Document Detail

Totally extraperitoneal (TEP) hernia repair after an original TEPIs it safe, and is it even possible?
MedLine Citation:
PMID:  14752649     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: There are only scant published reports of totally extraperitoneal (TEP) repair of recurrence after a primary TEP procedure. Furthermore, at least two authors have made the statement that such an operation is virtually impossible. METHODS: We have been performing TEP repair of recurrence after TEP since we 1996, and here we present a retrospective review of our experience with the procedure. We employ a method not varying greatly from the standard TEP done for primary hernia. RESULTS: All cases were started laparoscopically, and only one of 20 had to be converted to open. Of these cases, 12 were for same-side recurrence and eight for a contralateral new hernia. With a follow-up of 28-74 months, there have been no fatalities, no complications, and no re-recurrence. CONCLUSION: We have found that TEP repair of recurrent inguinal hernia after a primary TEP repair is entirely feasible technically as well as entirely safe.
G S Ferzli; K Shapiro; S V DeTurris; P Sayad; S Patel; A Graham; G Chaudry
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Review     Date:  2004-02-02
Journal Detail:
Title:  Surgical endoscopy     Volume:  18     ISSN:  1432-2218     ISO Abbreviation:  Surg Endosc     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-04-21     Completed Date:  2004-08-25     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  526-8     Citation Subset:  IM    
Department of Surgery, Staten Island University Hospital, 65 Cromwell Avenue, Staten Island, NY 10304, USA.
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MeSH Terms
Aged, 80 and over
Hernia, Inguinal / surgery*
Laparoscopy / adverse effects,  methods*
Middle Aged
Reoperation / adverse effects
Retrospective Studies
Tissue Adhesions / surgery
Treatment Outcome

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

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