Laparoscopic inguinal hernia repair

Schultz, C.; Baća, I.; Götzen, V.

doi:10.1007/s004640000376

Cited by 63 publications

(53 citation statements)

References 15 publications

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“…Inexperienced surgeons and poor patient selection are the only factors which may contribute to an increase in the number of serious complications such as intestinal or vascular lesions. The major role played by the extent of the surgeon’s experience is clearly seen in the considerably shorter operating times and the lower morbidity noted in large series from specialized centers [46, 47, 48, 49, 50, 51, 52, 53, 54, 55]. …”

Section: Discussionmentioning

confidence: 99%

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Endoscopic Inguinal Hernia Repair in Comparison with Shouldice and Lichtenstein Repair

Schmedt¹,

Leibl²,

Bittner³

2002

Dig Surg

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Aims: This article provides an overview of randomized studies which compare endoscopic hernia repair techniques (TAPP/TEP) with the Shouldice and Lichtenstein repair. Methods: Systematic analysis of 33 published studies which meet the criteria of a randomized controlled trial with a high evidence level. Results: The majority of the studies document statistically significant advantages of the endoscopic repair techniques in relation to wound pain (15/22), need for analgesics (16/21), return-to-work time (16/22) and physical activity (18/25), although only one study showed significant advantages of the Lichtenstein method. Six of 28 studies showed a lower morbidity in comparison to open approaches, although 22 of 28 studies documented no significant difference. The first long-term studies with follow-up periods between 5 and 6 years also show advantages of the endoscopic techniques. Conclusion: Even with cautious interpretation of the data, it is clear that endoscopic techniques are more comfortable for patients and that morbidity is no higher than for open procedures. Due to the short follow-up periods final evaluation regarding long-term complications and recurrence is not yet possible.

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Section: Discussionmentioning

confidence: 99%

“…Also concerning recurrence rates the operating surgeon with his/her experience and manual dexterity is the major influencing factor. Specialized clinics show recurrence rates under 1% for each of the operating techniques after repair of primary inguinal hernia [46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57]. …”

Section: Discussionmentioning

confidence: 99%

Endoscopic Inguinal Hernia Repair in Comparison with Shouldice and Lichtenstein Repair

Schmedt¹,

Leibl²,

Bittner³

2002

Dig Surg

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“…2,3 Both the mesh composition and method of fixation have been implicated in the development of infection. 4 The decreased infection rates seen with laparoscopic repair may relate to the smaller incisions that are not over the mesh fixation sites, minimal tissue handling and improved haemostasis.…”

Section: Discussionmentioning

confidence: 99%

Delayed laparoscopic mesh infection presenting as an abdominal mass

Williamson

Newman

Armstrong

2015

annals

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A 56-year-old man presented with a delayed mesh infection 8 years following an elective laparoscopic totally extraperitoneal (TEP) bilateral hernia repair. Sterile pus was drained percutaneously as a temporising measure prior to removal of the righthand mesh; the left-sided mesh was adherent to the femoral vessels and minimally contaminated. Delayed mesh infection is a rare occurrence. This case is the fourth example and the longest following initial operation. Removal of the infected mesh is advocated.

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“…Dabei handelt es sich jedoch meist um Verlaufsbeobachtungen oder Multizenterstudien mit einer mittleren Nachuntersuchungszeit von bis zu zwei Jahren [1,5,7,8,10,11,15,17,19,31,36].…”

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