2020
DOI: 10.1590/0102-672020200002e1519
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Abstract: Background: Laparoscopic best approach of repairing inguinoscrotal hernias are still debatable. Incorrect handling of the distal sac can possibly result in damage to cord structures and negative postoperative outcomes as ischemic orquitis or inguinal neuralgia. Aim: To describe a new technique for a minimally invasive approach to inguinoscrotal hernias and to analyze the preliminary results of patients undergoing the procedure. Methods: A review of a prospectively maintained database was conducted in patient… Show more

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Cited by 14 publications
(10 citation statements)
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References 19 publications
(22 reference statements)
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“…4,24 The most common type of groin hernia in females is the indirect inguinal hernia, which corresponds to two-thirds to three-quarters of all groin hernias. 2,4,[24][25][26] This is followed by femoral hernia, and direct inguinal hernia. One-quarter of females had bilateral groin hernia at the time of herniorrhaphy.…”
Section: Discussionmentioning
confidence: 99%
“…4,24 The most common type of groin hernia in females is the indirect inguinal hernia, which corresponds to two-thirds to three-quarters of all groin hernias. 2,4,[24][25][26] This is followed by femoral hernia, and direct inguinal hernia. One-quarter of females had bilateral groin hernia at the time of herniorrhaphy.…”
Section: Discussionmentioning
confidence: 99%
“…Whether dissecting completely the sac or abandon the distal part it results in less postoperative seromas is an ongoing debate 7,12 . We feel however that for most cases transection of those huge sacs is safer than over-dissection of the cord structures and possible devascularization of the testicle and/or hematoma 6,9 . It is important to make the decision as early as possible in the procedure whether to dissect the sac completely or whether to transect it, so that unnecessary over the dissection of the testicular vessels…”
Section: Updatementioning
confidence: 93%
“…Studies have shown that chronic pain rates after MIS inguinal repair are lower than those after open inguinal repairs [36,37] . The main advantage of endoscopic repair on reducing chronic pain is avoiding nerve dissection for mesh implantation and avoiding traumatic fixation.…”
Section: Robotic Mesh Explantationmentioning
confidence: 99%