3,313 results match your criteria Hernia Inguinal Repair Laparoscopic


Open, laparoscopic, and robotic inguinal hernia repair: more options, more questions.

Authors:
S Huerta

Hernia 2021 Jun 12. Epub 2021 Jun 12.

VA North Texas Health Care System, Department of Surgery, University of Texas Southwestern Medical Center, 4500 S. Lancaster Road, Dallas, TX, 75216, USA.

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A Fast-track Pathway for Emergency General Surgery at an Academic Medical Center.

J Surg Res 2021 Jun 8;267:1-8. Epub 2021 Jun 8.

Department of Surgery, University of Massachusetts Medical School, Worcester, Massachusetts. Electronic address:

Background: Fast Track Pathways (FTP) directed at reducing length of stay (LOS) and overall costs are being increasingly implemented for emergency surgeries. The purpose of this study is to evaluate implementation of a FTP for Emergency General Surgery (EGS) at an academic medical center (AMC).

Methods: The study included 165 patients at an AMC between 2016 and 2018 who underwent laparoscopic appendectomy (LA), laparoscopic cholecystectomy (LC), or laparoscopic inguinal hernia repair (LI). Read More

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Long-term outcomes of single-incision versus multiport laparoscopic totally extra-peritoneal inguinal hernia repair: a single-institution experience of 186 consecutive cases.

Surg Today 2021 Jun 11. Epub 2021 Jun 11.

Department of Gastroenterological Surgery, Osaka Police Hospital, Tennoji-Ku Kitayamacho 10-31, Osaka, Osaka, 543-0035, Japan.

Purpose: This retrospective study was conducted to compare the long-term outcomes of single-incision totally extraperitoneal (S-TEP) inguinal hernia repair and conventional multiport totally extraperitoneal (M-TEP) inguinal hernia repair.

Methods: The study population included 186 consecutive patients (S-TEP, n = 149; M-TEP, n = 37) who underwent elective surgery for inguinal hernia at Osaka Police Hospital between 2011 and 2013.

Results: No significant between-group difference was found in patient or hernia characteristics or in perioperative outcomes, with the exception of age (S-TEP group vs. Read More

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Indocyanine green fluorescence-guided laparoscopic removal of infected mesh with chronic sinus formation after inguinal mesh plug repair.

Asian J Endosc Surg 2021 Jun 8. Epub 2021 Jun 8.

Department of General Surgery, St. Luke's International Hospital, Tokyo, Japan.

Chronic mesh infection with sinus formation is usually amenable to open method with dye. Recently, intraoperative real-time fluorescent imaging has been applied to various organs but not to mesh infection. A 72-year-old man with the history of two times removal of infected mesh was referred for groin bulge with purulent discharge. Read More

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Learning curve of single-incision laparoscopic totally extraperitoneal repair (SILTEP) for inguinal hernia.

Hernia 2021 Jun 7. Epub 2021 Jun 7.

Department of Surgery, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, 271 Cheonbo-ro, Uijeongbu-si, Gyeonggi-do, 11765, Republic of Korea.

Purpose: Laparoscopic totally extraperitoneal hernia repair (TEP) is a widely used treatment for inguinal hernia. Single-incision laparoscopic TEP (SILTEP) has attracted the attention of several surgeons, given its superior cosmetic results and patient satisfaction, as well as comparable outcomes to multiport surgery. Nonetheless, no relevant studies have evaluated the learning curve (LC) of SILTEP in terms of both operation time (OT) and surgical failure. Read More

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Retrospective audit of laparoscopic inguinal hernia repair at a South African tertiary academic hospital.

Authors:
B Moodie Z M Koto

S Afr J Surg 2020 Dec;58(4):187-191

Department of General Surgery, Sefako Makgatho Health Sciences University, South Africa.

Background: Adoption of laparoscopic inguinal hernia repair (LIHR) in sub-Saharan Africa is poor. The aim of this study was to describe our experience of the feasibility and short-term efficacy of the LIHR service at a South African tertiary academic hospital.

Methods: A retrospective audit of all the adult, elective, laparoscopic inguinal hernia cases that were done between November 2011 and 31 October 2016. Read More

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December 2020

Current practice of inguinal hernia repair at University of Cape Town affiliated hospitals: implications for training.

S Afr J Surg 2020 Dec;58(4):182-186

Division of General Surgery, Groote Schuur Hospital and Faculty of Health Sciences, University of Cape Town, South Africa.

Background: Various inguinal hernia repair techniques exist, without one 'single best' option. Hernia society guidelines recommend laparoscopic repair as one of its mainstays, provided surgeons are adequately trained. The current practice for hernia repair in South Africa as well as the surgical registrar exposure to laparoscopic repair training is unknown. Read More

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December 2020

Laparoscopic Inguinal Hernia Repair in Children: To Cut or Not to Cut is the Question?

J Indian Assoc Pediatr Surg 2021 Mar-Apr;26(2):107-110. Epub 2021 Mar 4.

Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Context: Laparoscopic repair of pediatric inguinal hernia is gaining popularity, however there is no consensus about the technique of operation.

Aims: The aim of the study was to compare the results and complications of two techniques of laparoscopic pediatric hernia repair.

Settings And Design: This retrospective study was conducted at the Department of Pediatric Surgery in All India Institute of Medical Sciences (AIIMS), Jodhpur. Read More

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Cyanoacrylate Glue Versus Absorbable Tacks in Mesh Fixation for Laparoscopic Extraperitoneal Inguinal Hernia Repair: A Randomized Controlled Trial.

Surg Laparosc Endosc Percutan Tech 2021 Feb 2;31(3):291-297. Epub 2021 Feb 2.

Department of Surgery.

Background: Cyanoacrylate glue (Glubran 2) is a synthetic adhesive mesh fixation material. Its utility is being evaluated in laparoscopic total extraperitoneal (TEP) inguinal hernia repair (IHR). A multicentre randomized controlled trial was performed comparing Glubran 2 to standard of care absorbable tacks, particularly assessing chronic postoperative inguinal pain and its effects. Read More

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February 2021

Recurrent abdominal pain due to small bowel volvulus after transabdominal preperitoneal hernioplasty: A case report and review of literature.

World J Clin Cases 2021 May;9(15):3696-3703

Department of Hernia Surgery, Tianjin Union Medical Centre, Tianjin 300000, China.

Background: Compared with open mesh repair, transabdominal preperitoneal (TAPP) hernioplasty results in less chronic postoperative inguinal pain and faster postoperative recovery. However, it may still lead to rare but serious complications. Here we report a case of intestinal volvulus with recurrent abdominal pain as the only clinical symptom, which occurred 3 mo after TAPP repair for bilateral inguinal hernia. Read More

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Concurrent laparoscopic totally extraperitoneal inguinal hernia repair and transurethral resection of prostate: Breaking with convention - A retrospective study.

J Minim Access Surg 2021 May 24. Epub 2021 May 24.

Department of General and Laparoscopic Surgery, Dr. L H Hiranandani Hospital, Mumbai, Maharashtra, India.

Aim: This study aimed to evaluate concurrent laparoscopic totally extraperitoneal (TEP) inguinal hernia repair and transurethral resection of the prostate (TURP) with determination of outcomes.

Materials And Methods: This retrospective study was conducted at our hospital, from June 2011 to June 2020. Over 9 years, 17 patients with co-existing uncomplicated unilateral or bilateral inguinal hernia (primary/recurrent) and significant benign prostatic hypertrophy were operated in the same sitting. Read More

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Pneumothorax as a rare complication during laparoscopic total extra-peritoneal inguinal hernia repair: A case report and review of the literature.

J Minim Access Surg 2021 May 1. Epub 2021 May 1.

3rd Department of Surgery, Medical School, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Totally extra-peritoneal (TEP) and trans-abdominal pre-peritoneal repair are the two most commonly performed types of laparoscopic hernia repair procedures. Herein, we present a rare case of pneumothorax and pneumomediastinum that ensued during a TEP inguinal hernia repair. A 73-year-old man presented for elective laparoscopic right-sided hernia repair. Read More

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De Garengeot's Hernia Treated With a Hybrid Approach: A Case Report.

Ann Coloproctol 2021 May 28. Epub 2021 May 28.

Department of General Surgery, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.

De Garengeot's hernia happens when an inflamed or ischemic appendix is located within an incarcerated femoral hernia. We hereby report a case of De Garengeot's hernia treated with a combined open and laparoscopic approach. An 80-year-old male presented to the emergency department with a 1-day history of a tender right inguinal mass. Read More

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Pediatric Surgeons' Adoption of an Innovative Laparoscopic Technique for Inguinal Hernia Repair: A Mixed Methods Study.

J Laparoendosc Adv Surg Tech A 2021 May 27. Epub 2021 May 27.

Division of Research, Kaiser Permanente Northern California, Oakland, California, USA.

We studied adoption of an innovative laparoscopic technique for pediatric inguinal hernia repair by pediatric surgeons and pediatric urologists following dissemination of evidence for its benefits. This mixed methods study included children who received inguinal hernia repairs during 2017-2019 and their surgeons. We examined surgeons' adoption and use of the innovative technique and rates of ipsilateral recurrence and metachronous contralateral repair. Read More

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Totally extra-peritoneal repair versus trans-abdominal pre-peritoneal repair for the laparoscopic surgical management of sportsman's hernia: A systematic review and meta-analysis.

Surg Endosc 2021 May 18. Epub 2021 May 18.

Regional Hepato-Pancreato-Biliary Surgery Unit, Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL, UK.

Background: Open and laparoscopic modalities are employed for treatment of sportsman's hernia with totally extra-peritoneal (TEP) and trans-abdominal pre-peritoneal (TAPP) laparoscopic approaches both currently being utilised. At present, neither subtype has demonstrated a beneficial superiority for sportsman's hernia repair, as concluded in the most recent systematic review comparing the outcomes of each technique. The aim of this review was to evaluate current evidence to ascertain whether there was a difference in laparoscopic techniques following sportsman's hernia repair. Read More

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Intraoperative handling of spermatic cord lipomas during inguinal hernia repair: a nationwide survey.

Hernia 2021 May 16. Epub 2021 May 16.

Center for Perioperative Optimization, Department of Surgery, Herlev and Gentofte Hospitals, University of Copenhagen, Copenhagen, Denmark.

Purpose: Cord lipomas can clinically resemble groin hernias and missed cord lipomas can potentially result in persistent symptoms. However, no international guideline exists concerning the management of cord lipomas found during inguinal hernia surgery. This study aimed to gain insight into how surgeons typically manage cord lipomas found during inguinal hernia surgery. Read More

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Laparoscopic surgical treatment for hydrocele of canal of Nuck: A case report and literature review.

Surg Case Rep 2021 May 13;7(1):121. Epub 2021 May 13.

Department of Surgery, Sapporo Higashi Tokushukai Hospital, 3-1, N-33, E-14, Higahi-ku, Sapporo, Hokkaido, 0650033, Japan.

Background: Hydrocele of canal of Nuck (HCN) is a rare disease in adult female. The diagnosis and treatment of HCN is still a challenge for surgeons.

Case Presentation: A 56-year-old female presented with recent onset of occasional pain during exercise and an asymptomatic left groin swelling. Read More

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Totally Extraperitoneal Herniorrhaphy (TEP): Lessons Learned from Anatomical Observations.

Minim Invasive Surg 2021 21;2021:5524986. Epub 2021 Apr 21.

Department of Surgery, Chashan Hospital of Guangdong Medical University, Guangzhou, China.

Background: Totally extraperitoneal herniorrhaphy (TEP) is a therapeutic challenge because of its complex anatomical location in inguinal region. The aim of this study was to describe the related surgical anatomy through laparoscopic observation and share the lessons learned from a review of 250 primary inguinal hernia repair procedures performed at our hospital from January 2013 to November 2019. . Read More

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Comparison of Open Repair and Laparoscopic Percutaneous Internal Ring Suturing Method in Repairing Inguinal Hernia in Children.

Cureus 2021 Apr 2;13(4):e14262. Epub 2021 Apr 2.

Pediatric Surgery, Dr. Sami Ulus Health Research and Training Center, Ankara, TUR.

Introduction An inguinal indirect hernia is one of the most frequent surgical conditions in children. In this study the experience with laparoscopic percutaneous internal ring suturing (PIRS) and open inguinal hernia surgery and their relations evaluated. Methods All children over 90 days of age and without having prior inguinal region surgery with a diagnosis of indirect inguinal hernia underwent surgical repair with open or laparoscopic PIRS technique. Read More

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Can Positive-Pressure Ventilation be Administered with Laryngeal Mask to Pediatric Patients Undergoing Laparoscopic Inguinal Hernia Operation?

Sisli Etfal Hastan Tip Bul 2021 17;55(1):108-114. Epub 2021 Mar 17.

Department of Pediatric Surgery, University of Health Sciences Turkey, Sisli Hamidiye Etfal Teaching and Research Hospital, Istanbul, Turkey.

Objectives: We aimed to investigate the effects of intubation and laryngeal mask airway (LMA) use by evaluating the results of blood gas tests, end-tidal CO measurements, and airway changes during laparoscopic inguinal hernia repair in children.

Methods: This study was designed to be a prospective randomized study enrolling 150 ASA-I patients, aged 1-8 years; who were scheduled for laparoscopic inguinal hernia repair. Group 1 (n=75) received general anesthesia with fentanyl, propofol, and rocuronium and they were orotracheally intubated. Read More

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Comparison of General, Epidural, and Spinal Anesthesia in Laparoscopic TEP (Total Extraperitoneal Repair) for Inguinal Hernia.

Surg Laparosc Endosc Percutan Tech 2021 May 3. Epub 2021 May 3.

Departments of General Surgery Anesthesiology, Bakirkoy Dr Sadi Konuk Training and Research Hospital, Istanbul, Turkey.

Purpose: Laparoscopic total extraperitoneal repair (TEP) is one of the most preferred minimally invasive methods for inguinal hernia repair. In our study, we aimed to compare the advantages and disadvantages of general anesthesia (GA), spinal anesthesia (SA), and epidural anesthesia (EA) for TEP operations.

Materials And Methods: This is a retrospective study involving 221 patients who underwent TEP surgery for inguinal hernia between January 2018 and July 2020. Read More

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Surgical site infection after open and laparoscopic surgery in children: a systematic review and meta-analysis.

Pediatr Surg Int 2021 May 1. Epub 2021 May 1.

Division of General and Thoracic Surgery, Translational Medicine Program, University of Toronto, The Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada.

Surgical site infections (SSIs) are the most common healthcare-associated infections in patients undergoing surgery. Various randomised control trials (RCTs) indicate that laparoscopic procedures can be associated with better outcomes compared to open procedures. However, how open versus laparoscopic approaches compare across various paediatric procedures with respect to SSI rate remains poorly defined. Read More

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Total extra peritoneal inguinal hernia repair: a single-surgeon preliminary findings report.

Folia Med (Plovdiv) 2021 Apr;63(2):183-188

Medical University of Plovdiv, Plovdiv, Bulgaria.

Introduction: Inguinal hernia repair is one of the most frequent operations in general surgery. Various techniques have been used to repair inguinal hernias since the first reconstructive technique described by Bassini in 1887. In 1989 Lichtenstein reported a new technique: tension free inguinal hernia repair. Read More

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Learning Curve for Laparoscopic Repair of Pediatric Inguinal Hernia Using Percutaneous Internal Ring Suturing.

Children (Basel) 2021 Apr 11;8(4). Epub 2021 Apr 11.

Department of Pediatric Surgery, University Hospital of Split, 21000 Split, Croatia.

Background: Percutaneous internal ring suturing (PIRS) is a simple and popular technique for the treatment of inguinal hernia in children. The aim of this study was to analyze the learning curves during implementation of PIRS in our department.

Methods: A total of 318 pediatric patients underwent hernia repair using the PIRS technique by three pediatric surgeons with different levels of experience in laparoscopic surgery. Read More

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Trends and outcomes of open, laparoscopic, and robotic inguinal hernia repair in the veterans affairs system.

Hernia 2021 Apr 28. Epub 2021 Apr 28.

Department of Surgery, Veterans Affairs Medical Center, 50 Irving St. NW, Washington, DC, 20422, USA.

Purpose: Robotic inguinal hernia repair (RHR) is an evolving technique but is comparatively expensive and has yet to show superior outcomes versus open (OHR) or laparoscopic (LHR) approaches. The utilization and clinical outcomes of RHR have not been reported within the veterans affairs (VA) system. This study analyzes trends in utilization and 30-day post-operative outcomes between OHR, LHR, and RHR in veterans. Read More

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Australian general surgical trainee experience with inguinal hernia surgery: a review of international training programmes and the learning curve.

ANZ J Surg 2021 Jun 27;91(6):1138-1142. Epub 2021 Apr 27.

Department of General Surgery, St Vincent's Hospital, Sydney, New South Wales, Australia.

Background: There are no publications addressing the level of experience Australian surgical trainees achieve in inguinal hernia surgery. Internationally, some training boards have set minimum competency requirements, but this is not true in Australia. The longer learning curve for laparoscopic inguinal hernia repairs (LIHRs) compared to open inguinal hernia repairs (OIHRs) has placed greater demands on trainees. Read More

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The Management of Indirect Inguinal Hernia Sac in Laparoscopic Inguinal Hernia Repair: A Systemic Review of Literature.

Surg Laparosc Endosc Percutan Tech 2021 Apr 23. Epub 2021 Apr 23.

Department of General Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing Department of General Surgery, People's Hospital of Leshan, Leshan, China.

Background: The aim of this study is to investigate the current management strategy of indirect hernia sac during laparoscopic inguinal hernia repair.

Objectives: The aim was to evaluate the various indirect hernia sac management strategies when performing laparoscopic inguinal hernia repair.

Data Sources: Major databases (PubMed, Embase, Springer, and Cochrane Library). Read More

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Asymptomatic patent processus vaginalis is a risk for developing external inguinal hernia in adults: A prospective cohort study.

Ann Med Surg (Lond) 2021 Apr 27;64:102258. Epub 2021 Mar 27.

Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan.

Background: Inguinal hernia repair is common for children and adults across the world, but the mechanism behind hernia onset still requires elucidation. This prospective study aims to determine whether patent processus vaginalis (PPV) is a factor in the development of external inguinal hernias.

Method: We enrolled 1008 patients who underwent laparoscopic surgery and in whom the inguinal region was observed. Read More

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