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TEP hernia repair

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https://www.readbyqxmd.com/read/28808824/gasless-single-incision-laparoscopic-inguinal-hernia-repair-initial-experience
#1
M W V Ng, K C Ng
PURPOSE: Laparoscopic hernioplasty has been gaining its popularity in the past decade for its rapid recovery. Single-incision surgery, as its possible advancement, has also received more attention. Traditional laparoscopic surgery with carbon dioxide insufflation precluded patients with underlying cardiovascular or pulmonary disease from minimal invasive surgery. We report our early experience with gasless single-incision laparoscopic inguinal hernia repair via totally extraperitoneal (TEP) approach...
August 14, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28791478/bilateral-totally-extraperitoneal-tep-repair-of-the-ultrasound-diagnosed-asymptomatic-contralateral-inguinal-hernia
#2
Phillip A Malouf, Joseph Descallar, Christophe R Berney
BACKGROUND: The aim of this series is to determine the clinical utility of routine ultrasound (US) of the contralateral, clinically normal groin when a unilateral inguinal hernia is referred for hernia repair-specifically assessing the morbidity and short-term change in quality-of-life (QoL) due to repair of this occult contralateral hernia when also repairing the symptomatic side. TEP inguinal hernia repair affords the opportunity to repair any groin hernia through the same small incisions...
August 8, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28752424/factors-associated-with-hernia-recurrence-after-laparoscopic-total-extraperitoneal-repair-for-inguinal-hernia-a-2-year-prospective-cohort-study
#3
L Schjøth-Iversen, A Refsum, K W Brudvik
BACKGROUND: Laparoscopic total extraperitoneal repair (TEP) of inguinal hernia has been associated with higher rates of recurrence compared to open methods. The aim of the present study was to determine independent risk factors for recurrence within 2 years after TEP. METHODS: This was a single-centre prospective cohort study with consecutive inclusion of patients undergoing inguinal hernia repair from 2010 to 2014. Systematic follow-up was conducted 6 months and 2 years postoperatively...
July 27, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28733728/totally-extraperitoneal-approach-for-ventral-hernia
#4
Sante Capitano
BACKGROUND: In open surgery, extraperitoneal sublay mesh implantation is generally preferred to intraperitoneal placement, following the same principles as in "giant prosthetic reinforcement of the visceral sac" described for inguinal hernia repair [1, 2]. Miserez and Penninckx in 2002 described an endoscopic totally preperitoneal ventral hernia repair in a small cohort of 15 cases [3]. Unfortunately, this technique has not spread, probably because of the technical difficulties that require, but not for effectiveness...
July 21, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28727632/a-prospective-randomized-controlled-trial-comparing-quality-of-life-following-endoscopic-totally-extraperitoneal-tep-versus-open-stoppa-inguinal-hernioplasty
#5
Jitendra K Kushwaha, Loreno E Enny, Akshay Anand, Abhinav A Sonkar, Awanish Kumar, Harvinder S Pahwa
In inguinal hernia surgery, quality of life (QOL) has emerged as a striking issue. Evidence suggests better QOL of patients operated with laparoscopic procedure as compared with open anterior hernia repairs. However data are scarce with relation to open posterior repair in terms of QOL issues. A prospective randomized single-blind study from November 2014 to October 2015 including all patients who underwent elective primary endoscopic [totally extraperitoneal (TEP)] or open Stoppa inguinal hernia repair was undertaken...
August 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/28701857/laparoscopic-single-site-inguinal-hernia-repair-using-a-self-fixating-mesh
#6
Alfredo D Guerron, Hui-Jie Lee, Jin Yoo, Keri Seymour, Ranjan Sudan, Dana Portenier, Chan Park
BACKGROUND AND OBJECTIVES: Every year ∼20 million inguinal hernia repairs are completed worldwide. Increased patient access to medical information and education has elicited interest in minimally invasive surgical techniques that obtain improved surgical outcomes and cosmesis. Because of these factors, there is a growing interest in single-incision surgery. Laparoscopic totally extraperitoneal (TEP) single-incision hernia repair technique has been reported with different meshes used in a tack fixation system...
January 2017: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/28698899/methodical-endoscopic-repair-of-congenital-indirect-inguinoscrotal-hernia-in-adult-male-patients-with-completely-patent-processus-vaginalis
#7
C R Berney
PURPOSE: Indirect inguinal hernia related to the presence of a patent processus vaginalis (PPV) in adult is estimated to be around 15%. Most surgeons would favor a standard anterior hernioplasty to minimize the potential risk of damaging the spermatic cord structures that are always intimately fused to the congenital peritoneal sac. This also means overlooking the potential benefit of alternative posterior techniques such as endoscopic totally extraperitoneal (TEP) repair that is known to offer faster recovery with reduced risk of developing chronic groin pain...
July 11, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28695883/single-incision-multiport-versus-conventional-laparoscopic-inguinal-hernia-repair-a-matched-comparison
#8
Subbiah Rajapandian, Chittawadagi Bhushan, Sandeep C Sabnis, Manish Jain, Palanivelu Praveen Raj, Ramakrishnan Parathasarthi, Palanisamy Senthilnathan, Chinnusamy Palanivelu
BACKGROUND: The popularity of single-incision procedures is on the rise as wound cosmesis is increasingly being seen as an important body image-related outcome. In this study, we assess the potential benefits of single-incision multiport laparoscopic totally extra-peritoneal (S-TEP) without using specialised ports or instruments and compare the same with the conventional laparoscopic TEP (C-TEP) surgery in terms of operative time, post-operative pain, complications, cost and cosmesis...
July 7, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28643054/a-structured-extended-training-program-to-facilitate-adoption-of-new-techniques-for-practicing-surgeons
#9
Jacob A Greenberg, Sally Jolles, Sarah Sullivan, Sudha Pavuluri Quamme, Luke M Funk, Anne O Lidor, Caprice Greenberg, Carla M Pugh
INTRODUCTION: Laparoscopic inguinal hernia repair has been shown to have significant benefits when compared to open inguinal hernia repair, yet remains underutilized in the United States. The traditional model of short, hands-on, cognitive courses to enhance the adoption of new techniques fails to lead to significant levels of practice implementation for most surgeons. We hypothesized that a comprehensive program would facilitate the adoption of laparoscopic inguinal hernia repair (TEP) for practicing surgeons...
June 22, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28616709/a-simplified-surgical-technique-for-recurrent-inguinal-hernia-repair-following-total-extraperitoneal-patch-plastic
#10
P Knyazeva, P F Alesina, P Stadelmeier, M Anaya-Cortez, M K Walz
PURPOSE: To present a new and alternative method for surgical treatment of recurrent inguinal hernia after total extraperitoneal patch plastic (TEP). METHODS: From January 2005 to September 2015, 35 patients (34 male, 1 female; mean age 65 ± 12.6 years) with recurrent inguinal hernia following TEP were operated at the Kliniken Essen-Mitte using a simplified method consisting of re-fixation of the primary mesh to the inguinal ligament by an anterior approach...
June 14, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28590360/laparoscopic-total-extraperitoneal-tep-inguinal-hernia-repair-using-3-dimensional-mesh-without-mesh-fixation
#11
Tolga Aliyazicioglu, Tunc Yalti, Burcak Kabaoglu
BACKGROUND: Approximately one fifth of patients suffer from inguinal pain after laparoscopic total extraperitoneal (TEP) inguinal hernia repair. There is existing literature suggesting that the staples used to fix the mesh can cause postoperative inguinal pain. In this study, we describe our experience with laparoscopic TEP inguinal hernia surgery using 3-dimensional mesh without mesh fixation, in our institution. MATERIALS AND METHODS: A total of 300 patients who had undergone laparoscopic TEP inguinal hernia repair with 3-dimensional mesh in VKV American Hospital, Istanbul from November 2006 to November 2015 were studied retrospectively...
August 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/28446927/the-experience-and-awareness-of-laparoendoscopic-procedures-among-polish-surgeons-in-everyday-clinical-practice
#12
Kryspin Mitura, Stanisław Dąbrowiecki, Maciej Śmietański, Andrzej Matyja
INTRODUCTION: In 2012, a total of 56 647 inguinal hernia repairs were performed in Poland. However, the absence of a uniform hernia repair register obscures the current herniology status in Poland, especially regarding laparoendoscopic procedures. AIM: To determine the awareness of laparoendoscopic procedures among Polish surgeons and to ascertain their everyday clinical practice. MATERIAL AND METHODS: The data were collected at the national hernia conference in 2016, during an interactive session for surgeons with a special interest in herniology...
2017: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/28425686/if-time-matters-a-multicenter-review-of-minimally-invasive-hernia-repair-in-7176-cases
#13
Kai Witzel, Michael Weitzendorfer
BACKGROUND: In endoscopic hernia repair totally extraperitoneal approach (TEP) and transabdominal preperitoneal approach (TAPP) are seen as equivalent surgical techniques in quality, but not in procedure-time. METHODS: We compared the two most common procedures in endoscopic hernia surgery. Focusing on the duration of the surgical procedure, we analyzed 7176 endoscopic hernia operations in 25 hospitals retrospectively and compared it to the literature. RESULTS: In our study TEP (N...
October 2017: Minerva Chirurgica
https://www.readbyqxmd.com/read/28417279/tackers-versus-glue-mesh-fixation-an-objective-assessment-of-postoperative-acute-and-chronic-pain-using-inflammatory-markers
#14
W Liew, Y Y Wai, N R Kosai, H S Gendeh
PURPOSE: Laparoscopic hernioplasty has become a popular choice for inguinal hernia repair since its advent in 1990s. Postoperative pain is an undesirable clinical outcome impairing daily activity of 22.5% of patients. The aim of this study is to evaluate postoperative acute and chronic pain via inflammatory markers as an objective assessment following tacks or glue mesh fixation in TEP repair. METHODS: Sixty-six (66) patients with unilateral uncomplicated inguinal hernia were randomized into 34 patients in the tacker and 32 patients in cyanoacrylate glue mesh fixation in TEP repair...
August 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28342126/learning-curve-takes-65-repetitions-of-totally-extraperitoneal-laparoscopy-on-inguinal-hernias-for-reduction-of-operating-time-and-complications
#15
Fábio Yuji Suguita, Felipe Futema Essu, Lucas Torres Oliveira, Leandro Ryuchi Iuamoto, Juliana Mika Kato, Matheus Beloni Torsani, André Silva Franco, Alberto Meyer, Wellington Andraus
BACKGROUND: Inguinal hernia repair is one of the most frequently conducted surgical procedures worldwide. Totally extraperitoneal (TEP) hernioplasty has shown many advantages over traditional open surgery. However, because of increased surgical complexity, it requires more practice to achieve optimal results. OBJECTIVES: The aim of this study is to evaluate the learning curve for TEP hernioplasty, analysing parameters related to the mean operating time. The secondary objective is to assess the complications and early discharge rates related to this procedure...
March 24, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28337532/transition-from-laparoscopic-totally-extraperitoneal-inguinal-hernia-repair-to-robotic-transabdominal-preperitoneal-inguinal-hernia-repair-a-retrospective-review-of-a-single-surgeon-s-experience
#16
Omar Yusef Kudsi, Justin C McCarty, Nivedh Paluvoi, Allan S Mabardy
BACKGROUND: There is a paucity of literature comparing laparoscopic to robotic inguinal hernia repair. We present a single surgeon's transition from laparoscopic totally extraperitoneal (L-TEP) to robotic transabdominal preperitoneal (R-TAPP) inguinal hernia repair and compare outcomes from the two approaches. METHODS: This retrospective review and analysis of prospectively collected data compare outcomes during the transition from L-TEP to R-TAPP inguinal hernia repair by a single surgeon at one institution...
September 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28331144/totally-extraperitoneal-tep-removal-of-an-infected-mesh-by-laparoscopy-after-open-preperitoneal-repair-initial-case-report
#17
Naoto Chihara, Keisuke Mishima, Hideyuki Suzuki, Masanori Watanabe, Tetsutaka Toyoda, Eiji Uchida
Prosthetic mesh infection after open or laparoscopic hernia repair is a rare complication. Superficial wound infection can be resolved by treatment with a combination of antibiotics and wound drainage, whereas deep-seated mesh infection, which can lead to chronic groin sepsis, usually requires removal of the mesh. A 56-year-old Japanese man was admitted to our hospital for the treatment of deep-seated mesh infection. The patient had undergone inguinal hernia repair at another hospital 18 months earlier. The operation was prosthetic mesh repair via an anterior approach...
2017: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
https://www.readbyqxmd.com/read/28296629/mini-totally-extra-peritoneal-repair-of-inguinal-hernia-with-all-5%C3%A2-mm-ports-an-innovative-555-technique
#18
Manish K Gupta, Kiran Kumar Muley, Murali Krishna Bethanbhatla, Juhil D Nanavati, Kumar Manish, Rathindra Sarangi
BACKGROUND: Totally extra-peritoneal (TEP) repair of inguinal hernia is now a standard surgical technique. A 12 mm incision in infra-umbilical region for Hasson trocar is must for TEP repair of inguinal hernia. This is the only technique known to laparoscopic surgeons. We have innovated a "555 Technique" for completing Mini TEP repair of inguinal hernia by using all three 5 mm ports. METHODS: Sixty-one consecutive patients were subjected for TEP repair of inguinal hernia by our innovative "555 Technique" since October 2014...
March 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28272716/efficacy-and-safety-of-nbca-n-butyl-2-cyanoacrylate-medical-adhesive-for-patch-fixation-in-totally-extraperitoneal-prosthesis-tep-a-prospective-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Y-M Shen, Y-T Liu, J Chen, L Sun
OBJECTIVE: To evaluate the effectiveness of n-butyl-2-cyanoacrylate (NBCA) medical adhesive for mesh fixation in totally extraperitoneal prosthesis (TEP) for inguinal hernia repair. PATIENTS AND METHODS: A total of 160 patients with primary unilateral inguinal hernia were assigned randomly to receive TEP using NBCA medical adhesive for patch fixation (experimental group) and without patch fixation (control group). We evaluated operation time, visual analogue scale (VAS) pain score 24 h after surgery, postoperative duration of stay, hospital costs, postoperative complications, and hernia recurrence...
February 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/28258383/-retracted-article-new-worldwide-guidelines-for-treatment-of-inguinal-hernia-the-most-important-recommendations-from-herniasurge
#20
D Weyhe
No abstract text is available yet for this article.
July 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
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