Laparascopic Hernia Repair with the Use of TiNi-based alloy

The reduction of the endoscopic methods of the inguinal hernia surgical treatment to the everyday practice of the surgery departments led to the better results of treatment. However, the recurrence rate remain sat the level of 2.2-4.4%, and the rate of the intraoperative and postoperative complications is 8%. The paper describes treating 78 patients (59 pations underwent the reduction of the endoscopic methods of the inguinal hernia surgical treatment to the everyday practice of the surgery departments led to the better results of treatment and 19 patients underwent the laparoscopic transabdominal hernia repair with the usage of porous nickelid titanium. in the period from 2000 to 2016. It shows a procedure of installing porous nickelid titanium, gives the obtained results of the procedure and analizes the experience of world literature. The procedure of the laparoscopic hernia repair allows to lessen the injury rate of the surgery, to lessen the possibility of the postoperative complications and to simplify the medical staff work.

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

The American Surgeon ◽

10.1177/000313481608200212 ◽

2016 ◽

Vol 82 (2) ◽

pp. 112-116 ◽

Cited By ~ 3

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.

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Late surgical treatment of iatrogenic femoral vein ligation during open inguinal hernia repair

Bagcilar Medical Bulletin ◽

10.5350/bmb2016010106 ◽

2016 ◽

pp. 26-28

Author(s):

Serkan Ketenciler ◽

Kamil Boyacioglu ◽

Ilknur Akdemir ◽

Vedat Erentug ◽

Nihan Kayalar

Keyword(s):

Inguinal Hernia ◽

Surgical Treatment ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Femoral Vein ◽

Open Inguinal Hernia Repair

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Does the Incidence of Postoperative Complications After Inguinal Hernia Repair Justify Hospital Admission in Prematurely and Term Born Infants?

Anesthesia & Analgesia ◽

10.1213/ane.0000000000003386 ◽

2019 ◽

Vol 128 (3) ◽

pp. 525-532

Author(s):

Marina Massoud ◽

A. Y. Rosalie Kühlmann ◽

Monique van Dijk ◽

Lonneke M. Staals ◽

Rene M. H. Wijnen ◽

...

Keyword(s):

Inguinal Hernia ◽

Postoperative Complications ◽

Hernia Repair ◽

Hospital Admission ◽

Inguinal Hernia Repair

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Technical features of laparoscopic prosthetic hernioplasty of inguinal hernia

Grekov s Bulletin of Surgery ◽

10.24884/0042-4625-2017-176-3-77-80 ◽

2017 ◽

Vol 176 (3) ◽

pp. 77-80 ◽

Cited By ~ 1

Author(s):

A. B. Guslev ◽

D. F. Cherepanov ◽

G. M. Rutenburg ◽

S. S. Yeltsin

Keyword(s):

Inguinal Hernia ◽

Surgical Treatment ◽

Postoperative Complications ◽

Operative Intervention ◽

Inguinal Hernioplasty ◽

Inguinal Hernias ◽

Analysis Of Results ◽

Complex Forms ◽

Technical Features

OBJECTIVE. The authors investigated different methods of hernioplasty. MATERIAL AND METHODS. Endovideosur gical inguinal hernioplasty was performed in 3900 patients at the period from 1994 to 2016. The article described the developed and implemented techniques, strategy of surgical treatment, the choice of the type and size of prostheses in patients with different variants and complex forms of inguinal hernias. RESULTS. Specific postoperative complications were analyzed and suggested the methods of their prevention. CONCLUSIONS. The analysis of results was made. The authors gave recommendations concerning the technique of operative intervention.

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Surgical treatment of patients with abdominal sepsis taking into account the prediction of the implementation of re-operations

Klinicheskaia khirurgiia ◽

10.26779/2522-1396.2020.1-2.24 ◽

2020 ◽

Vol 87 (1-2) ◽

pp. 24-29

Author(s):

I. A. Kryvoruchko ◽

M. S. Antonova ◽

O. V. Yevtushenko ◽

S. A. Andreieshchev

Keyword(s):

Septic Shock ◽

Surgical Treatment ◽

Postoperative Complications ◽

Roc Curves ◽

Abdominal Sepsis ◽

Treatment Results ◽

Results Of Treatment ◽

Closed Treatment ◽

Optimal Approach ◽

Sepsis And Septic Shock

Objective. The investigation objective was improvement of the surgical treatment results in patients, suffering аbdominal sepsis, using individualized tactics of treatment, taking into account a possibility for the postoperative complications occurrence and the treatment results prognostication. Маterials and methods. The results of treatment of the adult patients, suffering abdominal sepsis in 2009 – 2019 yrs, excluding an acute cholecystitis cases, were analyzed. The patients were divided retrospectively and prospectively in accordance to the Sepsis–3 classification. Of them 130 have suffered peritoneal sepsis, 33 – intestinal one, and 38 – pancreatogenic abdominal. The results estimation was compared with application of modern systems: APACHE–II, Mannheim іndex of peritonitis (MPI), MODS and SOFA. The indices were estimated on the 1st, 2nd, 3rd and 4th postoperative days before subsequent outcomes of a primary operation. Results. The prognosis systems with a square under the ROC–curve (AUC) > 0.8 have included MPI only for determination of indications for reoperations: the ROC–curves value for the first subgroup (the closed treatment) have constituted 0.73, for the second subgroup (reoperations in accordance to indications) – 0.91, and for the third – 0.84 (the programmed reoperations). But in the patients of first subgroup this index have constituted 0,73, indicating its application restricting the decision making process, concerning the reoperations efficacy in patients with absence of the septic shock signs. Conclusion. Calculations of the occurrence possibility for postoperative complications and mortality in patients, depending on their preoperative state severity permits to select a most rational tactics of treatment. Most optimal approach for the rate reduction of postoperative complications occurrence and mortality in patients with abdominal sepsis and septic shock is performance of reoperations in accordance to indications to control the infection source, if it is possible.

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

International Surgery Journal ◽

10.18203/2349-2902.isj20184651 ◽

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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Comparison of Open Preperitoneal vs. Lichtenstein Technique of postoperative Complications and Recurrence in Inguinal Hernia Repair

Alborz University Medical Journal ◽

10.18869/acadpub.aums.3.4.261 ◽

2014 ◽

Vol 3 (4) ◽

pp. 261-265

Author(s):

G. Ghoseiri ◽

P. Falah ◽

F. Naderi ◽

◽

...

Keyword(s):

Inguinal Hernia ◽

Postoperative Complications ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Lichtenstein Technique

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Robotic Inguinal Hernias Performed at a Community Hospital: a Case Series of 292 Patients

Surgical Technology Online ◽

10.52198/21.sti.39.hr1510 ◽

2021 ◽

Vol 39 ◽

Author(s):

Matthew McGuirk ◽

◽

Ziad Abouezzi ◽

Zubair Zoha ◽

Abbas Smiley ◽

...

Keyword(s):

Inguinal Hernia ◽

Postoperative Complications ◽

Hernia Repair ◽

Learning Curve ◽

Community Hospital ◽

Early Recurrence ◽

Operative Complications ◽

The Mean ◽

Robotic Inguinal Hernia Repair ◽

Post Operative Complications

Background: Robotic inguinal hernia repair has become more common and has replaced the laparoscopic approach in many hospitals in the US. We present a retrospective review of 416 consecutive inguinal hernia repairs using the robotic transabdominal preperitoneal approach in an academic community hospital. Methods: This is a retrospective review of 416 consecutive robotic inguinal hernia repairs in 292 patients performed from October 2015 to March 2021 by two surgeons. The demographics, intra-operative findings, and postoperative outcomes were analyzed. The results for patients during the initial 25 cases (which were considered to be during the learning curve for each surgeon) were compared to their subsequent cases. A multivariable logistic regression analysis was used to determine independent risk factors for postoperative complications. Results: Overall, 292 patients underwent 416 inguinal hernia repairs, of whom 124 (42.5%) had bilateral hernias. The mean age was 61 years and the mean BMI was 26.96 kg/m2. Of the bilateral hernias, 31.5% were unsuspected pre-operatively. Femoral hernias were found in 20.5% of patients, including in 18.4% of men, which were also unsuspected. Post-operatively, 89% of patients were discharged home the same day. The most common post-operative complication was seroma, which occurred in 13%. Three patients required re-intervention: one had deep SSI (infected mesh removal), one had a needle aspiration of a hematoma (SSORI), and one was operated on for small bowel volvulus related to adhesions. On short-term follow-up, there was only one early recurrence (0.2%). When cases during the learning curve period were compared to subsequent surgeries, there were no major differences in post-operative complications or operating time. Patients aged ≥55 years had a 2.456-fold (p=0.023) increased odds of post-operative complications. Conclusions: Robotic inguinal hernia repair can be safely performed at a community hospital with few early post-operative complications and very low early recurrence rates. The robotic approach also allows for the detection of a significant number of unsuspected contralateral inguinal hernias and femoral hernias, especially in male patients. Age ≥55 years was an independent risk factor for postoperative complications.

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