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Laparoscopic inguinal hernia

Zhiqing Cao, Jiangyi Chen, Zhixiong Li, Guoxin Li
BACKGROUND: Pediatric inguinal hernia is one of the most common diseases in children, and laparoscopy is the main surgical method. This study aims to evaluate the efficacy of a new modified 2-port laparoscopic herniorrhaphy with Kirschner wire (TLHK) for inguinal hernia in children. METHODS: A total of 5304 children with inguinal hernia hospitalized at the Jiangmen Center Hospital from June 2003 to May 2016 were enrolled in this retrospective study. Four thousand one hundred thirty-five children underwent TLHK that comprised the observation group, while 1169 received single incision laparoscopy (SIL) as the control group (CG)...
October 2018: Medicine (Baltimore)
Rexiati Ruze, Zhibo Yan, Qunzheng Wu, Hanxiang Zhan, Guangyong Zhang
BACKGROUND: Seroma is the most common early minor complication of inguinal hernia repair. Seromas generally resolve spontaneously within a few weeks, but can sometimes cause other complications. The optimal ways to repair inguinal hernia and handle the hernial sac are still debatable. Large scale, prospective, randomized, controlled studies focusing on the correlation between transection of the hernial sac and seroma formation are scarce. METHODS: A total of 159 adult male patients with primary indirect inguinal hernia who underwent laparoscopic transabdominal preperitoneal repair were recruited...
October 16, 2018: Surgical Endoscopy
Oguzhan Sunamak, Turgut Donmez, Dogan Yildirim, Adnan Hut, Vuslat Muslu Erdem, Duygu Ayfer Erdem, Ibrahim Halil Ozata, Mikail Cakir, Sinan Uzman
Introduction: Mesh placement is the main standard in repair of inguinal hernia, and laparoscopic repair is the standard of care via spinal, epidural, or combined anesthesia. Here, we compared open and laparoscopic total extraperitoneal (TEP) repairs under general (GA) and spinal anesthesia (SA). Methods: Inguinal hernia patients (n=440) were analyzed retrospectively. There were four groups: Group 1 was TEP under GA (TEP-GA) (n=111); Group 2 was open mesh repair (OM) under SA (n=116) (OM-SA); Group 3 was open mesh repair under GA (n=117) (OM-GA); Group four was TEP under SA (n=96) (TEP-SA)...
2018: Therapeutics and Clinical Risk Management
Kelly F Darmawan, Tiffany Sinclair, James C Y Dunn
BACKGROUND/PURPOSE: The proposed benefits of laparoscopic inguinal hernia repair in the pediatric population include easier access to the contralateral groin and avoidance of manipulation of the spermatic cord; however, some studies also report higher recurrence rates. Due to these differences, the traditional open technique is still used by many pediatric surgeons. The objective of this study is to compare the outcomes of two institutions that employed different techniques. METHODS: We retrospectively reviewed pediatric patients who had open repair of inguinal hernias at hospital A or laparoscopic repair at hospital B...
October 13, 2018: Pediatric Surgery International
Zirui He, Xiaohui Hao, Bo Feng, Jianwen Li, Jing Sun, Pei Xue, Fei Yue, Xialin Yan, Ji Wang, Minhua Zheng
BACKGROUND: Our objective was to investigate the clinical characteristics of laparoscopic repair for groin hernias in female patients. STUDY DESIGN: The clinical data of 316 female patients (341 hernias) who underwent laparoscopic inguinal hernia repair at Shanghai Minimally Invasive Surgery Center between January 2001 and December 2015 was analyzed retrospectively. The operation-related data were to provide an overview of female groin hernias, preferred surgical approach, and the management of round ligament of uterus...
October 9, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
J James Pilkington, M Rami Obeidallah, M Saad Zahid, Panagiotis Stathakis, Ajith K Siriwardena, Saurabh Jamdar, Aali J Sheen
Introduction: This study looks at the outcome of 352 patients that underwent the "Manchester groin repair" in the period from 2007 to 2016. The effect of laterality on chronic groin pain and the reduction of pain scores post-surgery are evaluated as well as the rate of hernia recurrence for the inguinal hernia repairs. Methods: The "Manchester groin repair" is a modification of a laparoscopic totally extra-peritoneal approach with fibrin sealant mesh fixation. Data were collected prospectively...
2018: Frontiers in Surgery
Daniel Roadman, Melissa Helm, Matthew I Goldblatt, Andrew Kastenmeier, Tammy L Kindel, Jon C Gould, Rana M Higgins
BACKGROUND: Postoperative urinary retention (POUR) after laparoscopic inguinal hernia repair has an incidence of 2%-30%. POUR can lead to increased length of stay, decreased patient satisfaction, and increased health-care costs. The objective of this study was to determine the patient risk factors at our institution contributing to POUR after laparoscopic total extraperitoneal (TEP) inguinal hernia repair. METHODS: A retrospective chart review of patients who underwent a laparoscopic TEP inguinal hernia repair at our institution from 2009 to 2016...
November 2018: Journal of Surgical Research
Sarah B Cairo, Carroll M Harmon, David H Rothstein
BACKGROUND: Minimally invasive pediatric surgery has increased in breadth and complexity over the past several decades, with little data on minimally invasive surgery (MIS) training in US and Canadian pediatric surgery fellowship programs. METHODS: We performed a time series analysis of Accreditation Council for Graduate Medical Education pediatric surgery fellow case logs from 2003 to 2016. Proportions of cases performed in an MIS fashion as well as per-fellow MIS case averages were recorded over time...
November 2018: Journal of Surgical Research
Manjunath Siddaiah-Subramanya, Darius Ashrafi, Breda Memon, Muhammed Ashraf Memon
In the original publication, affiliation 3 was incorrectly published for the author 'Darius Ashrafi'. The correct affiliation should read as 'Department of Surgery, Sunshine Coast University Hospital, Birtinya, QLD, Australia.
September 27, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
L Larreina de la Fuente, F Villalón Ferrero, A Urbistondo Galarraga, E Etxart Lopetegi, G Chocarro Amatriain, N González Temprano, J L Ramos García, M Fernández-Ibieta, A Villanueva Mateo
INTRODUCTION: Laparoscopic inguinal hernia and hydrocele repair has become an alternative to the more frequently used inguinal approach. We describe our experience with the laparoscopic technique. MATERIAL AND METHODS: Retrospective study of laparoscopic inguinal hernia and hydrocele repair performed during the period between 2003-2016. We included patients < 14 years, with communicating hydrocele and/or indirect inguinal hernia diagnosis (N = 39). We have studied two cohorts; group A patients with indirect inguinal hernia (N = 31) and group B patients with communicating hydrocele (N = 8)...
August 3, 2018: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
S Yang, Y-M Shen, M-G Wang, Z-Y Zou, C-H Jin, J Chen
OBJECTIVE: We aimed to compare the clinical outcome of titanium-coated mesh and polypropylene mesh in laparoscopic inguinal hernia repair. METHODS: A total of 102 patients who received laparoscopic inguinal hernia repair in January-June 2016 in Beijing Chao-Yang Hospital were enrolled in this study. Patients were randomly divided into two groups, receiving either titanium-coated mesh (n = 50) or standard polypropylene mesh (n = 52). Multiple clinical parameters were collected and analyzed, including clinical manifestations, operative time, intraoperative blood loss, hospital stay, hospital cost, recovery time, and postoperative complications...
September 27, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
R Mancini, G Pattaro, E Spaziani
PURPOSE: This series was aimed to analyze feasibility, safety and postoperative quality of life of trans-abdominal pre-peritoneal repair in incarcerated hernia; the rationale was a safe hernia reduction, more accurate abdomen exploration, diagnosis and treatment of contralateral unknown hernia. METHODS: With a minimum follow-up of 30 months, 20 urgent incarcerated inguinal hernia patients were submitted to TAPP. Signs of strangulation, peritonitis and major comorbidity were exclusion criteria...
September 26, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
N Quezada, G Maturana, E Pimentel, F Crovari, R Muñoz, N Jarufe, F Pimentel
BACKGROUND: Cholecystectomy and inguinal hernioplasty are the most frequent surgeries in Chile and the world. Laparoscopic inguinal hernioplasty, being a clean surgery, reports mesh infection rates of less than 2% and adding a simultaneous laparoscopic cholecystectomy is controversial due to an increase in the risk of mesh infection. The aim of this paper is to report the results of simultaneous TAPP hernioplasty with laparoscopic cholecystectomy. METHOD: Retrospective analysis of the digestive surgery database...
September 26, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
B R Hall, P R Armijo, B Grams, D Lomelin, D Oleynikov
PURPOSE: We aim to identify patients at risk for post-operative urinary retention (POUR) and factors associated with POUR. METHODS: Males who underwent inguinal hernia repair (IHR) from June 2010 to September 2014 at a single institution were grouped according to the presence (symptomatic) or absence (asymptomatic) of preoperative urogenital symptoms (UGS). Patients ≤ 18 years of age were excluded. POUR was defined as the need to catheterize a patient who had not voided 6 h after surgery...
September 25, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Yanan Li, Yang Wu, Chuan Wang, Qi Wang, Yiyang Zhao, Yi Ji, Bo Xiang
BACKGROUND: The management of contralateral patent processus vaginalis (CPPV) in children with unilateral inguinal hernia is still controversial. The objective of this study was to verify the relationship between metachronous contralateral inguinal hernia (MCIH) and CPPV, and the risk factors of MCIH. METHODS: Children with unilateral inguinal hernia from three medical centers underwent either open or laparoscopic repairs. Clinical information, including demographics, morphological characteristics of CPPV, follow-up outcomes were collected...
September 25, 2018: Surgical Endoscopy
J K Ramjist, F Dossa, T A Stukel, D R Urbach, L Fu, N N Baxter
PURPOSE: Despite the frequency with which inguinal hernia repairs (IHR) are performed, the real-world comparative effectiveness of laparoscopic versus open repairs is not well established. We compared the rate of recurrent inguinal hernia after laparoscopic and open mesh procedures. METHODS: We designed a population-based retrospective cohort study using linked administrative databases including adult patients in Ontario, Canada, who underwent primary IHR from April 1, 2003 to December 31, 2012...
September 22, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
A Mughal, A Khan, J Rehman, H Naseem, M Riaz, R Waldron, M Duggan, W Khan, K Barry, I Z Khan
In the original publication, one of the co-author 'M. Riaz' details were missed to include in the author group. The complete author group should read as A. Mughal, A. Khan, J. Rehman, H. Naseem, M. Riaz, R. Waldron, M. Duggan, W. Khan, K. Barry, I. Z. Khan.
September 21, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Umberto Bracale, Jacopo Andreuccetti, Maurizio Sodo, Giovanni Merola, Giusto Pignata
BACKGROUND: During laparoscopic trans-abdominal pre-peritoneal hernia repair (TAPP) the positioning of the mesh around the spermatic cord could provide an additional anchoring point and ensure better defect closure, thereby preventing mesh movement and recurrence. The primary aim of our retrospective study was to determine if, during a TAPP procedure, an advantageous difference for mesh placement exists between the slit and the non-slit techniques in terms of recurrence rate. Secondary aims were intra and post-operative complications and the time required to return to normal activity...
September 20, 2018: BMC Surgery
Suolin Li, Xuelai Liu, Kenneth K Y Wong, Lin Liu, Yingchao Li
BACKGROUND: Laparoscopic percutaneous extraperitoneal closure (LPEC) with variable devices seems to be one of the most simple and reliable methods. We described our modifications of single-port laparoscopic herniorrhaphy using an inner two-hooked cannula device with preperitoneal hydrodissection. PATIENTS AND METHODS: 1568 children with 2114 inguinal hernias were treated by single-port LPEC. Under laparoscopic visualization, the two-hooked cannula device carrying a silk suture was inserted at the point of the internal ring and could be readily kept in an identical path...
September 1, 2018: Journal of Pediatric Surgery
Ryu Matsumoto, Yoshio Nagahisa, Kazuki Hashida, Mitsuru Yokota, Michio Okabe, Kazuyuki Kawamoto
Purposes: Seroma is a postoperative complication following laparoscopic transabdominal preperitoneal repair (TAPP) for inguinal hernioplasty. Seroma naturally resolves in most cases, but it can lead to an increased amount of visits to the outpatient clinic and can result in anxiety of the patient. Local inflammation of the inguinal area is etiology of seroma formation. Strangulated hernia involves severe inguinal pain and can lead to severe inflammation and subsequent seroma. There have been no reports demonstrating the links of seroma and strangulated hernia...
2018: Minimally Invasive Surgery
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