Document Detail


Laparoscopic inguinal herniorrhaphy with mesh: an 18-month experience.
MedLine Citation:
PMID:  8268504     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
One-hundred-thirty-five laparoscopic inguinal hernia repairs were performed in 110 patients over an 18 month period. In all, 75 indirect, 24 direct, 23 bilateral, 5 scrotal, and 7 recurrent hernias were repaired. Types of repairs included plug only (4%), plug and patch (19%), and large stapled patch (77%). One-hundred-six patients were male. No recurrence rates were found at 6 and 12 months postoperatively. Minimal postoperative pain was noted in nearly all cases, and disability was only 4-10 days in 96% of unilateral repairs. Patients returned to immediate unrestricted duties. The operation has evolved from a simple plug repair to a large stapled patch. Ninety-seven percent of unilateral repairs were performed in less than 80 min. Repair of recurrent hernias created less morbidity by avoidance of the old incision. Scrotal hernia repair was expedited by amputating the large sac and leaving it in place. Fifty-three percent of patients required little or no analgesics. Only four significant complications occurred in this series, including an inadvertent bladder injury, one case of persistent pain requiring conversion to open repair, one other case of dyspareunia over a plug, and one case of uncontrollable bleeding requiring a groin incision. The new technique offers minimal incision, minimal pain, and minimal disability.
Authors:
K H Wheeler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of laparoendoscopic surgery     Volume:  3     ISSN:  1052-3901     ISO Abbreviation:  J Laparoendosc Surg     Publication Date:  1993 Aug 
Date Detail:
Created Date:  1994-02-02     Completed Date:  1994-02-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9109598     Medline TA:  J Laparoendosc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  345-50     Citation Subset:  IM    
Affiliation:
Central Plains Clinic, Sioux Falls, SD.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Ambulatory Surgical Procedures / methods
Female
Hernia, Inguinal / surgery*
Humans
Laparoscopy / methods*
Male
Middle Aged
Pain, Postoperative
Postoperative Complications
Surgical Mesh

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


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