Banwell ◽

A. Darzi ◽

N. Menzies-Gow ◽

J.R.T. Monson ◽

...

Keyword(s):

Hernia Repair ◽

Inflammatory Markers ◽

Open Hernia Repair

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A comparison of laparoscopic and open hernia repair as a day surgical procedure

Surgical Endoscopy ◽

10.1007/bf00187345 ◽

1994 ◽

Vol 8 (12) ◽

Cited By ~ 50

Author(s):

G.J. Maddern ◽

G. Rudkin ◽

J.R. Bessell ◽

P. Devitt ◽

L. Ponte

Keyword(s):

Hernia Repair ◽

Surgical Procedure ◽

Open Hernia Repair

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Quadratus Lumborum 2 Block as the Sole Anesthetic Technique for Open Hernia Repair in Multimorbid Patients

Cureus ◽

10.7759/cureus.9697 ◽

2020 ◽

Author(s):

Julius Balogh ◽

Angela Chen ◽

Tejaswi Marri ◽

Johanna B De Haan ◽

Sara Guzman-Reyes

Keyword(s):

Hernia Repair ◽

Anesthetic Technique ◽

Quadratus Lumborum ◽

Multimorbid Patients ◽

Open Hernia Repair

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The choice between surgical scrubbing and sterile covering before or after induction of anaesthesia: A prospective study

F1000Research ◽

10.12688/f1000research.11965.1 ◽

2017 ◽

Vol 6 ◽

pp. 1019

Author(s):

Irene Sellbrandt ◽

Metha Brattwall ◽

Pether Jildenstål ◽

Margareta Warrén Stomberg ◽

Jan G. Jakobsson

Keyword(s):

Quality Of Care ◽

Hernia Repair ◽

Day Surgery ◽

Randomised Study ◽

Post Surgery ◽

A Prospective Study ◽

Induction Of Anaesthesia ◽

The Impact ◽

Open Hernia Repair

Background: Day surgery is increasing, and safe and effective logistics are sought. One part of the in-theatre logistics commonly discussed is whether surgical scrub and sterile covering should be done before or after induction of anaesthesia. The aim of the present study was to compare the impact of surgical scrub and sterile covering before vs. after the induction of anaesthesia in male patients scheduled for open hernia repair. Methods: This is a prospective randomised study. Sixty ASA 1-3 patients scheduled for open hernia repair were randomised to surgical scrub and sterile covering before or after induction of anaesthesia; group “awake” and group “anaesthetised”, respectively. Patients and theatre nurses were asked about their experiences and willingness to have the same logistics on further potential surgeries, through a survey provided before post-surgery. Duration of anaesthesia, surgery, theatre time, recovery room stay and time to discharge was studied. Results: There was no difference in the patients’ assessment of quality of care, and only one patient in the awake group would prefer to be anaesthetised on a future procedure. All nurses found pre-anaesthesia scrubbing acceptable as routine. The duration of anaesthesia was shorter and doses of propofol and remifentanil were reduced by 10 and 13%, respectively, in the awake group. Time in recovery area was significantly reduced in the awake group (p<0.05), but time to discharge was not different. Conclusion: Surgical scrub and sterile covering before the induction of anaesthesia can be done safely and without jeopardising patients’ quality of care.

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