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After 10 years and 1903 inguinal hernias, what is the outcome for the laparoscopic repair?
- Source :
-
Surgical endoscopy [Surg Endosc] 2002 Aug; Vol. 16 (8), pp. 1201-6. Date of Electronic Publication: 2002 May 03. - Publication Year :
- 2002
-
Abstract
- Background: The procedure of choice for inguinal hernia repair has remained controversial for decades. The laparoscopic approach has now been utilized for more than 10 years, and a significant volume of patient outcomes is now available for review.<br />Methods: The hospital and office records of 1388 patients who underwent 1903 laparoscopic inguinal hernia repairs at Atlanta Medical Center during the past 10 years were retrospectively reviewed in order to determine demographics, recurrence rate, and complications. In addition, 123 hernia repairs were prospectively studied in 71 patients during this time period in order to accurately evaluate postoperative pain and return to activity.<br />Results: Two hundred fifty-five (13.4%) hernias were recurrent and 1648 (86.6%) were primary. Five hundred and fifteen (37.1%) hernias were bilateral. The total extraperitoneal approach was utilized for 1561 (82.0%) of the 1903 repairs. The average operative time was 75.4 (14-193) minutes. Estimated blood loss was 22.0 (0-250) ml. Seventeen patients (1.2%) were converted to an open form of hernia repair. Minor complications occurred in 83 (6.0%) patients and major complications occurred in 18 (1.3%) patients.<br />Conclusions: The laparoscopic approach is a safe form of inguinal hernia repair that offers the patient a shorter and less painful recovery with an extremely low recurrence rate.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Female
Georgia
Humans
Laparoscopy adverse effects
Laparoscopy methods
Length of Stay
Male
Middle Aged
Pain Measurement
Pain, Postoperative classification
Pain, Postoperative drug therapy
Postoperative Complications etiology
Recurrence
Reoperation
Retrospective Studies
Treatment Outcome
Urinary Bladder injuries
Urinary Retention epidemiology
Blood Loss, Surgical
Hernia, Inguinal surgery
Laparoscopy statistics & numerical data
Pain, Postoperative epidemiology
Postoperative Complications epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1432-2218
- Volume :
- 16
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Surgical endoscopy
- Publication Type :
- Academic Journal
- Accession number :
- 11984685
- Full Text :
- https://doi.org/10.1007/s00464-001-8341-1