Document Detail


Bioactive prosthetic material for treatment of hernias.
MedLine Citation:
PMID:  17029169     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
HYPOTHESIS: Laparoscopic herniorrhaphy using Surgisis (Cook Surgical, Bloomington, IN, USA) mesh is an effective long-term treatment for repair of inguinal hernia. PATIENTS AND INTERVENTION: Between August 1999 and April 2005, 67 patients underwent laparoscopic inguinal hernia repair by the total extraperitoneal (TEP) mesh placement technique using Surgisis mesh. A total of 82 primary direct, indirect, pantaloon, and femoral hernias were repaired using this technique. MAIN OUTCOME MEASURES: Postoperative complications and recurrence as evaluated at two weeks, six weeks, three months, six months, one year, and yearly thereafter for up to five years. RESULTS: The operations were performed successfully on all the patients. One revision was done to an open procedure. Postoperative complications were typical of inguinal hernia surgery. Average follow up was 38 (range: 4-72, median: 35 months. Four non-technical recurrences following repair of direct hernias were reported, which indicates a 4.9% recurrence rate. No recurrences of indirect hernias were noted. CONCLUSIONS: Laparoscopic inguinal herniorrhaphy using Surgisis mesh is effective in treatment of primary inguinal hernias in adults with minimal complications and recurrence up to five years of follow up.
Authors:
David S Edelman; Jason P Hodde
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Surgical technology international     Volume:  15     ISSN:  1090-3941     ISO Abbreviation:  Surg Technol Int     Publication Date:  2006  
Date Detail:
Created Date:  2006-10-09     Completed Date:  2006-12-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9604509     Medline TA:  Surg Technol Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  104-8     Citation Subset:  IM    
Affiliation:
Laparoscopic Surgery, Baptist Health Systems, Miami, FL, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Animals
Bioprosthesis*
Equipment Design
Equipment Failure Analysis
Hernia, Inguinal / diagnosis,  surgery*
Humans
Intestinal Mucosa / transplantation*
Laparoscopy / methods*
Male
Middle Aged
Surgical Mesh*
Swine
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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