TITLE

Laparoscopic Repair of Bilateral and Recurrent Hernias

AUTHOR(S)
Frankum, Charles E.; Ramshaw, Bruce J.
PUB. DATE
September 1999
SOURCE
American Surgeon;Sep1999, Vol. 65 Issue 9, p839
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The optimal inguinal hernia repair has been controversial for decades. Since the advent of minimally invasive surgery, laparoscopic techniques have added to the controversy. Laparoscopic hernia repair has been advocated by many experts for the repair of bilateral and recurrent inguinal hernias. This study reviews the experience of a single community-based teaching hospital using the total extraperitoneal (TEP)-approach laparoscopic hernia repair for treating patients with bilateral and/or recurrent inguinal hernias. Since the TEP approach was adopted in June 1993, a total of 457 patients were treated for bilateral (322 patients) and/or recurrent (175) inguinal hernias (40 patients had recurrent and bilateral hernias). A total of 779 hernias were repaired with this technique. The average age of this patient group was 47 years, and there were 413 males and 44 females. Operative time averaged 68.3 minutes per patient, and there were 26 (5.7%) minor complications. There were 2 (0.4%) major complications, an enterotomy and a cystotomy, both early in the series and both in patients with previous lower abdominal surgery. There have been no deaths. With an average follow-up of 30 months (range, 1-60 months), there have been three (0.2%) recurrences. These recurrences were due to technical problems (inadequate mesh coverage), and each was repaired with a laparoscopic transabdominal approach or an anterior open approach. The use of the TEP-approach laparoscopic hernia repair is safe and effective in patients with recurrent and/or bilateral inguinal hernias.
ACCESSION #
2258986

 

Related Articles

  • Laparoscopic herniorrhaphy: Technical concerns in prevention of complications and early recurrence. Tucker, Jeff G.; Wilson, Russell A. // American Surgeon;Jan1995, Vol. 61 Issue 1, p36 

    Discusses technical considerations in the prevention of complications and recurrence of laparoscopic herniorrhaphy. Intra and postoperative complications; Causes of recurrence.

  • The `other side' of pediatric hernias: The role of... Rescorla, Frederick J.; West, Karen W. // American Surgeon;Aug1997, Vol. 63 Issue 8, p690 

    Discusses the role of nonpuncture laparoscopy performed through the symptomatic hernia sac in identifying a contralateral patent processus vaginalis (CPPV) in neonates neonates, infants and children. Materials and methods used in the study;Technique of nonpuncture laparoscopy; Incidence of CPPV...

  • Comparison of Laparoscopic and Open Ventral Herniorrhaphy. Ramshaw, Bruce J.; Esartia, Playton // American Surgeon;Sep1999, Vol. 65 Issue 9, p827 

    The repair of large and/or recurrent ventral hernias is associated with significant complications and a recurrence rate that can be more than 50 per cent. Laparoscopic ventral herniorrhaphy, a recent development, has been shown to be safe and effective in the repair of ventral hernias. This...

  • The critical technical aspects of laparoscopic repair of ventral and incisional hernias. Leblanc, Karl A.; LeBlanc, K A // American Surgeon;Aug2001, Vol. 67 Issue 8, p809 

    Several authors have revealed the utility of the laparoscopic approach to hernia defects that involve the ventral surface of the abdominal wall. The results of these series have been favorable. These authors all have recognized that appropriate sizing and fixation are important components of...

  • Crucial anatomic lessons for laparoscopic herniorrhaphy. Brick, Wendy G.; Colborn, Gene L. // American Surgeon;Feb1995, Vol. 61 Issue 2, p172 

    Evaluates the feasibility of using embalmed and unembalmed human cadavers in the study of the anatomy of laparascopic herniorrhaphy. Advantages of using embalmed cadaver for study; Nerves and vessels of the inguinal region, that can be injured in the laparoscopic approach to herniorrhaphy;...

  • Comment to: First laparoscopic totally extraperitoneal repair of Laugier's hernia: a case report. Ates M, Dirican A, Kose E, Isik B, Yilmaz S. Hernia 2013; 17:121-123. Berney, C. // Hernia;Aug2013, Vol. 17 Issue 4, p551 

    A letter to the editor is presented in response to the article "First laparoscopic totally extraperitoneal repair of Laugier's hernia: a case report," by Dirican M. Ates in the 2013 issue.

  • What should be the correct indications for laparoscopic inguinal hernia repair? Peitsch, Werner; Peitsch, Werner K J // Surgical Endoscopy;Jul2014, Vol. 28 Issue 7, p2250 

    A response from the author of the article "A modified laparoscopic hernioplasty (TAPP) is the standard procedure for inguinal and femoral hernias: a retrospective 17-year analysis with 1,123 hernia repairs" is presented.

  • Laparoscopic repair of recurrent ventral hernias. Costanza, Michael J.; Heniford, B. Todd; Arca, Marjorie J.; Mayes, James T.; Gagner, Michel // American Surgeon;Dec1998, Vol. 64 Issue 12, p1121 

    Evaluates efficacy of laparoscopic surgery for recurrent ventral hernias. Cellulitis and skin breakdown as complications of the approach; Factors contributing to incisional hernias; Goals of an effective ventral hernia repair; Disadvantages of other surgical techniques for hernia repair;...

  • Prospective Comparison between Laparoscopic Preperitoneal Herniorrhaphy and Open Mesh Herniorrhaphy. Smith, Jeffrey R.; Demers, Marc L.; Pollack, Robert; Gregory, Susan // American Surgeon;Feb2001, Vol. 67 Issue 2, p115 

    Controversy persists regarding the most effective inguinal hernia repair. The purpose of this study is to compare the complications, charges, patient satisfaction, and recovery time between laparoscopic (LH) and open mesh herniorrhaphy (OH). A nonrandomized prospective analysis of 233...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics