scholarly journals Laparoscopic inguinal hernia repair: a prospective study of 120 cases

2018 ◽  
Vol 5 (8) ◽  
pp. 2904
Author(s):  
Jenish Yogeshkumar Sheth ◽  
Foram Arvindbhai Modh
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Complications ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia ◽  
A Prospective Study ◽  
Mean Time ◽  
Open Hernia Repair

Background: Inguinal hernias have been treated traditionally with open methods of hernioplasty. But the trends have changed in last 2 decades with the introduction of laparoscopic inguinal hernia repair by transabdominal preperitoneal (TAPP) and total extra preperitoneal (TEP) surgery.Methods: The study was prospective type conducted from January 2010 to April 2018. 130 patients, who underwent laparoscopic inguinal hernia repair. 60 patients for TAPP and 60 patients for TEP. Preoperative, intraoperative, postoperative and follow up data was analysed.Results: From 130 patients,10 patient underwent open hernia repair due to anaesthetics reason. 93.3% primary hernias and 6.7% recurrent hernias. 50% was repaired by TEP and 50% by TAPP. Mean time taken for surgeries was 60-90 min. The intraoperative, postoperative complications rates were 1.2% and 7.4% respectively. Mean hospital stay was 1-5 days.Conclusions: laparoscopic inguinal hernia repair could be contemplated safely both via totally extra peritoneal as well as transperitoneal route even in our setup of developing country with modifications.

Follow-up after laparoscopic inguinal hernia repair, can it be done by phone? A prospective study in 300 patients, the PINQ-PHONE

2015 ◽  
Vol 29 (11) ◽  
pp. 3292-3297 ◽  
Author(s):  
Baukje van den Heuvel ◽  
J. A. van Jarwaarde ◽  
P. Wichers ◽  
E. S. M. de Lange de Klerk ◽  
H. J. Bonjer ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Prospective Study ◽  
Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia ◽  
A Prospective Study

Robotic Inguinal Hernia Repair

2017 ◽  
Vol 83 (12) ◽  
pp. 1418-1421 ◽  
Author(s):  
David S. Edelman
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Open Repair ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia ◽  
American Society ◽  
Robotic Inguinal Hernia Repair ◽  
Room Time

Laparoscopic inguinal hernia repair has certain advantages over open repair including less pain and earlier return to normal activity. Concurrent robotic inguinal hernia repair at the time of prostatectomy has been shown to have a lower recurrence rate than open repair. Robotic surgery adds high definition visualization and articulating instruments which enhances dexterity that makes laparoscopic hernia repair more refined. A series of robotic, laparoscopic, inguinal hernia repairs by a single surgeon with an extensive laparoscopic hernia experience at a single institution was undertaken to determine the role of robotic laparoscopic inguinal hernia repair in minimally invasive surgery. Five hundred forty-two laparoscopic inguinal hernia operations were performed from April 2012 through December 2015. There were 154 cases of robotic transabdominal pre-peritoneal procedures done during that time. Hospital records and follow-up care were pro-spectively reviewed and data collected for age, sex, American Society of Anesthesia class, and operative time. Follow-up was done at 2, 8, and 16 weeks after surgery. All patients consented for the study. Ninety percent of the patients were male. Age averaged 57.04 years with a range of 21 to 85 years. American Society of Anesthesia averaged 2.01 with comorbidities of hypertension, hypercholesterolemia, and gastroesophageal reflux disease being the most common. Body mass index was between 19 and 31.6, averaging 24.34. Twenty-five patients (16%) had an umbilical hernia repair done concomitantly. Operating room time ranged from 25 to 140 minutes with an average of 63.6 minutes decreased as experience increased. One patient with a large, left scrotal hernia was converted to open; one patient developed perforated sigmoid diverticulitis seven days postop and case #5 recurred indirectly after a direct hernia repair. Four patients required prolonged postoperative Foley catheterization. Robotic inguinal hernia repair is safe and effective. Operating room time was longer than standard laparoscopic herniorrhaphy but decreased with experience. A single-port platform may have use in patients with umbilical hernias, 16 per cent, and will need to be studied.

scholarly journals SIMULTANEOUS LAPAROSCOPIC INGUINAL HERNIA REPAIR AND CHOLECYSTECTOMY: DOES IT CAUSE MESH INFECTION?

2021 ◽  
Vol 34 (2) ◽  
Author(s):  
Christiano Marlo Paggi CLAUS ◽  
João Rafael Bora RUGGERI ◽  
Eduardo Brommelstroet RAMOS ◽  
Marco Aurelio Raeder COSTA ◽  
Leonardo ANDRIGUETTO ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Safe Procedure ◽  
Mesh Infection ◽  
Laparoscopic Inguinal Hernia ◽  
Study Results ◽  
Mean Cost

ABSTRACT Background: Repair of inguinal hernia concomitant with cholecystectomy was rarely performed until more recently when laparoscopic herniorrhaphy gained more adepts. Although it is generally an attractive option for patients, simultaneous performance of both procedures has been questioned by the potential risk of complications related to mesh, mainly infection. Aim: To evaluate a series of patients who underwent simultaneous laparoscopic inguinal hernia repair and cholecystectomy, with emphasis on the risk of complications related to the mesh, especially infection. Methods: Fifty patients underwent simultaneous inguinal repair and cholecystectomy, both by laparoscopy, of which 46 met the inclusion criteria of this study. Results: In all, hernia repair was the first procedure performed. Forty-five (97,9%) were discharged within 24 h after surgery. Total mean cost of the two procedures performed separately ($2,562.45) was 43% higher than the mean cost of both operations done simultaneously ($1,785.11). Up to 30-day postoperative follow-up, seven (15.2%) presented minor complications. No patient required hospital re-admission, percutaneous drainage, antibiotic therapy or presented any other signs of mesh infection after three months. In long-term follow-up, mean of 47,1 months, 38 patients (82,6%) were revaluated. Three (7,8%) reported complications: hernia recurrence; chronic discomfort; reoperation due a non-reabsorbed seroma, one in each. However, none showed any mesh-related complication. Satisfaction questionnaire revealed that 36 (94,7%) were satisfied with the results of surgery. All of them stated that they would opt for simultaneous surgery again if necessary. Conclusion: Combined laparoscopic inguinal hernia repair and cholecystectomy is a safe procedure, with no increase in mesh infection. In addition, it has important advantage of reducing hospital costs and increase patient’ satisfaction.

scholarly journals Toward sutureless laparoscopic inguinal hernia repair in children?

2019 ◽  
Vol 41 (1) ◽  
Author(s):  
Antonio Marte ◽  
Laura De Rosa ◽  
Lucia Pintozzi ◽  
Vincenzo Esposito
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Perioperative Complications ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Large Area ◽  
Internal Inguinal Ring ◽  
Sutureless Technique ◽  
Laparoscopic Inguinal Hernia

We report our experience with a sutureless technique for laparoscopic inguinal hernia repair in children. Twenty-eight children, 12 girls and 16 boys, aged 3 months to 7 years, underwent sutureless laparoscopic inguinal hernia repair. In girls, we utilized simple cauterization of the internal inguinal ring with a single trocar technique. In boys denudation of the peritoneum was obtained utilizing a three-trocar technique. The peritoneum around the internal inguinal ring was peeled off and detached from the vas and the vessels, and then wrapped around the grasper, resulting in a large area of denudation. No perioperative complications were observed. No recurrences nor testicular damage were noted after a mean follow-up of 18 months (range 6-35 months). The mean operative time was 12 min (range 7-20 min) for girls and 19 min (range 15-30 min) for boys. A 6-year-old girl exhibited a lymphocele. The sutureless technique appears to be easy, safe, and effective, provided that the patients are carefully selected. In boys, special attention needs to be paid to preservation of the vas and the testicular vessels.

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