scholarly journals Incidental Non-Inguinals Hernias in Totally Extra-Peritoneal Hernia Repair

2015 ◽  
Vol 97 (2) ◽  
pp. 120-124 ◽  
Author(s):  
OJ Old ◽  
SR Kulkarni ◽  
TJ Hardy ◽  
FJ Slim ◽  
LG Emerson ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Linear Trend ◽  
Primary Repair ◽  
Recurrent Inguinal Hernia ◽  
Study Cohort ◽  
Significant Linear Trend ◽  
Tep Repair ◽  
Increased Risk

Introduction Totally extra-peritoneal (TEP) inguinal hernia repair allows identification and repair of incidental non-inguinal groin hernias. We assessed the prevalence of incidental hernias during TEP inguinal hernia repair and identified the risk factors for incidental hernias. Materials and Methods Consecutive patients undergoing TEP repair from May 2005 to November 2012 were the study cohort. Inspection for ipsilateral femoral, obturator and rarer varieties of hernia was undertaken during TEP repair. Patient characteristics and operative findings were recorded on a prospectively collected database. Results A total of 1,532 TEP repairs were undertaken in 1,196 patients. Ninety-three patients were excluded due to incomplete data, leaving 1,103 patients and 1,404 hernias for analyses (1,380 male; 802 unilateral and 301 bilateral repairs; median age, 59 years). Among the 37 incidental hernias identified (2.6% of cases), the most common type of incidental hernia was femoral (n=32, 2.3%) followed by obturator (n=2, 0.1%). Increasing age was associated with an increased risk of incidental hernia, with a significant linear trend (p<0.01). The risk for patients >60 years of age was 4.0% vs 1.4% for those aged <60 years (p<0.01). Incidental hernias were found in 29.2% of females vs 2.2% of males, (p<0.0001). Risk of incidental hernia in those with a recurrent inguinal hernia was 3.0% vs 2.6% for primary repair (p=0.79). Conclusions Incidental hernias during TEP inguinal hernia repair were found in 2.6% of cases and, though infrequent, could cause complications if left untreated. The risk of incidental hernia increased with age and was significantly higher in patients aged >60 years and in females.

The Impact of Groin Surgery during Childhood on the Incidence of Inguinal Hernia Repair and Its Postoperative Complications in Adult Life

2018 ◽  
Vol 29 (03) ◽  
pp. 271-275
Author(s):  
Arestis Sokratous ◽  
Johanna Österberg ◽  
Gabriel Sandblom
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Postoperative Complication ◽  
Inguinal Hernia Repair ◽  
Adult Life ◽  
Operation Time ◽  
Study Cohort ◽  
Complication Rates ◽  
Increased Risk ◽  
The Impact

Background Pediatric inguinal hernia, hydrocele, and cryptorchidism are common congenital anomalies affecting children, and require surgical intervention in some cases. The association between surgical treatment of these conditions and acquired inguinal hernia later in life is poorly understood. The aim of this cohort study was to examine the effect of groin surgery during childhood on the incidence and surgical outcome of inguinal hernia repair in adult life. Materials and Methods Data from the Swedish Inpatient Register and the Swedish Hernia Register were cross-linked using the patient personal identity numbers. The incidence of inguinal hernia repair in patients 15 years or older in the study cohort, as well as postoperative complication rates, were compared with the expected incidence and complication rates extrapolated from the general Swedish population in 2014, stratifying for age and gender. Results Note that 68,238 children aged 0 to 14 years were found to have undergone groin surgery between 1964 and 1998. The median follow-up time after an operation in the groin was 30.8 years (21.0–50.0). Of those, 1,118 were found to have undergone inguinal hernia repair as adults (> 15 years old) between 1992 and 2013. The incidence of inguinal hernia repair in the cohort was significantly higher than that expected (1.43 [1.33–1.53]), both for men (1.32 [1.25–1.41]) and women (4.30 [3.28–5.55]). The incidence was also increased in the subgroup of patients that had undergone more than one procedure during childhood. No significant impact on postoperative complication rate, reoperation rate, or operation time was identified. Conclusion Individuals undergoing surgery in the groin during childhood are at increased risk for acquired inguinal hernia surgery later in life. Inguinal surgery during childhood did not affect the outcome of hernia repair in adult age.

Airway management with I-gelTM for ambulatory laparoscopic inguinal hernia repair in children; a retrospective review of 230 cases

2020 ◽  
Vol 24 (5) ◽  
Author(s):  
Carla Hipólito ◽  
Vicente Vieira ◽  
Virginia Antunes ◽  
Petra Alves ◽  
Adriana Rodrigues ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Airway Management ◽  
Inguinal Hernia Repair ◽  
Neuromuscular Blockade ◽  
Retrospective Review ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia ◽  
Increased Risk ◽  
The Mean

Background: Inguinal hernia is one of the most common conditions presented for surgical repair in children and laparoscopic approaches are increasingly performed. Previous studies have shown safety and efficacy in the use of supraglottic devices (SGD) as an alternative to tracheal intubation, which fits particularly well with outpatient anesthesia. Methodology: we conduct a retrospective observational study, collecting data from the electronic anesthetic form, from all patients aged 0 to 17 y who underwent ambulatory laparoscopic percutaneous internal ring suturing between February 2015 and August 2019, if I-gelTM was used to airway management. Results: We found 230 patients meeting the inclusion criteria. The mean age was 5.2 y old, mean weight 20.1 kg. All patients were ASA I (n=203) or ASA II (n=27). The mean surgery duration was 38 minutes. We found 4 respiratory adverse events, three bronchospasms, and one laryngospasm, managed in the operating room. Ninety percent of the surgeries were performed without neuromuscular blockade. Conclusion: I-gelTM was a safe, effective, and convenient alternative to airway management to laparoscopic inguinal hernia repair in the ambulatory setting. According to available literature, our practice did not represent an increased risk for the studied respiratory events. SGD obviates the need for neuromuscular blockade. Key words: I-gel; Supraglottic devices; Laparoscopy; Inguinal hernia repair; Pediatrics; Anesthesia, ambulatory Citation: Hipólito C, Vieira V, Antunes V, Alves P, Rodrigues A, Santos MJ. Airway management with I-gelTM for ambulatory laparoscopic inguinal hernia repair in children; a retrospective review of 230 cases. Anaesth. pain intensive care 2020;24(5): Received: 18 February 2020, Reviewed: 5 August, 6 September 2020, Accepted: 11 September 2020

scholarly journals Tu1585 Laparoscopic vs. Open Recurrent Inguinal Hernia Repair: A NSQIP Analysis

2013 ◽  
Vol 144 (5) ◽  
pp. S-1132
Author(s):  
Muhammad Asad Khan ◽  
Roman Grinberg ◽  
John Afthinos ◽  
Karen E. Gibbs
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Recurrent Inguinal Hernia

A simplified surgical technique for recurrent inguinal hernia repair following total extraperitoneal patch plastic

Hernia ◽  
2017 ◽  
Vol 21 (5) ◽  
pp. 799-801 ◽  
Author(s):  
P. Knyazeva ◽  
P. F. Alesina ◽  
P. Stadelmeier ◽  
M. Anaya-Cortez ◽  
M. K. Walz
Keyword(s):  
Inguinal Hernia ◽  
Surgical Technique ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Recurrent Inguinal Hernia ◽  
Total Extraperitoneal

Inguinal Hernia Repair in Patients with Cirrhosis is not Associated with Increased Risk of Complications and Recurrence

2011 ◽  
Vol 35 (6) ◽  
pp. 1229-1233 ◽  
Author(s):  
Heung-Kwon Oh ◽  
Hansuk Kim ◽  
Seungbum Ryoo ◽  
Eun Kyung Choe ◽  
Kyu Joo Park
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Increased Risk

scholarly journals Early outcomes of laparoscopy for totally extra - peritoneal (TEP) inguinal hernia repair at E Hospital

2019 ◽  
Vol 9 (2) ◽  
Author(s):  
Đức Anh Lương ◽  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Advanced Technique ◽  
Mesh Placement ◽  
Tep Repair ◽  
Early Results ◽  
Technical Issues ◽  
Alternative Choice ◽  
Laparoscopic Tep

Tóm tắt Đặt vấn đề: Phẫu thuật nội soi đi đường ngoài phúc mạc hoàn toàn đặt lưới để điều trị bệnh thoát vị bẹn (TVB) ở người lớn là một tiến bộ kỹ thuật đang được phát triển và áp dụng bổ sung cho các phương pháp khác, nhưng đây lại là phương pháp có nhiều thách thức về kỹ thuật nhất với các phẫu thuật viên. Tại Bệnh viện E từ tháng 5/2017 đến tháng 5/2019 có 35 ca được mổ theo phương pháp này. Mục tiêu nghiên cứu nhằm đánh giá kết quả sớm, một số kinh nghiệm về chỉ định và kỹ thuật mổ. Phương pháp nghiên cứu: Thiết kế nghiên cứu can thiệp, một nhóm, dạng quan sát mô tả tiến cứu, đánh giá kết quả trước và sau can thiệp. Kết quả: 35 bệnh nhân (BN) TVB gồm 2 nữ, 33 nam; tuổi TB 66,2±10,65 (41- 91); TVB 1 bên: 33 (94,3%), 2 bên: 2 (5,7%); TVB trực tiếp: 13 (37,1%), gián tiếp: 22 (62,9%); một ca có tiền sử mổ Bassini hai lần cùng bên và tái phát được mổ thành công. Hai ca thủng phúc mạc trong khi phẫu tích, khắc phục không phải chuyển TAPP. Thời gian mổ: 121,1±33,20 phút (90-190). Kết luận: Phương pháp khả thi an toàn thời gian nằm viện giảm, thẩm mỹ và ít đau, tuy nhiên có nhiều điểm cần lưu ý trong kỹ thuật cần nghiên cứu tiếp tục liên quan đến kết quả mổ như nhận định giải phẫu, phẫu tích, xử lý thủng khi thủng phúc mạc, cố định chắc chắn vật liệu vào khoang để che phủ lỗ thoát vị... Abstract Introduction: Laparoscopic totaly extraperitoneal inguinal hernia repair with placement of a mesh outside the peritoneum to repair inguinal hernia in adult patients is an advanced technique has been developing as alternative choice for surgeons. However, this method has is challenging in technical issues for surgeons. Over a 24-month period (May 2017 through May 2019), a total of 35 laparoscopic TEP inguinal hernia repairs were carried out. This paper aimed to evaluate the early results and discuss some important technical issues as well. Material and Methods: A prospective observational study, one group, evaluating results before and after intervention. Results: 35 patients including 2 females and 33 males with mean age of 66,2±10,65 years old (41- 91); unilateral inguinal hernia (IH): 33 patients (94,4%), bilateral IH: 2 patients (5,7%); direct IH: 13 patients (37,1%), indirect IH: 22 (62,9%); One patient underwent two times previously by Bassini procedure due to recurrence. Per-operative adverse events including: peritoneum laceration during dissection in 2 cases, overcome by repair peritoneum damaged without conversion into TAPP. Mean operative time: 121,1±33,20 min (90-190). Conclusion: Laparoscopic TEP IH repair with prolene mesh placement is a suitable treatment option for selected inguinal hernia patients. However, some technical issues should be considered such as accuracy recognization of endoscopic anatomy landmarks during dissecting inguinal canal elements and management of incident happened management for example peritoneum being lacerated, clearing the pre- peritoneal space for laying mesh, substantial fine fixation of mesh... may cause the outcomes. Keywords: Laparoscopy, Inguinal hernia, TEP repair.

scholarly journals Laparoscopic inguinal hernia repairs: comparison between TAPP and TEP at a tertiary center of Nepal

2018 ◽  
Vol 5 (11) ◽  
pp. 3719
Author(s):  
Komal B. Gurung ◽  
Niroj Banepali ◽  
Rakesh R. Sthapit ◽  
Baikuntha Adhikari
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Postoperative Complications ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Tep Repair ◽  
Laparoscopic Inguinal Hernia ◽  
Inguinal Hernias ◽  
Tertiary Center ◽  
Duration Of Surgery

Background: Laparoscopic inguinal hernia repair has been proven to be a safe and effective procedure for groin hernias. In recent years, many of the tertiary centers in Nepal have started performing laparoscopic hernia repair. With the availability of resources and the facilities, the laparoscopic repairs for inguinal hernias are going to be more accessible in near future in Nepal. The aim of this study was to compare the intraoperative events and postoperative complications of transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) techniques of laparoscopic inguinal hernia repairs.Methods: Out of 56 patients, 30 underwent TAPP and 26 TEP repairs for primary unilateral inguinal hernias and were prospectively analyzed. Patient demographics, past medical and surgical history, intraoperative, and postoperative events were recorded. Patients were followed-up for two years.Results: Demographic parameters were comparable in both the groups. The difference in mean operating time was statistically significant (longer in the TAPP group). Intraoperative events such as port-site bleeding and peritoneal tear were comparable in both groups. The immediate postoperative complications like skin ecchymosis, cord hematoma, and scrotal edema were comparable in both repairs.  Immediate postoperative pain was significantly lesser in TEP repair whereas the hospital stays and time to return to the normal physical activity were comparable in both groups.Conclusions: Both TAPP and TEP laparoscopic techniques are safe and effective for inguinal hernia repair. However, there are few advantages of TEP repair such as shorter duration of surgery and less postoperative pain.

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