scholarly journals Methods of simultaneous laparoscopic treatment of gallstone disease with inguinal hernia and their effectiveness

2020 ◽  
Vol 24 (4) ◽  
pp. 653-658
Author(s):  
M. Halei ◽  
I. Dzubanovsky ◽  
I. Marchuk
Keyword(s):  
Inguinal Hernia ◽  
Null Hypothesis ◽  
Average Distance ◽  
Gallstone Disease ◽  
Viewing Angle ◽  
Research Groups ◽  
Laparoscopic Treatment ◽  
Advantages And Disadvantages ◽  
Laparoscopic Intervention ◽  
Retrospective Comparative Study

Annotation. Aim of work – to define and evaluate visualization and ergonomics during single laparoscopic operations and simultaneous laparoscopic operations for gallstone disease and inguinal hernia. Identify the advantages and disadvantages of techniques. Assess whether our method affects ergonomics during surgery. The design of the study formed as retrospective comparative study with the control and research groups was used for evaluation and analysis. To form groups, a statistical database was used, which included 411 patients treated in VRSH MISD. Ergonomic parameters were analyzed and compared, such as the distance between the surgeon's hands, deviations depending on the patient's physique, the angle between the manipulators, the distance of approach to the target. Null hypothesis technique used, Pearson analysis, Tukey, Mann-Whitney. It is established that the angle between the main working tools 68.64±4.68o [64–73o] against 57.29±6.764o [44–65o] (p <0.001); the visualization area was 12.17±4.43 cm2 against 9.54±2.27 cm2 (p<0.001*); in the first and second groups, respectively; the average distance of the laparoscope approaching the operating area is greater when using a laparoscope with a 30o – viewing angle which is 3.84±0.37 cm [3.4–4.2] and 3.34±0.728 cm [2.5–4.5] for our own and French methods 3.21±0.24 cm [3.0–3.5] vs. 3.41±0.478 cm [2.7–4.1] at an angle of 0o). Performing a simultaneous laparoscopic intervention does not have any significant effect on the imaging and ergonomics during surgery. The technique allows to perform surgical treatment of inguinal hernia and cholecystolithiasis at one time without worsening of ergonomics. The technique found out in VRSH MISD is sufficiently effective and usable.

scholarly journals The technique of simultaneous laparoscopic operations in the treatment of gallstone disease and hiatal hernia

2020 ◽  
Vol 24 (2) ◽  
pp. 279-285
Author(s):  
M. Halei ◽  
I. Dzubanovskij ◽  
I. Marchuk
Keyword(s):  
Laparoscopic Surgery ◽  
Hospital Stay ◽  
Hiatal Hernia ◽  
Gallstone Disease ◽  
Laparoscopic Treatment ◽  
Advanced Technique ◽  
Average Hospital ◽  
Advantages And Disadvantages ◽  
Simultaneous Operations ◽  
The Cost

Annotation. Aim of work – to evaluate the quality of medical aid for the regular and simultaneous treatment of patients with gallstone disease in combination with a hiatal hernia. To evaluate the safety of simultaneous operations in the treatment of such patients. Determine advantages and disadvantages of both treatment strategies. Assess the ergonomics of laparoscopic surgery techniques. For sampling the database, statistic collected at the laparoscopic surgery unit of the Volynian Regional Clinical Hospital was used. The number of patients was 332. Patients were formed into two groups: the group of simultaneous laparoscopic treatment (laparoscopic cruroraphy with Toupet fundoplication and laparoscopic cholecystectomy with advanced surgery technique) – the first group of 126 people, and the group with only one operation (laparoscopic cruroraphy) was performed – the second group of 206 patients. The method that was chosen in first group (simultaneous laparoscopic treatment with advanced technique) allowed to prevent re-hospitalization, one more operation, and all associated risks (surgical, anesthesiologycal). Though the cost was a slight increased time of surgery (52 minutes versus 41), as well as a slightly increased the average hospital stay (3.25 days versus 3.1 days) comparing to a single surgery group. Complication rate didn`t increased significantly (5.5% in the first group versus 6.3% in the second group), with zero mortality in both groups. These data allow us to notice the safety and value of this treatment method and to continue its research and testing. The method can be linked to increasing the efficiency of medical care by reducing the number of hospitalizations, the total hospital stay, and reducing the overall cost of treatment, minimizing the cost of dealing with the complications.

Laparoscopic Treatment of a Rare Inguinal Hernia in Children: “Hernia En Pantalon”

Videoscopy ◽  
2018 ◽  
Vol 28 (6) ◽  
Author(s):  
Ciro Esposito ◽  
Francesca Gargiulo ◽  
Mariavittoria Gargiulo ◽  
Maria Escolino
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Treatment ◽  
Inguinal Hernia In Children

scholarly journals Criteria of efficiency of inguinal herniotomy in children under various techniques

2020 ◽  
Vol 24 (4) ◽  
pp. 239-243
Author(s):  
Alexandr V. Stolyar ◽  
M. A. Aksel'rov ◽  
V. A. Mal'chevskiy
Keyword(s):  
Quality Of Life ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Pain Syndrome ◽  
Laparoscopic Herniorrhaphy ◽  
Physical Status ◽  
Laparoscopic Intervention ◽  
Inguinal Herniotomy

Purpose. To improve outcomes of congenital inguinal hernia treatment in children by improving a technique of extracorporal herniorrhaphy and by ligature guide modification. Outcomes after surgeries performed with different techniques were assessed by the level of postoperative pain and by the quality of life. Material and methods. Outcomes were analyzed in 60 children operated on for inguinal hernia with 3 different approaches: Duhamel, LASSO, LOD . The intensity of postoperative pain syndrome was assessed 4 hours after surgery and on the next postoperative day. The quality of life was assessed in 24 patients out of 60 on the next postoperative day. Results. The analysis on distribution to normality for postoperative pain did not reveal any statistical differences on sex, age and diagnosis. Boys (average age 69.6 - 84 months) prevailed. In 4 hours after the surgery, patients who had laparoscopic intervention had less number of scores in comparison to those who had open herniorrhaphy. There were no difference in laparoscopic groups. On the next postoperative day, pain syndrome in all groups was about the same. The quality of life in patients differed only by their physical status and by the total number of scores; and these parameters were higher in LOD group (32.8 scores versus 89.4 scores). Conclusion. A modified LOD technique improves the quality of life in operated patients. Four hours after laparoscopic herniorrhaphy, a pain syndrome is less pronounced.

scholarly journals Nylon-Darn herniorrhaphy: The method of choice in treatment of primary inguinal hernia

2008 ◽  
Vol 61 (11-12) ◽  
pp. 566-570
Author(s):  
Dejan Ivanov ◽  
Sinisa Babovic ◽  
Mirjana Ivanov
Keyword(s):  
Inguinal Hernia ◽  
Intraoperative Complications ◽  
Operative Procedure ◽  
Endocrine Surgery ◽  
Perioperative Mortality ◽  
Advantages And Disadvantages ◽  
Primary Inguinal Hernia ◽  
Clinical Center ◽  
The Mean ◽  
Novi Sad

Introduction Nylon-Darn herniorrhaphy is a classic, open technique, simple to perform with a low recurrence rate. It is a 'tension-free' method of herniorrhaphy. The aim of study was to analyze the results of Nylon-Darn herniorrhaphy at our clinic and point out advantages and disadvantages of the technique. Material and Methods This study, dating back to May 1999 and up to May 2005, included 116 patients who underwent Nylon-Darn herniorrhaphy for primary inguinal hernia. Patients were operated at the Clinic for abdominal and endocrine surgery, Institute of surgery, Clinical center Novi Sad and if without complications, left on the first postoperative day. Two patients had cholelithiasis and laparoscopic cholecystectomy was performed simultaneously. Intra- and postoperative complications were analyzed. Results The overall complication rate in our study was 22.4%. There was no perioperative mortality and intraoperative complications. The mean age of 112 males and 4 females was 51 years. An average duration of the operative procedure was 49.2 min, and the patients left hospital after 2.17 days. General endotracheal anestesia was performed in 69 cases and spinal in 47. Conclusion Based on the results of Nylon-Darn herniorrhaphy in our study and on the results in the literature, this technique could be the method of choice for primary inguinal hernia repair. It is suitable for registrars and young surgeons working in clinics not specialized in this pathology.

Endovideogernioplasty in patients with inguinal hernias: advantages and disadvantages

2021 ◽  
Vol 23 (3) ◽  
pp. 93-100
Author(s):  
Pavel N. Romashchenko ◽  
Alexander A. Kurygin ◽  
Valery V. Semenov ◽  
Alexey A. Mamoshin
Keyword(s):  
Inguinal Hernia ◽  
Recurrent Hernia ◽  
Clear Understanding ◽  
Inguinal Hernioplasty ◽  
Modified Technique ◽  
Advantages And Disadvantages ◽  
Totally Extraperitoneal ◽  
Results Of Treatment ◽  
Inguinal Hernias ◽  
Duration Of Surgery

This study analyzed the results of treatment of patients with inguinal hernias, with an assessment of the advantages and disadvantages of endovideosurgical hernioplasty techniques. The clinical study used the data of 1317 patients with inguinal hernias. The results revealed that the totally extraperitoneal inguinal hernia repair had some advantages over laparoscopic hernioplasty, such as a shorter duration of surgery (43 15 min), mild pain on a visual analog scale, and an average bed-day after surgery. Complications were diagnosed in 16 (1.2%) patients, and most had ClavienDindo grade II complications. Relapses were detected in 7 (0.5%) cases. Thus, endoscopic hernioplasty (laparoscopic and totally extraperitoneal inguinal hernioplasty) was the preferred surgery for patients with bilateral inguinal hernia, recurrent hernia after traditional hernioplasty, and metabolic syndrome and young people of working age. The use of a modified technique of totally extraperitoneal inguinal hernioplasty with a clear understanding of the multifascial structure of the anterior abdominal wall may reduce the risks of both intraoperative and postoperative complications and increase the cost-effectiveness of treatment of patients with inguinal hernias, allowing us to obtain good results.

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