3,068 results match your criteria Hernia Inguinal Repair Laparoscopic


Laparoscopic Total Extraperitoneal Groin Hernia Repair in Females: Comparison of Outcomes Between Preservation or Division of the Uterine Round Ligament.

J Laparoendosc Adv Surg Tech A 2020 Jun 29. Epub 2020 Jun 29.

Department of Surgery, Tung Wah Hospital, Sheung Wan, Hong Kong SAR, China.

Laparoscopic repair has been recommended as the method-of-choice of groin hernia repair among women. Whether the round ligament of uterus should be divided to facilitate mesh placement remains controversial. This study aims to review the outcomes of laparoscopic total extraperitoneal (TEP) groin hernia repair in women and to evaluate the impact of division of round ligament. Read More

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http://dx.doi.org/10.1089/lap.2020.0270DOI Listing

Use of a Secure Web-Based Data Management Platform to Track Resident Operative Performance and Program Educational Quality Over Time.

J Surg Educ 2020 Jun 26. Epub 2020 Jun 26.

University of Massachusetts Medical School-Baystate, Department of Surgery, Springfield, Massachusetts. Electronic address:

Objective: In surgery residency programs, Accreditation Council for Graduate Medical Education mandated performance assessment can include assessment in the operating room to demonstrate that necessary quality and autonomy goals are achieved by the conclusion of training. For the past 3 years, our institution has used The Ottawa Surgical Competency Operating Room Evaluation (O-SCORE) instrument to assess and track operative skills. Evaluation is accomplished in near real-time using a secure web-based platform for data management and analytics (Firefly). Read More

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http://dx.doi.org/10.1016/j.jsurg.2020.05.022DOI Listing

Laparoscopic Repair of Pediatric Inguinal Hernia: Disconnection of the Hernial Sac Versus Disconnection and Peritoneal Closure.

J Laparoendosc Adv Surg Tech A 2020 Jun 26. Epub 2020 Jun 26.

Department of Pediatric Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.

Many techniques have been described for the treatment of pediatric inguinal hernia (PIH). Some authors emphasized the importance of disconnecting the sac, to create a scar, and to close the peritoneum mimicking the open approach. Others stated that peritoneal disconnection alone is enough for treatment of PIH regardless of the size of the internal ring. Read More

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http://dx.doi.org/10.1089/lap.2018.0679DOI Listing

Comparing Clinician Consensus Recommendations to Patient-reported Opioid Use Across Multiple Hospital Systems.

Ann Surg 2020 Jun 24. Epub 2020 Jun 24.

Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

Objective:: We compare consensus recommendations for 5 surgical procedures to prospectively collected patient consumption data. To address local variation, we combined data from multiple hospitals across the country.

Summary Of Background Data: One approach to address the opioid epidemic has been to create prescribing consensus reports for common surgical procedures. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003986DOI Listing

[Positioning of mesh implants in endoscopic inguinal hernia repair].

Khirurgiia (Mosk) 2020 (6):53-59

Volgograd State Medical University of the Ministry of Health of Russia, Volgograd, Russia.

Objective: To improve the results of endoscopic inguinal hernia repair by determining the optimal access to inguinal region and method of positioning of the mesh implant.

Material And Methods: There were 221 patients with inguinal hernia who underwent 278 operations. We formed 2 groups: the main group A consisted of 92 (41. Read More

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http://dx.doi.org/10.17116/hirurgia202006153DOI Listing
January 2020

Laparoscopic total extraperitoneal (TEP) mesh repair for femoral hernia in a patient of child B liver cirrhosis with ascites. A case report.

Int J Surg Case Rep 2020 Jun 12;72:298-300. Epub 2020 Jun 12.

Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India. Electronic address:

Introduction: Femoral hernia is infrequently encountered in surgical practice and is even rare in patients with liver cirrhosis. Recurrent pain adds to the existing morbidity and affects the quality of life of these patients. Management of such cases had rather high rates of morbidity and mortality owing to hepatic decompensation. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.091DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305352PMC

Single-port laparoscopic percutaneous extraperitoneal closure for inguinal hernias repair in girls: using an epidural needle assisted by a towel forceps.

Authors:
Yuanhong Xiao

BMC Surg 2020 Jun 19;20(1):139. Epub 2020 Jun 19.

Department of Pediatric Surgery, the First Medical Center, Chinese PLA General Hospital, Fuxing Road 28th, Haidian District, Beijing, 100853, China.

Background: The concept of single-port laparoscopic percutaneous extraperitoneal closure for the treatment of inguinal hernias repair in children has been practising recent years. The applicable instruments and skills are still evolving. In this study, we used an epidural needle assisted by a towel forceps to practise this minimal invasive method for inguinal hernias repair in girls. Read More

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http://dx.doi.org/10.1186/s12893-020-00800-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304134PMC

A three-arm randomized study to compare sexual functions and fertility indices following open mesh hernioplasty (OMH), laparoscopic totally extra peritoneal (TEP) and transabdominal preperitoneal (TAPP) repair of groin hernia.

Surg Endosc 2020 Jun 15. Epub 2020 Jun 15.

Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.

Background: With evolving technology, the focus of groin hernia repair has shifted to sexual function and fertility outcomes.

Methods: This three-arm randomized study was conducted in tertiary care hospital from 1st July 2017 to 30th March 2019. Consecutive patients of groin hernia were randomized into 3 groups, TAPP (Group 1), TEP (Group 2), and OMH (Group 3). Read More

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http://dx.doi.org/10.1007/s00464-020-07697-zDOI Listing
June 2020
3.256 Impact Factor

A prospective randomized comparison of sexual function and semen analysis following laparoscopic totally extraperitoneal (TEP) and transabdominal pre-peritoneal (TAPP) inguinal hernia repair.

Surg Endosc 2020 Jun 15. Epub 2020 Jun 15.

Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.

Background: With standardization of laparoscopic technique of groin hernia repair, the focus of surgical outcome has shifted to lesser studied parameters like sexual function and fertility.

Methods: This prospective randomized study was conducted in a single surgical unit at a tertiary care hospital. A sample size of 144 was calculated with 72 in each group (Group 1 TEP and Group 2 TAPP). Read More

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http://dx.doi.org/10.1007/s00464-020-07733-yDOI Listing

Total extraperitoneal laparoscopic inguinal hernia repair with adductor tenotomy: a 10-year experience in the treatment of athletic pubalgia.

Surg Endosc 2020 Jun 16. Epub 2020 Jun 16.

Department of Surgery, Mount Sinai Medical Center, Miami Beach, FL, USA.

Background: Athletic pubalgia, commonly referred to as a "sports hernia," is a disease process characterized by groin pain produced by physical exertion often occurring in patients whose athletic activities require them to make rapid changes in direction. The groin pain is due to the traction-countertraction relationship between the adductor muscles and the weaker abdominal muscles. Hence, a few studies have shown inguinal hernia repair with adductor tenotomy to be an effective treatment for this pathology (Brody in Hernia 21:139-147, 2016, https://doi. Read More

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http://dx.doi.org/10.1007/s00464-020-07705-2DOI Listing

Laparoscopic Total Extraperitoneal Inguinal Hernia Repair Under Epidural Anesthesia Versus General Anesthesia.

Surg Laparosc Endosc Percutan Tech 2020 Jun 5. Epub 2020 Jun 5.

General Surgery Department, Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.

Introduction: Laparoscopic total extraperitoneal (TEP) inguinal hernia repair is a well-known approach to inguinal hernia repair. The present study aims to compare the advantages and disadvantages of the TEP technique under general anesthesia (GA) and epidural anesthesia (EA).

Materials And Methods: The patients were divided into 2 groups as those undergoing TEP under EA (Group 1) and those undergoing TEP under GA (Group 2). Read More

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http://dx.doi.org/10.1097/SLE.0000000000000817DOI Listing

Case of inflammatory granuloma in inguinal hernia sac after hysterosalpingography with oily contrast medium.

Int J Surg Case Rep 2020 Jun 9;72:215-218. Epub 2020 Jun 9.

Department of Digestive and General Surgery, Shimane University, Faculty of Medicine, Japan.

Introduction: The foreign body reaction caused by oil contrast medium, Lipiodol, is rare. We present a rare case of inflammatory granuloma in the inguinal hernia sac after hysterosalpingography with lipiodol.

Presentation Of Case: A 30-year-old woman who had left inguinal growing mass for 7 months after hysterosalpingography with Lipiodol for examination of infertile. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.084DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298538PMC

Fixation versus no fixation in laparoscopic totally extraperitoneal repair of primary inguinal hernia-a systematic review and meta-analysis of randomized controlled trials.

Langenbecks Arch Surg 2020 Jun 12. Epub 2020 Jun 12.

Department of Colorectal Surgery, St Vincent's University Hospital, Merrion Road, Elm Park, Ballsbridge, Dublin 4, Ireland.

Introduction: The necessity of mesh fixation in laparoscopic totally extraperitoneal (TEP) inguinal hernia repair remains controversial. We performed a systematic review and meta-analysis to compare the effectiveness of mesh fixation versus no fixation in laparoscopic TEP repair for primary inguinal hernia.

Materials And Methods: PubMed, EMBASE, and Cochrane databases were searched for relevant articles from January 1992 until May 2020. Read More

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http://dx.doi.org/10.1007/s00423-020-01899-8DOI Listing

Laparoscopic Repair of Paediatric Indirect Inguinal Hernia: Modified Flip Flap Technique.

Transl Med UniSa 2020 May 31;22:33-37. Epub 2020 May 31.

Division of Pediatric M.I.S. and Robotic Surgery University of Salerno, Italy.

In paediatric age, indirect inguinal hernia represents more than 95% of the hernial disease. It is a congenital type, in contrast with adulthood in which acquired forms are more frequently found (1). The laparoscopic correction of indirect inguinal hernia is one of the most common surgeries performed in paediatric age. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265909PMC

Usefulness of laparoscopy in the management of incidentally discovered retroperitoneal liposarcoma mimicking inguinal hernia: A case report and literature review.

Int J Surg Case Rep 2020 Jun 3;72:79-84. Epub 2020 Jun 3.

Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. Electronic address:

Introduction: Liposarcomas comprise around 10%-16% of soft tissue sarcomas. The two major sites of liposarcoma are the extremities and retroperitoneum. However, retroperitoneal liposarcomas mimicking inguinal hernia are rare. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.064DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283968PMC

Completely laparoscopic repair for recurrent inguinal hernia that developed after open posterior mesh repair.

Asian J Endosc Surg 2020 Jun 8. Epub 2020 Jun 8.

Department of Surgery, Yokohama Ekisaikai Hospital, Yokohama, Japan.

Surgeons tend to avoid performing completely laparoscopic repair (CLR) for recurrent inguinal hernia (RIH) that developed after the open posterior mesh repair (OPMR). For many, totally extraperitoneal repair or transabdominal preperitoneal repair after OPMR seems difficult because the previously placed mesh may pose an obstacle during the exfoliation of the parietal peritoneum. Moreover, these procedures could cause chronic pain if the "trapezoid of disaster" is injured. Read More

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http://dx.doi.org/10.1111/ases.12810DOI Listing

A case of indirect inguinal bladder hernia treated by laparoscopic hernia repair.

Asian J Endosc Surg 2020 Jun 4. Epub 2020 Jun 4.

Division of Surgery, Fujinomiya City General Hospital, Fujinomiya, Japan.

Inguinal bladder hernia is a rare clinical condition, and only a small number of reported cases have been treated by laparoscopic surgery. In the present case, the patient was a 78-year-old man who presented to our emergency department with a chief complaint of right inguinal bulge and pain. CT imaging revealed an incarcerated right inguinal hernia containing the small intestine and a portion of the urinary bladder. Read More

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http://dx.doi.org/10.1111/ases.12818DOI Listing

Closing peritoneal tear during laparoscopic inguinal hernia repair: simple and effective technique.

Hernia 2020 Jun 4. Epub 2020 Jun 4.

NMC Specialty Hospital, Al Nahda 2, Dubai, United Arab Emirates.

Purpose: Peritoneal tears occurring during TAPP and TEP are common, and can cause difficulty in continuing surgery, or, if left open can cause postoperative complications. A number of techniques to close the tear in the peritoneum have been described. These techniques are difficult and add to the operating time, and may not be successful in closing the opening in the peritoneum. Read More

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http://dx.doi.org/10.1007/s10029-020-02237-zDOI Listing

Laparoscopic versus open mesh repair for the treatment of recurrent inguinal hernia: a systematic review and meta-analysis.

Ann Palliat Med 2020 May;9(3):1164-1173

Department of Gastrointestinal Surgery, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610072, China.

Background: Inguinal hernia repair is a common surgical procedure; however, the effects of laparoscopic and open mesh repair in the treatment of recurrent inguinal hernia are unclear. This study aimed to evaluate the effects of laparoscopic and open mesh repair in the treatment of recurrent inguinal hernia by conducting a meta-analysis of randomized controlled trials (RCTs).

Methods: A comprehensive, meta-analysis of RCTs on the effects of laparoscopic and open mesh repair in the treatment of recurrent inguinal hernia was performed. Read More

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http://dx.doi.org/10.21037/apm-20-968DOI Listing

Prospective, multicenter, pairwise analysis of robotic-assisted inguinal hernia repair with open and laparoscopic inguinal hernia repair: early results from the Prospective Hernia Study.

Hernia 2020 Jun 3. Epub 2020 Jun 3.

University of Tennessee, Memphis, TN, USA.

Purpose: To evaluate and compare peri-operative outcomes through 30 days, including pain and quality of life (QOL) through 3 months across three cohorts of inguinal hernia repair (IHR) patients (robotic-assisted, laparoscopic, and open IHR).

Methods: The Prospective Hernia Study is an ongoing, multicenter, comparative, open-label analysis of clinical and patient-reported outcomes from robotic-assisted surgery (RAS) versus open and RAS versus laparoscopic IHR procedures. Patient responses to the Carolinas Comfort Scale (CCS) questionnaire provided QOL outcomes. Read More

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http://dx.doi.org/10.1007/s10029-020-02224-4DOI Listing

Influence of previous laparo-endoscopic inguinal hernia repair on performing radical prostatectomy: a nationwide survey among urological surgeons.

Surg Endosc 2020 Jun 2. Epub 2020 Jun 2.

Department of Surgery/Hernia Clinic, Diakonessenhuis Utrecht/Zeist, Secretariaat Heelkunde, Professor Lorentzlaan 76, 3707 HL, Zeist, The Netherlands.

Background: There is considerable demographic overlap of inguinal hernia patients and prostate cancer patients. Previous laparo-endoscopic inguinal hernia mesh repairs can complicate subsequent radical prostatectomies due to adhesions and distortion of anatomic planes. This study aims to assess the experience of urological surgeons on the safety and feasibility of performing radical prostatectomies after laparo-endoscopic inguinal hernia mesh repair. Read More

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http://dx.doi.org/10.1007/s00464-020-07676-4DOI Listing

Laparoscopic Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair Using Fibrin Glue for Fixation of the Mesh and Peritoneum Closure.

Surg Laparosc Endosc Percutan Tech 2020 Jun 1. Epub 2020 Jun 1.

General Surgery Department, HM Sanchinarro Hospital, San Pablo University of Madrid, Sanchinarro University Hospital, Calle Oña, Madrid, Spain.

Purpose: The aim of this case series is to describe our ongoing experience of laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair using Tisseel fibrin glue for the fixation of the mesh and peritoneum closure.

Materials And Methods: From October 2018, patients who underwent laparoscopic TAPP for unilateral inguinal hernia repair using Tisseel fibrin glue to secure the mesh and the peritoneum, with a minimum of 1 year of follow-up, have been included. Patient demographics, main operative findings, and main postoperative outcomes were analyzed prospectively using a visual analgesic scale (VAS) and a modified short-form 36 (SF-36) questionnaire. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000797DOI Listing

Comparative Analysis of Laparoscopic Inguinal Hernia Repair in Neonates and Infants.

Surg Laparosc Endosc Percutan Tech 2020 Jun 1. Epub 2020 Jun 1.

Department of Paediatric Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

Background: This study analyzed our cohort of infants (age below 12 mo) who underwent laparoscopic inguinal hernia repair (LIHR), comparing those 3 months and below (corrected premature) to above 3 months (term infants) corrected age at the time of surgery.

Materials And Methods: Retrospective analysis of a single surgeon and associated trainees' experience of LIHR in infants below 12 months over a 5-year period (2013-2018) was performed. The operative technique involved a 5-mm scope and 3-mm instruments for herniorrhaphy with 4/0 Prolene purse-string suture. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000815DOI Listing

Inguinal Hernia in Premature Infants.

Neoreviews 2020 Jun;21(6):e392-e403

Child Health, University of Missouri, Columbia, MO.

Inguinal hernia is a common problem affecting infants in the NICU. As a group, preterm infants have the highest incidence of inguinal hernia and this risk increases as gestational age decreases. The etiopathologic factors leading to the development of an inguinal hernia are not clear and interventions to alter these factors have not been thoroughly investigated. Read More

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http://dx.doi.org/10.1542/neo.21-6-e392DOI Listing

Significance of umbilical trocar size and intra-abdominal pressure on postoperative pain after transabdominal preperitoneal repair for inguinal hernia.

Asian J Endosc Surg 2020 May 28. Epub 2020 May 28.

Department of Surgery, Nara Medical University, Kashihara, Japan.

Introduction: Laparoscopic inguinal hernia repair is reported to be associated with lower postoperative pain than open repair. However, in the actual clinical setting, some patients experience relatively severe pain. This study aimed to elucidate surgical factors that affect pain after transabdominal preperitoneal (TAPP) repair. Read More

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http://dx.doi.org/10.1111/ases.12813DOI Listing

The gauze technique: a simple method of dissection in laparoscopic inguinal hernia repair.

Minerva Chir 2020 May 26. Epub 2020 May 26.

Unit of Digestive Surgery, Department of Surgery and Translational Medicine, Florence University Hospital, University of Florence, Florence, Italy.

Background: Hernia repair is one of the most frequent operation in general surgery. The aim of this is study is to present a new preperitoneal atraumatic dissection of peritoneal flap during laparoscopic transabdominal preperitoneal inguinal hernia repair.

Methods: From January 2019 to Dicember 2019, 30 patients (19 male, 11 female) attended and woman; bilateral inguinal hernia. Read More

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http://dx.doi.org/10.23736/S0026-4733.20.08335-2DOI Listing

Laparoscopic repair of recurrent inguinal hernia offers similar outcomes and quality of life to primary laparoscopic repair.

Hernia 2020 May 23. Epub 2020 May 23.

Division of General Surgery, NorthShore University Healthsystem, Evanston, IL, USA.

Objective: Open repair of recurrent inguinal hernias has been shown to result in significantly poorer perioperative outcomes when compared to open primary hernia repair. However, limited data exist comparing primary and recurrent laparoscopic inguinal hernia repair (LIHR). The aim of our study was to compare quality of life and clinical outcomes between these two groups. Read More

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http://dx.doi.org/10.1007/s10029-020-02211-9DOI Listing

The Effect of Surgical Trainee Education on Opioid Prescribing: An International Evaluation.

J Surg Educ 2020 May 20. Epub 2020 May 20.

Department of Surgery, Columbia University Medical Center, New York, New York.

Introduction: Up to 6% of opioid naive patients who undergo surgery become chronic opioid users. The aim of this study was to determine if formal opioid prescribing education of general surgery residents is associated with decreased opioid prescribing postoperatively.

Methods: We surveyed surgery residents at 3 general surgery programs in the United States and 1 in Israel. Read More

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http://dx.doi.org/10.1016/j.jsurg.2020.04.009DOI Listing

Quadratus Lumborum Block As A Single Anesthetic Method For Laparoscopic Totally Extraperitoneal (Tep) Inguinal Hernia Repair: A Randomized Clinical Trial.

Sci Rep 2020 May 22;10(1):8526. Epub 2020 May 22.

Full Professor of General Surgery at the University Santo Amaro, São Paulo, Brazil.

Minimally invasive surgery for inguinal hernia repair is advantageous in terms of return to usual activities and lower rates of chronic pain; however, it requires general anesthesia. This study sought to analyze the benefits of ultrasound guided locoregional anesthesia of the quadratus lumborum muscle (QL block) as a single anesthetic technique for endoscopic totally extraperitoneal (TEP) inguinal hernia repair with regard to postoperative pain, length of hospital stay, and hospital cost. A total of 46 patients, aged 18 to 80 years, with unilateral inguinal hernia, one group that received general anesthesia and one that received sedation and QL block for TEP inguinal hernia repair. Read More

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http://dx.doi.org/10.1038/s41598-020-65604-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244527PMC

Robotic Inguinal Hernia Repair.

Authors:
David S Edelman

Surg Technol Int 2020 May;36:99-104

Introduction: Laparoscopic inguinal hernia repair has certain advantages over open repair including less pain and earlier return to normal activity. Robotic surgery adds high definition visualization and articulating instruments. This enhanced dexterity can make laparoscopic hernia repair more refined while obtaining a critical view of the myopectineal orifice that should lead to fewer recurrences and complications. Read More

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Single-port laparoscopic percutaneous closure of the internal ring for scarless repair of inguinal hernias in girls.

Minim Invasive Ther Allied Technol 2020 May 19:1-7. Epub 2020 May 19.

Department of Pediatric Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, P. R. China.

The purpose of this study was to summarize the clinical experience with laparoscopic percutaneous extraperitoneal closure of the internal ring using an epidural needle for inguinal hernias in girls. A total of 462 girls with inguinal hernias participated in this study from January 2013 to June 2019. Laparoscopic percutaneous extraperitoneal closure of the internal ring an epidural needle was used to treat these patients. Read More

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http://dx.doi.org/10.1080/13645706.2020.1768124DOI Listing

Modified port positions for totally extraperitoneal (TEP) repair for groin hernias: our experience.

Surg Endosc 2020 May 11. Epub 2020 May 11.

Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, India.

Background: Totally extraperitoneal repair (TEP) is the preferred method of inguinal hernia repair for many surgeons worldwide. However, because of limited working space, there may be difficulties when operating on large and irreducible groin hernias and short stature patients. There are many ways in which the port positions can be modified during TEP for different kinds of hernias and according to the comfort of the surgeons. Read More

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http://dx.doi.org/10.1007/s00464-020-07620-6DOI Listing

Laparoscopic Injection of Tissue Adhesives for Inguinal Hernia Repair in a Rabbit Model: Results of an Experimental Comparative Study with the Standard Laparoscopic Inguinal Hernia Repair.

J Laparoendosc Adv Surg Tech A 2020 May 8. Epub 2020 May 8.

Pediatric Surgery Unit, Great Ormond Street Hospital, London, United Kingdom.

The injection of tissue adhesives has been proposed as an alternative to standard laparoscopic inguinal hernia repair but no evidence is available in the pediatric population. This study aimed to evaluate safety, efficacy, and feasibility of injection of tissue adhesives for inguinal hernia repair in a rabbit model. Thirty-six New Zealand White male rabbits underwent laparoscopic inguinal hernia repair. Read More

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http://dx.doi.org/10.1089/lap.2020.0015DOI Listing

Robotic Approach to Outpatient Inguinal Hernia Repair.

J Am Coll Surg 2020 Jul 4;231(1):61-72. Epub 2020 May 4.

Department of Surgery, University of South Florida, Tampa, FL; OnetoMap Analytics, University of South Florida, Tampa, FL. Electronic address:

Background: Robotics offers improved ergonomics, visualization, instrument articulation, and tremor filtration. Disadvantages include startup cost and system breakdown. Surgeon education notwithstanding, we hypothesize that robotic inguinal hernia repair carries minimal advantages over the laparoscopic or open approach. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2020.04.031DOI Listing

Long-term follow-up of pediatric open and laparoscopic inguinal hernia repair.

J Pediatr Surg 2020 Mar 29. Epub 2020 Mar 29.

Paediatric Urology, 202 Cliff Tower Apts, III Cross Road, Samarth Nagar, Lokhandwala Complex Andheri West, Mumbai 400053, India. Electronic address:

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http://dx.doi.org/10.1016/j.jpedsurg.2020.03.027DOI Listing

Sigmoid perforation by broken nitinol memory frame after inguinal hernia repair.

Acta Chir Belg 2020 May 18:1-3. Epub 2020 May 18.

Department of Surgery, O. L. V. Van Lourdes Hospital, Waregem, Belgium.

For an inguinal hernia repair, meshes with a continuous memory frame made it more easy to position the mesh in the preperitoneal space by anterior approach. We present a case of a sigmoid perforation caused by a fractured nitinol ring of a Rebound HRD Shield mesh. A 29-years old sports instructor presented to the Emergency Department (ED) with a gnawing abdominal pain in the left lower quadrant. Read More

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http://dx.doi.org/10.1080/00015458.2020.1765670DOI Listing

Is Youtube a potential training source for total extraperitoneal laparoscopic inguinal hernia repair?

Surg Endosc 2020 May 4. Epub 2020 May 4.

Department of General Surgery, Ministry of Health Ankara City Hospital, Üniversiteliler caddesi Bilkent bulvarı no:1, Çankaya, Ankara, Turkey.

Background: The aim of this study is to evaluate the quality of the most commonly viewed total extraperitoneal laparoscopic inguinal hernia repair (TEP) videos on Youtube, which is the largest social and medical media broadcasting service, concerning educational purposes.

Method: A search with the keyword "total extraperitoneal laparoscopic inguinal hernia repair" was performed on Youtube. The first 120 videos among the search results were downloaded and 55 of them were included in the study. Read More

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http://dx.doi.org/10.1007/s00464-020-07596-3DOI Listing

Porcine Small Intestinal Submucosa Mesh to Treat Inguinal Hernia in Young Adults Using Laparoscopic Inguinal Hernia Repair: A Retrospective Controlled Study.

Surg Laparosc Endosc Percutan Tech 2020 May 1. Epub 2020 May 1.

Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University.

Background: The authors evaluated the effects and clinical value of small intestinal submucosa (SIS) mesh to treat inguinal hernia in young adults by the laparoscopic method.

Methods: The clinical data of 357 cases with inguinal hernia using SIS mesh in our hospital were analyzed retrospectively from June 2014 to June 2018. All cases were divided into 2 groups according to the surgical method. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000806DOI Listing

See (n)One, Do (n)One, Teach (n)One: Reality of Surgical Resident Training in Germany.

World J Surg 2020 Aug;44(8):2501-2510

Young Surgeons Working Group (CAJC) of the German Society for General and Visceral Surgery (DGAV), Berlin, Germany.

Introduction: Due to technological changes, working time restrictions and the creation of specialized centers, surgical training has changed. A competence-based learning technique of surgical skills is the sub-step practice approach, which has been proven important in nationwide opinion surveys. The aim of this prospective multi-center trial was to determine the status quo of the sub-step concept in Germany. Read More

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http://dx.doi.org/10.1007/s00268-020-05539-6DOI Listing

Polytetrafluoroethylene versus polypropylene mesh during laparoscopic totally extraperitoneal (TEP) repair of inguinal hernia: short- and long-term results of a double-blind clinical randomized controlled trial.

Hernia 2020 Apr 30. Epub 2020 Apr 30.

Unit of Innovation in Minimally Invasive Surgery, Department of General and Digestive Surgery, University Hospital "Virgen del Rocio", University of Sevilla, Sevilla, Spain.

Purpose: Aim of the study is to compare macroporous (> 1 mm) polytetrafluoroethylene mesh (LP-PTFE) versus microporous (< 1 mm) polypropylene mesh (SP-PPL) in terms of postoperative acute and chronic discomfort and pain, difficulty in mesh handling and long-term recurrence rate.

Methods: Fifty-two patients with bilateral hernia were enrolled in this double-blind randomized controlled trial (NCT02023203). Each hernia, in the same patient, was randomized to implant LP-PTFE or SP-PPL mesh during totally extraperitoneal laparoscopic hernia repair. Read More

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http://dx.doi.org/10.1007/s10029-020-02200-yDOI Listing

Extended View: Totally Extra Peritoneal (e-TEP) Approach for Ventral and Incisional Hernia-Early results from a single center.

Surg Endosc 2020 Apr 28. Epub 2020 Apr 28.

GEM Hospital and Research Center, 45 Pankaja Mills Road, Coimbatore, Tamil Nadu, 641045, India.

Background: Laparoscopy for ventral hernia repair is now an established technique with its proven benefits of less pain, early recovery, low-recurrence rate as compared to open repair. Several techniques have been described such as IPOM, MILOS, TES, EMILOS, SCOLA, e-TEP. e-TEP was originally conceptualized as an alternative approach to inguinal hernia in difficult cases (obese, previous scars) and for training surgery residents. Read More

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http://dx.doi.org/10.1007/s00464-020-07595-4DOI Listing

Nationwide Analysis of Urinary Retention Following Inguinal Hernia Repair: Results from the National Prospective Hernia Registry.

World J Surg 2020 Aug;44(8):2638-2646

Clinique de Chirurgie Digestive et Endocrinienne (CCDE), Institut des Maladies de l'Appareil Digestif (IMAD), University Hospital of Nantes, 1, Place Alexis Ricordeau, 44093, Nantes, France.

Background: Urinary retention is one of the most common early postoperative complications following inguinal hernia repair (IHR). The aim of this study was to assess the incidence of postoperative urinary retention (POUR) and to identify associated risk factors.

Method: Data of consecutive patients undergoing IHR from 2011 to 2017 were collected from a national multicenter cohort. Read More

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http://dx.doi.org/10.1007/s00268-020-05538-7DOI Listing

Cyst of the Canal of Nuck in adult females: A case report and systematic review.

Biomed Rep 2020 Jun 27;12(6):333-338. Epub 2020 Mar 27.

Third Department of Surgery, Attiko University Hospital, National and Kapodistrian University of Athens, Athens 12462, Greece.

Defects in the Canal of Nuck are rare abnormalities of the female genitalia, which are typically detected and repaired in young age. In the present report, a case of a Nuck cyst in a 40-year old female patient is described. Additionally, the current literature concerning cases of women with hydrocele of Nuck canal was systematically reviewed. Read More

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http://dx.doi.org/10.3892/br.2020.1295DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184959PMC

Surgical Procedures and Results of Modified Intraperitoneal Onlay Mesh Repair for Inguinal Hernia After Radical Prostatectomy.

J Laparoendosc Adv Surg Tech A 2020 Apr 24. Epub 2020 Apr 24.

Department of Gastrointestinal Surgery, Juntendo University Urayasu Hospital, Urayasu-shi, Chiba, Japan.

Although inguinal hernia occurs frequently after radical prostatectomy, transabdominal preperitoneal (TAPP) inguinal hernia repair occasionally poses challenges due to fibrosis of the preperitoneal cavity. In patients with severe intrapelvic fibrosis, we have adopted a modified intraperitoneal onlay mesh (IPOM) technique. The surgical factors were compared between patients who underwent modified IPOM and those who underwent TAPP for inguinal hernia repair. Read More

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http://dx.doi.org/10.1089/lap.2020.0141DOI Listing

How I Do It: Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair.

J Laparoendosc Adv Surg Tech A 2020 Jun 20;30(6):659-665. Epub 2020 Apr 20.

Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Inguinal hernia repair (IHR) is one of the most commonly performed general surgery operations. Currently, an inguinal hernia can be repaired through an open, laparoscopic, or robot-assisted approach. Herein, we detail our perioperative evaluation and management of patients with a groin hernia as well as our surgical technique for the performance of the laparoscopic transabdominal preperitoneal IHR. Read More

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http://dx.doi.org/10.1089/lap.2020.0166DOI Listing

Laparoscopic totally extraperitoneal vs robotic transabdominal preperitoneal inguinal hernia repair: Assessment of short- and long-term outcomes.

Int J Med Robot 2020 Apr 17:e2111. Epub 2020 Apr 17.

Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey.

Background: In this study, we aimed to compare short- and long-term outcomes between laparoscopic totally extraperitoneal (L-TEP) and robotic transabdominal preperitoneal (R-TAPP) inguinal hernia repair.

Methods: Patients were classified into two groups: L-TEP and R-TAPP. The groups were case-matched in a 1:1 ratio based on age, gender, and body mass index (BMI). Read More

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http://dx.doi.org/10.1002/rcs.2111DOI Listing

Open mesh removal combined with laparoscopic totally extraperitoneal inguinal hernia repair: A case report of a novel surgical technique for chronic postoperative inguinal pain.

Asian J Endosc Surg 2020 Apr 14. Epub 2020 Apr 14.

Department of Pathology, Sainokuni Higashiomiya Medical Center, Saitama, Japan.

A 74-year-old man presented for surgical treatment to alleviate chronic post-herniorrhaphy inguinal pain. Physical and imaging examinations suggested that his pain was due to his ilioinguinal nerve being entrapped by a meshoma composed of bilayer mesh and plug mesh. The patient strongly desired mesh removal, although it appeared challenging because of adhesion of the meshes from the previous herniorrhaphies. Read More

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http://dx.doi.org/10.1111/ases.12805DOI Listing

Robotic inguinal hernia repair: Is it a new era in the management of inguinal hernias?

Asian J Surg 2020 Apr 11. Epub 2020 Apr 11.

Director of Epidemiology Unit, Rambam Medical Center, Haifa, Israel.

Objective: We compared outcomes of elective inguinal hernia repair performed at one institution by three approaches: robotic-assistance, laparoscopic, and open.

Methods: Characteristics of the patients, the hernia and the procedures performed during 2014-2016 were accessed from patient electronic medical files of 137 elective inguinal hernia repairs. 24 surgeries were robotic-assisted, 16 laparoscopic and 97 open repairs. Read More

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http://dx.doi.org/10.1016/j.asjsur.2020.03.015DOI Listing

Variations in open and laparoscopic repair of paediatric inguinal hernia.

Dan Med J 2020 Apr;67(4)

Introduction: No recent guidelines exist for surgical treatment of paediatric inguinal hernias. Internationally, there is disagreement about both the preferred approach and the details of the surgical procedure. The aim of this nationwide survey study was to assess variations in Danish surgeons' technique when repairing inguinal hernias in children. Read More

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Risk of hernia formation after radical prostatectomy: a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial.

Hernia 2020 Apr 11. Epub 2020 Apr 11.

Department of Surgery, Institute of Clinical Sciences, SSORG, Scandinavian Surgical Outcomes Research Group, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Purpose: In addition to incisional hernia, inguinal hernia is a recognized complication to radical retropubic prostatectomy. To compare the risk of developing inguinal and incisional hernias after open radical prostatectomy compared to robot-assisted laparoscopic prostatectomy.

Method: Patients planned for prostatectomy were enrolled in the prospective, controlled LAPPRO trial between September 2008 and November 2011 at 14 hospitals in Sweden. Read More

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http://dx.doi.org/10.1007/s10029-020-02178-7DOI Listing