Method of laparoscopic hernioplasty in children with inguinal hernia with large sizes of the inner inguinal ring

Background: Inguinal hernia repair is one of the most common surgical procedures in Bangladesh. The option of surgical treatment remains controversial. Laparoscopic hernia repair has all the benefits of a tension free repair. We aimed to compare postoperative outcome and cost between laparoscopic and open inguinal hernia repair. Objective: This study was conducted with an objective to compare the effectiveness of each procedure and complications if any. Materials and Methods: Fifty cases of inguinal hernia admitted in the tertiary care center were selected by nonprobability (purposive) sampling method. All patients with uncomplicated hernia treated by open or laparoscopic method were included. The age/sex, incidence, mode of presentation, surgical treatment and postoperative complications were evaluated and compared with standard published literature. Results: Postoperative wound infection developed in three cases of open hernioplasty and one case in laparoscopic surgery. Hematoma and seroma at the operated site were found in one case of laparoscopic hernioplasty and in two cases of open hernioplasty. Orchitis was more prevalent in the laparoscopic hernioplasty patient with incidence among two cases as compared to one in open group. The mean duration of hospitalization was 59.62±6.11 hours in case of laparoscopic hernioplasty while 53.33±8.26 hours in open hernioplasty. The mean duration of procedure was 72.33 minutes in laparoscopic group while 64.62 minutes in open surgery. The mean cost for the laparoscopic repair group was around taka 63000/= whereas in the open group it was around 42000/= only with significant difference. Prolonged groin pain was seen in four cases in open group as compared to one in laparoscopically operated cases. Conclusion: There were less post-operative complications in the laparoscopic group. J Enam Med Col 2020; 10(1): 17-22

Download Full-text

Comparison of early postoperative outcome of laparoscopic and open inguinal hernia mesh repair

International Surgery Journal ◽

10.18203/2349-2902.isj20183007 ◽

2018 ◽

Vol 5 (8) ◽

pp. 2732

Author(s):

Pulkit Garg ◽

Sreekar Agumbe Pai ◽

Hosamath Vijaykumar

Keyword(s):

Chronic Pain ◽

Inguinal Hernia ◽

Hospital Stay ◽

Postoperative Outcome ◽

Hernia Mesh ◽

Laparoscopic Hernioplasty ◽

The Mean ◽

The Difference ◽

A Prospective Study ◽

Early Postoperative Outcome

Background: Laparoscopic hernia has all the benefits of a tension free repair. The aim of this study was to compare the early postoperative outcome of laparoscopic and open inguinal hernia mesh repair.Methods: This is a prospective study conducted at Ramaiah hospital Bangalore from June 2016 to July 2017. 70 cases of inguinal were included in the study hernia diagnosed clinically and radiologically who fulfilled the inclusion & the exclusion criteria. The principal operative techniques were laparoscopic hernioplasty (LH) and open inguinal mesh hernioplasty (OH).Results: 35 patients each were allotted to two group (LH and OH). The mean age was 50.53. LH group had significantly less postoperative pain than the OH group on 12, 24 and 72 hrs (P <0.05). Although the vas pain scores of LH group were also comparatively lower on postoperative day 14, these differences were not statistically significant. Than mean operative time was significantly higher for LH group (131.86 vs 80.29 min) although in bilateral cases the difference was considerably less but was still significant (138 vs 107 min). The mean hospital stay after surgery was less for LH group (2.68 vs 3.25 days) but was not statistically significant. (p = 0.073). Chronic pain persisted for 2 patients (5.7%) in OH group whereas none had chronic pain in LH group.Conclusions: Laparoscopic hernioplasty is equivalent to open repair in the treatment of inguinal hernia, with less post-operative pain, lower risk of wound infection, shorter duration of hospital stay, and less incidence of chronic pain however requires a long learning curve and is more expensive.

Download Full-text

The technical characteristics and immediate results of laparoscopy trans-peritoneal and total extra-peritoneal hernioplasty

Medical Journal of the Russian Federation ◽

10.18821/0869-2106-2016-22-3-125-129 ◽

2016 ◽

Vol 22 (3) ◽

pp. 125-129 ◽

Cited By ~ 1

Author(s):

Aleksandr V. Sazhin ◽

A. D Klimiashvili ◽

E. Kochiay

Keyword(s):

Inguinal Hernia ◽

Average Duration ◽

Inguinal Hernioplasty ◽

Internal Organs ◽

Gerontological Research ◽

Operational Characteristics ◽

Post Operative Pain ◽

Clinical Center ◽

Laparoscopic Hernioplasty ◽

Duration Of Operation

Over the time of recent years, in surgical treatment of inguinal hernia such revolutionary changes occurred as implementation of Lichtenstein's nonstrain prosthetic inguinal hernioplasty (1986) into surgical practice and application of laparoscopic hernioplasty (Arregui M.E., 1992; McKernan and Ferzli, 1993). The study was carried out to evaluate reliability and effectiveness of application of trans-peritoneal and total extra-peritoneal hernioplasty in case of inguinal hernia. During 2012-2015, in the municipal clinical hospital №4 and the Russian gerontological research clinical center (Moscow) 12 patients underwent 12 hernioplasties using technique of total extra-peritoneal hernioplasty and 65 patients underwent 73 hernioplasties using technique of trans-peritoneal hernioplasty (in 8 cases herniae were bilateral). The technical intra-operational characteristics of procedures were analyzed. The evaluation of intra-operational and post-operational complications during earlier post-operational period and in a year after operation was carried out. The single patient in the group of total extra-peritoneal hernioplasty inguinal hernia was relapsing after herniotomy with plasty with local tissues. All herniae were one-sided. The average duration of operation made up to 62.5 minutes. The conversion was never required. In the group of trans-peritoneal hernioplasty average duration of operation made up to 58.5 minutes. The conversion was never required too. The rate of intra-operational complications in both groups was low. The most of the patients in main group (total extra-peritoneal hernioplasty) were ready to be discharged from the hospital at second day after operation. The total rate of post-operative complications made up to 20.6%. Only in the group of trans-peritoneal hernioplasty single relapse was observed after three months after operation. According to results of study, the laparoscopic inguinal hernioplasty is the most preferable and rational treatment of most of the types of inguinal herniae. The total extra-peritoneal hernioplasty is more preferable than trans-peritoneal hernioplasty because of number of reasons i.e. the post-operative pain is less expressed; operation is performed in retroperitoneal way; the risk of damaging of internal organs and development of peritoneal commissures is minimized.

Download Full-text

Lichtenstein Hernioplasty Versus Totally Extraperitoneal Laparoscopic Hernioplasty in Treatment of Recurrent Inguinal Hernia: A Prospective Randomized Trial

Annals of Surgery ◽

10.1097/sla.0b013e3181b4ccfe ◽

2009 ◽

Vol 250 (3) ◽

pp. 504 ◽

Cited By ~ 1

Author(s):

Pankaj Garg

Keyword(s):

Inguinal Hernia ◽

Randomized Trial ◽

Prospective Randomized Trial ◽

Recurrent Inguinal Hernia ◽

Lichtenstein Hernioplasty ◽

Totally Extraperitoneal ◽

Laparoscopic Hernioplasty

Download Full-text

Laparoscopic inguinal hernia repair without fixation

Kazan medical journal ◽

10.17816/kmj2018-712 ◽

2018 ◽

Vol 99 (4) ◽

pp. 712-716

Author(s):

S V Tarasenko ◽

A Yu Bogomolov ◽

A A Natal'skiy ◽

O V Zaytsev ◽

O D Peskov ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Pain Syndrome ◽

Laparoscopic Inguinal Hernia Repair ◽

Implant Fixation ◽

Laparoscopic Inguinal Hernia ◽

Laparoscopic Hernioplasty ◽

Mesh Implant

Aim. Comparison of the immediate and long-term results of laparoscopic inguinal hernia repair with and without mesh implant fixation. Methods. The study included 145 patients over 18 years of both genders with inguinal hernias, including those with relapse after auto-hernioplasty. Patients underwent transabdominal preperitoneal hernioplasty with the application of mesh implant. Patients were randomly divided into two groups matched by age, sex and the type of hernias. In group 1 (n=71) patients underwent laparoscopic hernia repair without fixation, which in case of a direct inguinal hernia was supplemented with transverse fascia endoloop plication; and in group 2 (n=74) - laparoscopic hernioplasty using hernia stapler and/or endocorporal suture. Results. The duration of surgical intervention in compared groups did not differ significantly (p=0.92), there was no recurrence of hernia in either group. The patients of group 1 had less pain syndrome in the early postoperative period, which was expressed in a significantly lower need for narcotic analgesics in terms of the equivalent amount of morphine (p=0.03) and shorter duration of hospital stay (p=0.5). Advantages of laparoscopic hernioplasty without fixation are the following: (1) intensity of pain syndrome in patients operated by this method is less than in patients operated by the traditional method, during both the first 24 hours after the surgery (p=0.45) and on day 5 (p=0.69); (2) there is no need to purchase foreign-made devices (hernia staplers) and self-locking endoprostheses. Conclusion. The long-term and immediate results of laparoscopic inguinal hernia repair without mesh implant fixation are not inferior to the traditional methods of implant application; besides, the studied method has a raw of advantages.

Download Full-text

Experience of endovideosurgical method in treatment of patients with inguinal hernias

Grekov s Bulletin of Surgery ◽

10.24884/0042-4625-2017-176-3-74-76 ◽

2017 ◽

Vol 176 (3) ◽

pp. 74-76 ◽

Cited By ~ 2

Author(s):

V. V. Strizheletskiy ◽

S. A. Makarov ◽

A. B. Lomiya

Keyword(s):

Inguinal Hernia ◽

Surgical Treatment ◽

Hernia Repair ◽

Laparoscopic Hernia Repair ◽

City Centre ◽

Medical Technologies ◽

Inguinal Hernias ◽

Laparoscopic Hernioplasty ◽

Mesh Prosthesis ◽

Results Of Surgery

OBJECTIVE. This article analyzed the results of surgical treatment of patients who underwent laparoscopic hernioplasty. MATERIAL AND METHODS. The results of surgery of 1303 patients with inguinal hernia were assessed. All the patients were operated on in City Centre of Innovative Medical Technologies at the period from March 2013 to December 2016. Laparoscopic prosthetic hernioplasty using mesh prosthesis was carried out on 1199 patients. Traditional Liechtenstein hernia repair had 104 patients. RESULTS. The research showed that laparoscopic hernia repair had greater clinical efficacy as compared with traditional hernia repair. It appeared to be preferable choice of surgical treatment of inguinal hernias of any complexity.

Download Full-text

Case Report: A case of metastatic adenocarcinoma found during inguinal hernia repair

F1000Research ◽

10.12688/f1000research.17795.1 ◽

2019 ◽

Vol 8 ◽

pp. 118

Author(s):

Akram Rajput ◽

Aatera Haq ◽

Syed Mohammad Mazhar Uddin ◽

Zeeshan Zafar ◽

Uzair Yaqoob

Keyword(s):

Case Report ◽

Inguinal Hernia ◽

Hernia Repair ◽

Carbohydrate Antigen ◽

Metastatic Adenocarcinoma ◽

Elderly Male ◽

Hernia Sac ◽

Ileocecal Junction ◽

Laparoscopic Hernioplasty ◽

History Of

Tumors found during hernia repair are rare. They may be intrasaccular (most commonly), saccular or extrasaccular, and they are usually primary. In this case report we present a case of metastatic adenocarcinoma (confirmed by biopsy) found inside the inguinal hernia sac. Following further investigation, primary tumor of the ileum and ileocecal junction was found. An elderly male presented with a history of bilateral inguinal swelling for a year, that had been asymptomatic initially, but had increased in size and was painful following prolonged activity. During laparoscopic hernioplasty a right sided inguinal hernia with nodules on peritoneum and omentum were observed. After taking a biopsy, repair of the hernia was performed. Carcinoembryonic antigen (CEA) and carbohydrate antigen (CA) 19-9 levels were raised. A computed tomography (CT) scan of the abdomen and chest showed a mass involving the distal ileum and the ileocecal junction, with lymphadenopathy, peritoneal carcinomatosis, as well as hepatic and lung metastasis. Surgery was not possible in this patient. A possible relation of an inguinal hernia with an ileal neoplasm was found in this patient. An irreducible swelling not causing any problems can be suspicious, which should be properly investigated to get to an early diagnosis.

Download Full-text