scholarly journals Is a Technically Challenging Procedure More Likely to Fail? A Prospective Single-Center Study on the Short- and Long-Term Outcomes of Inguinal Hernia Repair

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
M. R. Berndsen ◽  
Tomas Gudbjartsson ◽  
Fritz Hendrik Berndsen
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Recurrence Rate ◽  
Recurrent Hernia ◽  
Single Center ◽  
Single Center Study ◽  
Center Study

Background and Aims. The aim of this prospective single-center study was to evaluate the outcome of inguinal hernia repair. Materials and Methods. A total of 485 inguinal hernias (452 patients and 33 patients with bilateral hernias) were operated between January 2004 and December 2010. Mean age was 56 years, and 93% were male. Patient demographics and operative data were collected, and the operating surgeon assessed the technical difficulty of the operation. Five years after surgery, a questionnaire evaluated recurrence and chronic discomfort according to the Cunningham scale. 372 responded (82%), and mean follow-up was 5.5 years. Results. There were 390 repairs for a primary and 62 for a recurrent hernia. Totally extraperitoneal (TEP) operation was most frequently performed (56%), transabdominal preperitoneal (TAPP) operation in 31%, and Lichtenstein and Shouldice in 12% and 2%, respectively. At 5-year follow-up, the primary outcome of chronic discomfort was 19.5%. The independent positive predictors were young age and operation for a recurrent hernia (OR: 3.7), with TEP operation reducing the risk of chronic discomfort (OR: 0.5). The secondary outcome was the recurrence rate of 2.5%. Risk factors were strenuous work (OR: 13.7), technically difficult repairs (OR: 7.2), and chronic discomfort (OR: 6.7). Conclusions. Every fifth patient had chronic discomfort in long-term follow-up. The recurrence rate was 2.5%, and a technically difficult procedure was a risk factor.

Inguinal Hernia Repair Using Self-adhering Sutureless Mesh: Adhesix™: A 3-Year Follow-up with Low Chronic Pain and Recurrence Rate

2016 ◽  
Vol 82 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Malek Tabbara ◽  
Laurent Genser ◽  
Manuela Bossi ◽  
Maxime Barat ◽  
Claude Polliand ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Postoperative Complications ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Recurrence Rate ◽  
Initial Surgery ◽  
Complications Rate

To review our experience and outcomes after inguinal hernia repair using the lightweight self-adhering sutureless mesh “Adhesix™” and demonstrate the safety and efficacy of this mesh. This is a 3-year retrospective study that included 143 consecutive patients who underwent 149 inguinal hernia repairs at our department of surgery. All hernias were repaired using a modified Lichtenstein technique. Preoperative, perioperative, and postoperative data were prospectively collected. Incidence of chronic pain, postoperative complications, recurrence, and patient satisfaction were assessed three years postoperatively by conducting a telephone survey. We had 143 patients with a mean age of 58 years (17–84), who underwent 149 hernia repairs using the Adhesix™ mesh. Ninety-two per cent (131 patients) were males. Only 10 patients (7%) had a postoperative pain for more than three years. In our series, neither age nor gender was predictive of postoperative pain. Only one patient had a hematoma lasting for more than one month and only four patients (2.8%) had a recurrence of their hernia within three years of their initial surgery. Ninety per cent of the patient expressed their satisfaction when surveyed three years after their surgery. In conclusion, the use of the self-adhering sutureless mesh for inguinal hernia repair has been proving itself as effective as the traditional mesh. Adhesix™ is associated with low chronic pain rate, recurrence rate, and postoperative complications rate, and can be safely adopted as the sole technique for inguinal hernia repair.

Long-term follow-up of nipple-sparing mastectomy without radiotherapy: a single center study at a Japanese institution

2013 ◽  
Vol 30 (1) ◽  
Author(s):  
Teruhisa Sakurai ◽  
Ning Zhang ◽  
Takaomi Suzuma ◽  
Teiji Umemura ◽  
Goro Yoshimura ◽  
...  
Keyword(s):  
Single Center ◽  
Single Center Study ◽  
Long Term Follow Up ◽  
Nipple Sparing Mastectomy ◽  
Nipple Sparing ◽  
Center Study

ALLOGENEIC CORD BLOOD TRANSPLANTATION IN CHILDREN WITH HEMATOLOGICAL MALIGNANCIES: A Long-Term Follow-Up Single-Center Study

2009 ◽  
Vol 26 (4) ◽  
pp. 165-174 ◽  
Author(s):  
Miguel A. Diaz ◽  
Marta Gonzalez-Vicent ◽  
Manuel Ramirez ◽  
Julian Sevilla ◽  
Alvaro Lassaletta ◽  
...  
Keyword(s):  
Cord Blood ◽  
Hematological Malignancies ◽  
Cord Blood Transplantation ◽  
Single Center ◽  
Blood Transplantation ◽  
Single Center Study ◽  
Long Term Follow Up ◽  
Center Study

Mo1485 – Long-Term Follow-Up After Recurrence of Primary Biliary Cholangitis Following Liver Transplantation: A Single Center Study

2019 ◽  
Vol 156 (6) ◽  
pp. S-1323
Author(s):  
Shreesh Shrestha ◽  
Thomas B. Wells ◽  
Stephen J. Soufleris ◽  
clanahan michael ◽  
Hemnishil K. Marella ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Primary Biliary Cholangitis ◽  
Single Center ◽  
Single Center Study ◽  
Long Term Follow Up ◽  
Center Study

P1466Leadless pacemaker mid and long term follow-up in a single center-study

EP Europace ◽  
2020 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
J L Martinez Sande ◽  
J Garcia-Seara ◽  
L Gonzalez-Melchor ◽  
C E Cacho-Antonio ◽  
X A Fernandez-Lopez ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pacemaker Implantation ◽  
Electrical Performance ◽  
Single Center ◽  
Electrical Parameters ◽  
Single Center Study ◽  
Long Term Follow Up ◽  
Center Study

Abstract Introduction and objectives Initial results of Leadless pacemakers (LPM) has been promising in worldwide, nevertheless there are still no long term experience published, so the objective of our study was to evaluate electrical parameters at mid  and long term follow-up, describing as well total complications and mortality in a single center-study. Methods   This was a prospective, observational clinical trial that included 183 consecutive patients, with an indication for a single-chamber pacemaker implantation. Results   All successful implantation included a total of 183 patients with a mean age of 79,2 ±6,6 years (range 54-93y/o); 111 (60,6%) were men and more frequent rhythm was permanent atrial fibrillation (160), including those in which a node ablation was performed in the same procedure (22). Clinical and echocardiographyc characteristics are described in table 1.Mean follow-up was of 26 ±10 months including: 64 patient at 24 months, 46 at 36 months and 7 patients at 48 months. Electrical parameters are represented in figure 1, which were stable and flawless at long term follow-up.  Total complications were 3,3%, with only 2 patient requiring surgery for resolution (1,7%), and all were acute during LPM implantation. A total of 17 patients (9,3%) died with no relation to pacemaker.  Conclusions In our experience, leadless pacemakers electrical performance continues stable, appropriate at long term follow-up, and no other complications developed. Baseline Characteristics of Patients Age(years) 79.2 ± 6.6[54-93] Male gender, n (%) 118 (60.6%) Hypertension, n (%) 149 (81.7%) Diabetes mellitus, n (%) 64 (34.9%) COPD, n (%) 33(18.3%) Renal dysfunction, n (%) 30 (16.7%) Valvular disease, n (%) 74 (41.1%) Atrial Fibrillation, n (%) 161 (98.0%) LVEF(%) 60.0 ± 8 OAC, n (%) 123(67.2%) NOAC, n (%) 23 (10.0%) Abstract Figure. Electrical performance

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