Management of indirect inguinal hernias by laparoscopic closure of the neck of the sac

Ger, Ralph; Monroe, Keith; Duvivier, Robbert; Mishrick, Abdallah

doi:10.1016/s0002-9610(05)81273-5

Cited by 258 publications

(92 citation statements)

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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.…”

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

355

164

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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

355

164

View full text Add to dashboard Cite

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“…Preperitoneal placement of mesh as advocated by Cheatle and later approved by Stoppa was further explored by Ger by laparoscopic approach. 5 The concept of preperitoneal approach to repair especially for groin hernia was described by Annadale, Stoppa implanted an impermeable mesh barrier around the entire peritoneal bag demonstrating that the repair does not require closure of the defect per se. In stoppa procedure, the mesh is held in place by intra-abdominal pressure an application of hydrostatic principle of Pascal.…”

Section: Discussionmentioning

confidence: 99%

Clinical study of prolene hernia system in inguinal hernia repair

Obaid¹,

Quazi²

2017

Int Surg J

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INTRODUCTIONLichtenstein was first to coin the term "tension-free hernioplasty" in his book "Hernia repair without disability".1 All direct, indirect and recurrent adult hernias can be repaired by this procedure. The most important of all advantages of the Lichtenstein repair is the dramatically low recurrence rate, ease of operative technique and low infection rate.2 But Wantz warns in his study titled as "Experience with tension-free hernioplasty for primary inguinal hernias in men" that though this procedure produces excellent results, the prolene mesh does not cover the entire myopectineal orifice (MPO) and therefore is inadequate to prevent a femoral hernia. He also states that incomplete covering of MPO by the mesh may in future predispose to direct herniation from below ABSTRACT Background: Lichtenstein was first to coin the term "tension-free hernioplasty" in his book "Hernia repair without disability". All direct, indirect and recurrent adult hernias can be repaired by this procedure. The objective of this study was to determine the feasibility of using the prolene (polypropylene) hernia system for open tension-free repair on inguinal hernias. Methods: During period of 2 years, 42 patients were subjected to prolene hernia. Of these 42 patients, 3 patients underwent bilateral repair. Thus, in all 45 inguinal hernias were repaired. The median age of patients in our study was 57 years. In our study majority hernias were indirect inguinal hernias (47.61%). Nineteen (45.23%) hernias were of direct type while 2 (4.76%) pantaloon and 1 recurrent inguinal hernias. Out of the 42 patients, 16 were operated under local anesthesia while 17 patients operated under spinal anesthesia. Maximum hernias were Gilbert's type III hernias. Results: The duration of surgery averaged 35 min (range 20-90 min). There were no postoperative deaths. Two out of 42 patients developed local infection at wound site. Wound seroma was found in 3 patients but subsided by giving antibiotics and patients were discharged as per routine protocol. 2 patients (4.76%) developed mild pain in testicular region which subsided with non-steroidal anti-inflammatory drugs. One patient (2.38%) in our series had pain in operative region that lasted for more than one month, only non-steroidal analgesics sufficed to deal with this problem and no patient complained of pain after 2 months of surgery. No patient in our series developed late infection or testicular atrophy. No recurrence was noted during the period of follow-up. This was consistent with the result of other series performed worldwide. Most of the patients in our study (18 patients i.e. 42.87%) were discharged on 3rd postoperative day. One patient had mild neuralgia up to maximum of 2 months in the follow up period which subsided with analgesics. No recurrence was seen in the follow up period. Conclusions: The prolene hernia system is a novel approach in the management of inguinal hernias, with encouraging initial results. Its long-term efficacy needs to be studied with larger, prospective double...

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“…6,8 Ger reported the first instance of laparoscopic hernia repair by approximating the internal ring by stainless steel clips in 1982. 9 The novel approach of laparoscopic trans-abdominal pre peritoneal mesh repair introduced by Arregui and Dion in the early 1990s was a revolutionary concept in hernia repair. 10,11 Laparoscopic technique has the advantage of less postoperative pain and lesser duration of hospital stay and more cosmesis.…”

mentioning

confidence: 99%

A clinical study of inguinal hernia with special reference to laparoscopic trans-abdominal pre peritoneal repair

Singh¹,

Prakash²,

Singh

2016

Int Surg J

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Background:Hernia may be generally defined as the protrusion of an abdominal viscus outside the abdominal cavity through a natural or acquired defect. Latin meaning of the word “hernia” is tear or rupture. A Clinical study on inguinal hernia is undertaken to assess the incidence of inguinal hernia in relation to age, gender and occupation, the different types and modes of clinical presentation of patients, the management of patients with special consideration to laparoscopic (TAPP) repair, to evaluate the operating time, pre-operative and post-operative complications, duration of hospital stay, time taken for recovery, recurrence rate and limitations with respect to laparoscopic TAPP repair.Methods: This is a prospective study of 54 cases of inguinal hernia admitted and underwent surgery for inguinal hernia in Department of General Surgery in Guwahati Medical College and Hospital during the study period of August 2014 to July 2015.Results:The highest number of cases presenting with inguinal hernia were over 45 years and it was more common in males which constituted 96.3 percent of cases. It is more common on right side and indirect hernia is more common than direct hernia. The major possible risk factors are smoking and strenuous work. The commonest presenting mode was swelling followed by swelling with pain. The mean time taken for TAPP was 91.85±15.85 minutes and the median time was 87.50 minutes. There were no intra operative (neurovascular, visceral) complications in any of the patient and there was no conversion to open surgery. There was no mortality in present study and none of the patient had any testicular complication.Conclusions:Laparoscopic hernia repair is associated with steep learning curve for surgeons and is more costly both to patients and health care system in the present scenario. Laparoscopic TAPP hernia repair is found to have encouraging results which is a safe and viable option for repair of inguinal hernia with less postoperative pain and discomfort, improved cosmesis, less post-operative complications and early return to work.

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Management of indirect inguinal hernias by laparoscopic closure of the neck of the sac

Cited by 258 publications

References 0 publications

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

Clinical study of prolene hernia system in inguinal hernia repair

A clinical study of inguinal hernia with special reference to laparoscopic trans-abdominal pre peritoneal repair

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