scholarly journals A prospective randomized comparison of short-term outcome of laparoscopic, totally extra-peritoneal and trans-abdominal pre-peritoneal repairs for inguinal hernia

2020 ◽  
Vol 7 (12) ◽  
pp. 3945
Author(s):  
Saurabh Kumar ◽  
Manmeet Kaur
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Repair ◽  
Early Postoperative Period ◽  
Preperitoneal Space ◽  
Short Term ◽  
Term Outcome ◽  
Pain Scores ◽  
Choice Of Procedure ◽  
Duration Of Surgery ◽  
General Surgeons

Background: Laparoscopic repair of inguinal hernia is steadily gaining popularity among general surgeons. Laparoscopically the preperitoneal space can be approached in two different ways, as a result of which two techniques of laparoscopic repair have emerged. We performed this study to compare the two techniques in a randomized setting in order to ascertain, if possible, which of these techniques is preferable when there is a choice.  Methods: This randomized, comparative study was conducted at Shri Mahant Indiresh hospital, Dehradun over a period of three years. Patients with unilateral, uncomplicated, inguinal hernia were randomized into two groups for undergoing surgery using either of these techniques. Patients’ demography and both intraoperative and postoperative variables were compared between the two groups.Results: Mean duration of surgery and mean pain scores in early postoperative period were found to be higher for transabdominal preperitoneal (TAPP) group as compared to totally extraperitoneal (TEP) group. Intraoperative and postoperative complications as well as hospital stay were not significantly different between the two groups.Conclusions: In this study TEP has been found to have an edge over TAPP in some respect but as per the available evidence both techniques are safe and choice of procedure may be tailored according to individual cases.  

scholarly journals Assessment of short-term outcome with TiO2 mesh in laparoscopic repair of large paraesophageal hiatal hernias

BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Islam Khaled ◽  
Pablo Priego ◽  
Mohammed Faisal ◽  
Marta Cuadrado ◽  
Francisca García-Moreno ◽  
...  
Keyword(s):  
Hiatal Hernia ◽  
Laparoscopic Repair ◽  
Postoperative Recurrence ◽  
University Hospital ◽  
Suture Repair ◽  
Short Term ◽  
Recurrence Rates ◽  
Term Outcome ◽  
Clinical Recurrence

Abstract Background Laparoscopic large para-oesophageal hiatal hernia (LPHH) repair using mesh reinforcement significantly reduces postoperative recurrence rates compared to conventional suture repair, especially within short follow-up times. However, the ideal strategy for repairing LPHH remains disputable because no clear guidelines are given regarding indications, mesh type, shape or position. The aim of this study was to survey our short-term results of LPHH management with a biosynthetic monofilament polypropylene mesh coated with titanium dioxide to enhance biocompatibility (TiO2Mesh™). Methods A retrospective study was performed at Ramon y Cajal University Hospital, Spain from December 2014 to October 2018. Data were collected on 27 consecutive patients with extensive hiatal hernia defects greater than 5 cm for which a laparoscopic repair was performed by primary suture and additional reinforcement with a TiO2Mesh™. Study outcomes were investigated, including clinical and radiological recurrences, dysphagia and mesh-related drawbacks. Results Twenty-seven patients were included in our analysis; 10 patients were male, and 17 were female. The mean age was 73 years (range, 63–79 years). All operations were performed laparoscopically. The median postoperative hospital stay was 3 days. After a mean follow-up of 18 months (range, 8-29 months), only 3 patients developed clinical recurrence of reflux symptoms (11%), and 2 had radiological recurrences (7%). No mesh-related complications occurred. Conclusions TiO2Mesh™ was found to be safe for laparoscopic repair of LPHH with a fairly low recurrence rate in this short-term study. Long-term studies conducted over a period of years with large sample sizes will be essential for confirming whether this mesh is suitable as a standard method of care with few drawbacks.

Short-term outcome of single-incision laparoscopic totally extra-peritoneal inguinal hernia repair

2013 ◽  
Vol 6 (2) ◽  
pp. 143-146 ◽  
Author(s):  
Masaki Wakasugi ◽  
Hiroki Akamatsu ◽  
Masayuki Tori ◽  
Shigeyuki Ueshima ◽  
Takeshi Omori ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Single Incision ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome

scholarly journals Comparison of outcome of Desarda versus Bassini repair in management of complicated inguinal hernia

2019 ◽  
Vol 6 (11) ◽  
pp. 3889 ◽  
Author(s):  
Faiz Manzar Ansari ◽  
Tariq Hameed ◽  
Sudhir Kumar Jain ◽  
Amrita Dua ◽  
Adiba Nizam
Keyword(s):  
Inguinal Hernia ◽  
Surgical Repair ◽  
Controlled Study ◽  
Medical College ◽  
Pain Scores ◽  
Randomised Controlled Study ◽  
Duration Of Surgery ◽  
Bassini Repair ◽  
Randomised Controlled

Background: Complicated inguinal hernia is a common problem faced by surgeons across the world. Various methods of surgical repair have been described. It is important to identify the best repair technique of inguinal hernia to have better post-operative outcome.Methods: This randomised controlled study consisted of 84 cases of complicated inguinal hernias presenting to surgical emergency department of Maulana Azad Medical College. Patients were randomly allocated to two repair groups- Desarda and Bassini and various intra/post-operative parameters were compared.Results: Duration of surgery and postoperative pain scores were less in Desarda group. Time to return to strenuous daily activities was also less with Desarda repair. Desarda repair was associated with less incidence of chronic inguinodynia and post-operative complications.Conclusions: Desarda repair was found to be superior to Bassini group due to shorter duration of surgery. Patients required less analgesics following Desarda repair as compared to Bassini group. There was no recurrence in any group at four months follow up. 

Lichtenstein patch or Perfix plug-and-patch in inguinal hernia: A prospective double-blind randomized controlled trial of short-term outcome

Surgery ◽  
2000 ◽  
Vol 127 (3) ◽  
pp. 276-283 ◽  
Author(s):  
Andrew N. Kingsnorth ◽  
Christine S. Porter ◽  
David H. Bennett ◽  
Alisdair J. Walker ◽  
Michael E. Hyland ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Inguinal Hernia ◽  
Controlled Trial ◽  
Short Term ◽  
Double Blind ◽  
Term Outcome ◽  
Randomized Controlled ◽  
Short Term Outcome

scholarly journals Short-term outcome of surgical arthrodiastasis of the ankle with Ilizarov frame in a cohort of children and young people with juvenile idiopathic arthritis

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Gavin Cleary ◽  
Clare Pain ◽  
Liza McCann ◽  
Kamran Mahmood ◽  
Steven Brookes-Fazakerley ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Joint Space ◽  
Rapid Progression ◽  
Short Term ◽  
Biologic Drugs ◽  
Term Outcome ◽  
Pain Scores ◽  
Ilizarov Frame ◽  
And Function ◽  
Medical Advances

Abstract Objectives Despite medical advances, life-changing articular damage may still occur in patients with JIA. We report a cohort with destructive arthropathy of the ankle treated by surgical arthrodiastasis. Methods Eight patients (nine ankles) received arthrodiastasis by means of an Ilizarov frame between 2009 and 2013. Patient- and clinician-reported outcome measures were collated prospectively, with retrospective analysis of demographics, disease and pre-surgical treatment. Results Pre-surgery, all patients received IA CS (mean 0.8 injections/year) and MTX (mean diagnosis to treatment 3.8 years; two of eight started within 3 months). Seven of eight patients received biologic drugs. Pain scores improved by 56 and 29% (P < 0.005) at 6 and 12 months post-frame removal. American Academy Orthopaedic Foot and Ankle Society ankle–hindfoot scale, Oxford Ankle Foot Questionnaire-Child and Oxford Ankle Foot Questionnaire-Parent scores improved by 171, 62 and 80%, respectively (P < 0.005) at 12 months post-frame removal. Patients remained satisfied with surgical treatment for a mean of 13.3 months. There was transient pin site infection in three patients, and all patients had radiological improvement in joint space. Conclusion Arthrodiastasis with an Ilizarov frame is a safe, well-tolerated technique that should be considered as a short-term joint-preserving procedure to improve pain and function when damage has occurred. Delays to systemic medical treatment in this cohort would be considered out-with standard modern practice but, although less prevalent, destructive ankle arthropathy continues to occur in JIA, and we believe this study to be relevant. The ankle is particularly susceptible to damage and, even if localized, should be treated early and aggressively with DMARDs and rapid progression to biologic therapies. Levelof evidence Level IV.

scholarly journals Delayed Fixation of Hip Fractures and Short- term Outcome in Coronavirus Positive Patients: A Prospective Cohort Study

2021 ◽  
Author(s):  
Ghulam Nabi Dar ◽  
Mohd Iqbal Wani ◽  
Mohd Umar Mumtaz ◽  
Altaf Ahmad Kawoosa ◽  
Nadeem Ali
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Hip Fractures ◽  
Prospective Cohort ◽  
Early Postoperative Period ◽  
Short Term ◽  
Low Velocity ◽  
Superficial Infection ◽  
Term Outcome ◽  
Short Term Outcome

Introduction: Coronavirus Disease-19 (COVID-19) affected the healthcare system worldwide. The golden rules of fracture fixation and early mobilisation of patients was not strictly followed, because of fear of spread of the disease among the patients and healthcare workers. Early surgery and prompt postoperative ambulation improves outcomes for patients with hip fractures, but the morbidity and mortality were high in the patients who were operated upon, when having an active infection of COVID-19 virus. Aim: To study the short-term outcome of delayed fixation of hip fractures in coronavirus positive patient in terms of postoperative infection, union at the fracture, deep vein thrombosis and mortality. Materials and Methods: This was a prospective cohort study carried out in Government Medical College, Srinagar, Kashmir, India from April 2020 to September 2020. Delayed surgery using different methods of fixation was performed in patients with hip fractures who had active COVID-19 infection. The patients were followed for a period of six months. Short-term mortality and complications if any were recorded. Results were expressed in terms of frequency and percentages and analysed by Microsoft Excel 2016. Results: Among the 24 operated patients, males were 9 (37.5%) and females were 15 (62.5%). Of the total, 14 (58.33%) were intertrochanteric fractures, 6 (25%) were femoral neck fractures and 4 (16.67%) were subtrochanteric fractures. Dynamic hip screw was used to treat 15 (62.5%) patients. Age ranged from 39 to 82 years mean age was 51.04 years. Majority of patients, 16 (66.67%) sustained hip fractures after a low velocity fall from standing height. Delay in surgery was 15 to 21 days (Average-18.25 days). Two elderly patients died after 14 weeks of follow-up due to causes else than respiratory failure. Three patients developed superficial infection which settled with oral antibiotics. No case of deep venous thrombosis, pulmonary thrombo embolism was observed in the present study. Conclusion: Despite the delay, the mortality rate in the early postoperative period was less. The present study findings suggest that hip fracture patients who present with COVID-19 infection can safely undergo delayed surgical intervention after appropriate medical optimisation.

567: Laparoscopic Repair of Inguinal Hernia in Children

2006 ◽  
Vol 175 (4S) ◽  
pp. 184-184
Author(s):  
Lars J. Cisek ◽  
Eric A. Jones
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Repair ◽  
Inguinal Hernia In Children
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