Laser Laparoscopic Herniorraphy: A Clinical Trial Preliminary Results

Schultz, Leonard S.; Graber, John N.; Pietrafitta, Joseph J.; Hickok, David F.

doi:10.1089/lps.1990.1.41

Cited by 234 publications

(75 citation statements)

References 1 publication

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“…10 The first reported use of prosthetic mesh for laparoscopic inguinal hernia repair was in 1991. 11,12 Laparoscopic approaches allow hernia repair without the need to open the abdominal wall. Instead, small incisions are made for the operating instruments and for a laparoscope.…”

Section: Laparoscopic Techniquesmentioning

confidence: 99%

Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation

McCormack

Wake²,

Perez³

et al. 2005

Health Technol Assess

358

169

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Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £300 per volume. Please see our website for details. Subscriptions can only be purchased for the current or forthcoming volume. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. This report is dedicated to the memory of our friend and colleague Bev Wake. HTA Published April 2005This report should be referenced as follows: NHS R&D HTA ProgrammeT he research findings from the NHS R&D Health Technology Assessment (HTA) Programme directly influence key decision-making bodies such as the National Institute for Clinical Excellence (NICE) and the National Screening Committee (NSC) who rely on HTA outputs to help raise standards of care. HTA findings also help to improve the quality of the service in the NHS indirectly in that they form a key component of the 'National Knowledge Service' that is being developed to improve the evidence of clinical practice throughout the NHS.The HTA Programme was set up in 1993. Its role is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care.The HTA programme commissions research only on topics where it h...

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Section: Laparoscopic Techniquesmentioning

confidence: 99%

Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation

McCormack

Wake²,

Perez³

et al. 2005

Health Technol Assess

358

169

View full text Add to dashboard Cite

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“…Laparoscopic inguinal hernia repair took hold as a reliable means of herniorrhaphy in the early 1990s, propelled by the findings of Shuthe et al 1) . According to data obtained through the 12th questionnaire-based survey of endoscopic surgeons conducted by the Japan Society for Endoscopic Surgery in 2014 2) , the number of mesh-based laparoscopic transabdominal preperitoneal (TAPP) hernia repairs performed in Japan increased dramatically from 12 in 1990 to 5748 in 2013.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Inguinal Hernia Repair at Toyoko Hospital—A Non-inferiority Study

Sasaki

Noda

Shimada

et al. 2016

J St. Marianna Univ

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We conducted a retrospective, single-center study to test our notion that laparoscopic transabdominal preperitoneal (TAPP) mesh repair of inguinal hernia is not inferior to open repair via anterior approach. Patient characteristics and short-term treatment outcomes were compared between 142 patients with 153 defects treated by TAPP repair between January 2010 and December 2015 and 100 patients with 104 defects treated by open anterior repair between September 2008 and December 2015. Patients in the TAPP group were significantly younger than patients in the open repair group. Operation time was significantly longer in the TAPP group at 102.8 minutes, but the blood loss volume did not differ significantly between the 2 groups. Conversion from TAPP repair to open repair was necessary for 6 patients, and this was because of adhesions found intraoperatively in all 6. Significantly fewer postoperative analgesics were used by patients in the TAPP group. Hydrocele occurred as a postoperative complication in both groups, and postoperative recurrence was observed in 2 patients in the TAPP group, but the complication rate did not differ significantly between the 2 groups. Although the TAPP procedure lengthened the repair time, the absence of a significant difference in postoperative complications confirms that TAPP repair compares favorably with open anterior repair.

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“…Diversos tipos de procedimentos foram descritos, como o fechamento simples do anel inguinal interno nas hérnias indiretas 12 e a oclusão do anel inguinal interno com tampão ("plug") de tela 13 . Foram abandonados devido ao elevado índice de recidiva 14 , muito superior à correção pela via convencional, cujos índices não ultrapassam 2%.…”

Section: Introductionunclassified

O uso da prótese na correção das hérnias da parede abdominal é um avanço, mas o seu uso indiscriminado, um abuso

Minossi¹,

Silva

Spadella³

2008

Rev. Col. Bras. Cir.

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A hérnia da parede abdominal é uma entidade clínica de elevada prevalência, tanto na população adulta como infantil 1 , estimada entre 3% a 8%, sendo cinco a seis vezes mais comum no sexo masculino. Cerca de 75% de todas as hérnias ocorrem na região inguinal. As hérnias incisionais e ventrais representam aproximadamente 10% de todas as hér-nias e as femorais, apenas 3%. As hérnias incomuns são responsáveis por 5% a 10% dos casos restantes.A hérnia e seu reparo cirúrgico são um capítulo extensamente estudado e de profundo interesse por parte dos cirurgiões 2 . As correções estão muito distantes de um consenso entre os cirurgiões, havendo muitas divergências mesmo entre as grandes escolas médicas.O marco na correção das hérnias deve ser atribuído a Edoardo Bassini (1844 -1924) : aproximação e sutura, em tripla camada, do músculo oblíquo interno, transverso e fáscia transversal ao ligamento inguinal. Bassini já realizava abertura ampla da fáscia transversal em toda sua extensão, antes de se efetuar a sutura do assoalho inguinal 6 . Shouldice apenas disciplinou a técnica original de Bassini, ao realizar a sutura estratificada em vários planos.Mais recentemente, se popularizou a abordagem posterior pré-peritoneal das hérnias inguinais, revivida e preconizada por Nyhus (epônimo: operação de Nyhus 7 ). Na década de 90, houve modificações revolucionári-as no tratamento das hérnias inguinais. A introdução do conceito de herniorrafia com livre tensão deu espaço aos reparos baseados na colocação de telas (Lichtenstein, "Mesh Plug", Nyhus e reparo laparoscópico).A partir de 1946, após estudos experimentais, foi introduzido na prática médica o uso de próteses metálicas, como o tântalo e, posteriormente, o aço inoxidável. A fragmentação destes materiais, no entanto, com risco de penetração em vasos e nervos, e a eventual migração destes para outras partes do organismo, limitou o uso desta técnica, encorajando pesquisas com outros materiais, como o náilon, o polietileno, o polivinil, o dácron e o téflon. Esses materiais, todavia, associaram-se a um maior índice de infecção e rejeição. O polipropileno monofilamentar, material inerte com baixo índi-ce de infecção e fistulização, é o material preferido pela maioria dos cirurgiões.As próteses, tanto biológicas como artificiais, foram inicialmente utilizadas para apoiar um reforço realizado pela técnica convencional. O cirurgião, ao não se convencer da resistência do reforço, optava por complementá-lo usando uma prótese. Esta conduta, portanto, era excepcional 8 . Na década de 60, chamava-se à atenção para o risco de recidiva da hérnia, caso a sutura fosse feita sob muita tensão, mesmo com o uso de prótese. Para eliminar a tensão local, Usher et al., 1960, preconizaram a utilização da prótese,

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Laser Laparoscopic Herniorraphy: A Clinical Trial Preliminary Results

Cited by 234 publications

References 1 publication

Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation

Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation

Laparoscopic Inguinal Hernia Repair at Toyoko Hospital—A Non-inferiority Study

O uso da prótese na correção das hérnias da parede abdominal é um avanço, mas o seu uso indiscriminado, um abuso

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