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Laparoscopic inguinal hernia

Brijendra Singh, Vaibhav Gupta, Shahana Gupta
INTRODUCTION: Laparoscopic inguinal hernia repair has gained importance during last few decades, because of its several advantages. However, it has its own set of complications, which can be avoided by following the basic anatomical principles of laparoscopic inguinal hernia repair. PRESENTATION OF CASE: An 85-year-old male patient, developed a painless intraabdominal lump following laparoscopic inguinal hernia repair. Clinical and radiological evaluation was suggestive of pseudo aneurysm...
November 27, 2018: International Journal of Surgery Case Reports
Miro Jukić, Zenon Pogorelić, Daniela Šupe-Domić, Ana Jerončić
BACKGROUND: The aim of this study was to compare inflammatory stress response between laparoscopic percutaneous inguinal ring suturing (PIRS) and open modified Marcy technique for pediatric inguinal hernia repair. METHODS: From May 2017 to April 2018, 32 male children with median age of 4.5 years undergoing inguinal hernia repair were included in randomized controlled trial. The patients were divided in two groups, by using random number generator, depending on surgical approach...
December 3, 2018: Surgical Endoscopy
P Wilson, L Hickey
INTRODUCTION: In a single centre evaluation of a novel hernia repair device, 200 consecutive patients underwent 247 laparoscopic (TAPP) groin hernia repairs (47 bilateral) using n-butyl-2-cyanoacrylate (Liquiband®Fix8™) for mesh fixation and peritoneal closure over a 2-year period by a single experienced laparoscopic surgeon. PATIENTS AND METHODS: All groin hernia patients requiring TAPP repair were included in the study: Inguinal 142, Femoral 14, Spigelian 4, and Inguinal disruption 40...
November 30, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Benjamin Branchu, Yohann Renard, Stephane Larre, Priscilla Leon
OBJECTIVE: Inguinoscrotal hernia (ISH) of the bladder is a rare condition involved in less than 4% of inguinal hernias. In most cases, it occurs to men older than 50 years who are overweight. Little is known about the subject and mainly based on case reports. When undiagnosed, it may be associated with bladder injuries during hernia repair. There is also no consensus on the ideal repair technique to use. The aim of the study is to evaluate the particularity of the management of the inguinal herniation of the bladder in term of diagnosis, choice and results of treatments...
September 2018: Turkish Journal of Urology
Adam N Paine, Bradley L Krompf, Turner M Osler, James C Hebert
INTRODUCTION: Surgical care contributes significantly to the fiscal challenges facing the US health care system. Multiple studies have demonstrated surgeons' lack of awareness of the costs associated with individual portions of surgical care, namely operating room supplies. We sought to assess surgeon and trainee awareness of the comprehensive charges and reimbursements associated with procedures they perform. METHODS: We administered a voluntary anonymous survey to attending surgeons, general surgery residents, and fourth-year medical students who applied to general surgery residencies...
November 25, 2018: Journal of Surgical Education
Emma Clout, Mirun Thayaparan, Cameron Douglas, Christophe R Berney
INTRODUCTION: The pre-tied suture Endoloop™ technique for plication of the weakened transversalis fascia is efficient in post-operative seroma prevention, after laparoscopic/endoscopic direct inguinal hernia repair. No studies have evaluated long-term tolerability of this new technique in regards to chronic pain and hernia recurrence. METHODS: Prospective longitudinal evaluation study of consecutive patients treated with Endoloop™ for M2 or M3 direct defects, during endoscopic totally extraperitoneal approach...
November 26, 2018: Surgical Endoscopy
Cary T Grayson, Erik T Criman, Lindsay M Cefalu, Erik Q Roedel, Steven S Hong, Christopher G Yheulon
BACKGROUND: Inguinal herniorraphyis among the most common procedures performed by general surgeons, but risk factors for litigation related to this surgery are poorly defined. METHODS: Cases were retrieved by searching the Westlaw database from 1991 through 2016 using the search terms "inguinal hernia" OR "inguinal herniorrhaphy" OR "inguinal hernioplasty" and "medical malpractice." Data were compiled on the demographics of the patient, operative case details, nature of injury, legal allegations, verdicts, and indemnities...
December 2018: Journal of Surgical Research
Mehmet Tolga Kafadar, Mehmet Ali Gök
Introduction: Inguinal hernia repair is one of the most common operations of general surgery. In order to avoid complicated and urgent cases, performing such operations electively is generally accepted. Otherwise, unforeseen emergency surgical situations accompanied by incarceration and strangulation may occur. Case presentation: In this article, we present a 45-year-old female patient with strangulated femoral hernia repair that we performed using the laparoscopic transabdominal preperitoneal method, unlike other conventional methods...
December 2018: Annals of Medicine and Surgery
Michael R Arnold, Kathleen M Coakley, Eric J Fromke, Steve A Groene, Tanu Prasad, Paul D Colavita, Vedra A Augenstein, Kent W Kercher, B Todd Heniford
BACKGROUND: Mesh weight is a possible contributor to quality-of-life outcomes after inguinal hernia repair. This study compares lightweight mesh versus heavyweight mesh in laparoscopic inguinal hernia repair. METHODS: A prospective, single-center, hernia-specific database was queried for all adult laparoscopic inguinal hernia repair with three-dimensional contoured mesh (3-D Max, Bard, Inc, New Providence, NJ) from 1999 to June 2016. Demographics and outcomes were analyzed...
November 15, 2018: Surgery
A Sartori, Marco De Luca, N Clemente, Alberto De Luca, G Scaffidi, E Vendramin, C Campagnaro
BACKGROUND: Groin hernioplasty is most intervention performed in the worldwide. The present study aimed to evaluate a combination between ultralight mesh and fibrin human sealant in the laparoscopic treatment of inguinal hernia. PATIENTS AND METHODS: This retrospective study included consecutive patients who underwent laparoscopic transabdominal preperitoneal hernioplasty (TAPP) from 1st of January 2015 to 31st of December 2016. Demographics, surgical data and postoperative outcomes were entered in an anonymized prospective database...
September 2018: Il Giornale di Chirurgia
Kazuhiko Sakamoto, Akihiro Tokuhisa, Kenyu Nishimura, Ryoji Kamei, Yoshinori Kitamura, Seiichiro Ando, Tatsuhito Yamamoto
The new guidelines of the HerniaSurge group recommend that only an expert hernia surgeon should repair a re-recurrent inguinal hernia. We report the efficacy of the hybrid method with explorative laparoscopy and anterior open approach for re-recurrent inguinal hernia repair. A 61-year-old man underwent anterior open preperitoneal mesh repair for right inguinal direct hernia and laparoscopic transabdominal preperitoneal repair for recurrence. Two years after the second surgery, re-recurrent inguinal hernia was confirmed...
November 2018: Journal of Surgical Case Reports
Hanqin Weng, Liqin Ye, Peilin Lu, Hongwu Sun
To compare the feasibility and advantage of traditional tiling method and shaft method to place biological mesh following laparoscopic repair of inguinal hernia.Sixty cases from January 2013 to January 2014 treated with laparoscopic inguinal hernia neoplasty with biological patches were included. All the cases were randomly divided into control group and observation group. Observation group was treated with shaft method to place biological mesh, while control group was treated with traditional tiling method...
November 2018: Medicine (Baltimore)
Andrzej Szczepanik, Adam Wiszniewski, Anna Oses-Szczepanik, Wojciech Dąbrowski, Konrad Pielaciński, Andrzej Misiak
INTRODUCTION: Congenital factor VII deficiency is a rare hemorrhagic disorder inherited in an autosomal recessive pattern. Surgical treatment with insufficient diathesis correction is burdened with high risk of bleeding complications. The aim of the study was evaluation of the surgical outcome in patients with congenital factor VII deficiency and assessment of the efficacy and safety of recombinant activated factor VII (rFVIIa) used for perioperative hemostatic coverage in our two schemas of substitutive therapy...
May 22, 2018: Polski Przeglad Chirurgiczny
Mohit Agrawal, Sonali Bhagwat, Prashanth Rao
Background: Inguinal hernia repair has been a controversial area in surgical practice. Its complexity is reflected by the fact that numerous different procedures including both open and laparoscopic techniques are in use today. Laparoscopic totally extraperitoneal (TEP) repair is preferred over transabdominal pre-peritoneal repair as the peritoneum is not breached and also due to fewer intra-abdominal complications. This is the most elegant technique but rather difficult to perform. Aim: The purpose of this study was to describe Dulucq's technique for inguinal hernia repair and the use of three-dimensional mesh without fixation in laparoscopic TEP inguinal hernioplasty...
November 9, 2018: Journal of Minimal Access Surgery
Davide La Regina, Paolo Gaffuri, Marcello Ceppi, Andrea Saporito, Matteo Ferrari, Matteo Di Giuseppe, Francesco Mongelli
Background: Radical prostatectomy (RP) represents an important acquired risk factor for the development of primary inguinal hernias (IH) with an estimated incidence rates of 15.9% within the first 2 years after surgery. The prostatectomy-related preperitoneal fibrotic reaction can make the laparoendoscopic repair of the IH technically difficult, even if safety and feasibility have not been extensively evaluated yet. We conducted a systematic review of the available literature. Methods: A comprehensive computer literature search of PubMed and MEDLINE databases was carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines...
November 9, 2018: Journal of Minimal Access Surgery
Shunsuke Hayakawa, Tetsushi Hayakawa, Koichi Inukai, Hirotaka Miyai, Minoru Yamamoto, Hidehiko Kitagami, Yasunobu Shimizu, Moritsugu Tanaka
INTRODUCTION: Inguinal hernia repair and cholecystectomy are frequently performed in the field of gastrointestinal surgery. However, reports describing surgical procedures that involve simultaneous transabdominal preperitoneal hernia repair (TAPP) and laparoscopic cholecystectomy (LC), as well as the safety and usefulness of this combination, are limited. Herein, we report a surgical procedure involving simultaneous TAPP and LC (TAPP + LC) and present the outcomes of patients who have undergone this combined surgical procedure, with a particular focus on its safety and usefulness...
November 8, 2018: Asian Journal of Endoscopic Surgery
Ossama M Zakaria
Objectives: Contralateral inguinal exploration in pediatric unilateral inguinal hernia has been an issue of debate. Controversy still exists on whether contralateral patent processus vaginalis (CPPV) is justifiable for herniotomy. This study was conducted to investigate the hypothesis that CPPV always necessitates herniotomy. Methods: This prospective study was conducted on 200 pediatric patients aged 2-120 months old. All patients clinically diagnosed with a unilateral inguinal hernia underwent a clinical examination of both inguinoscrotal regions followed by ultrasonography to elucidate CPPV in both sides...
November 2018: Oman Medical Journal
Merritt Denham, Kara Donovan, Nicole Wetoska, Kristine Kuchta, JoAnn Carbray, John G Linn, Woody Denham, Stephen P Haggerty, Raymond Joehl, Michael Ujiki
BACKGROUND: Postoperative urinary retention (POUR) is a complication of laparoscopic inguinal hernia repair (LIHR). Previous research has identified predictive factors of POUR, such as age and history of benign prostatic hyperplasia (BPH). There is currently limited work on preventative measures. We hypothesize dexamethasone, a steroid, reduces POUR rates following LIHR due to its mechanism. METHODS: Consecutive patients (n = 979) undergoing LIHR from 2009 to 2017 at a single institution were selected from a prospectively managed database...
November 7, 2018: Surgical Endoscopy
W K J Peitsch
Purpose Laparoscopic transperitoneal endoscopic (TAPP) and totally extraperitoneal (TEP) hernia repair have been well established in primary and recurrent inguinal hernias [1]. Only few studies [2-5] evaluate the surgical outcome of patients with inguinal hernias after radical prostatectomy, using the TAPP or TEP procedure. But controversies remain including its feasibility, safety and recurrence rate. The mesh size to be used and the necessity of a complete dissection of the scared retropubic space are discussed controversially...
November 7, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Hannah Bergström, Lars-Göran Larsson, Erik Stenberg
BACKGROUND: The prevalence of perioperative surgical complications is a worldwide issue: In many cases, these events are preventable. Audio-video recording during laparoscopic surgery provides useful information for the purposes of education and event analyses, and may have an impact on the focus of the surgeons operating. The aim of the present study was to investigate how audio-video recording in the operating room during laparoscopic surgery affects the focus of the surgeon and his/her assistant...
November 6, 2018: BMC Surgery
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