Minilaparoscopic Technique for Inguinal Hernia Repair Combining Transabdominal Pre-Peritoneal and Totally Extraperitoneal Approaches

Carvalho, Gustavo; Loureiro, Marcelo; Bonin, Eduardo A.; Claus, Christiano P.; Silva, Frederico W.; Cury, Antonio Moris; F, Fernandes

doi:10.4293/108680812x13462882737096

Cited by 18 publications

(27 citation statements)

References 14 publications

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“…TEP is used more frequently since the operation is performed without entering the intraperitoneal cavity , resulting in less postoperative pain and earlier recovery (2). Based on our experience with inguinal hernia repair, it is known that TEP approach provides a very easy access to the inner ring of the inguinal canal and all the other structures in the Retzius space.…”

Section: Introductionmentioning

confidence: 99%

Videoscopic totally extraperitoneal approach to an adult patient with undescended testicle accompanied by a contra-lateral inguinal hernia

Birol

Бекин

Öztürkmen

et al. 2014

UCD

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A 22 year-old male patient was admitted to our clinic with complaints of swelling and pain at the left groin area as well as inability to palpate his right testicle. The patient was diagnosed as right undescended testicle accompanied by left indirect inguinal hernia. According to the scrotal Doppler ultrasonography the right undescended testicle was localized in the inguinal canal very close to the inner ring. As totally extra peritoneal (TEP) approach is widely used for inguinal hernia repair by hernia surgeons, the same technique was planned for both inguinal hernia repair and orchiectomy simultaneously. Using videoscopic TEP approach, left inguinal hernia repair and right prophylactic inguinal hernia repair with polypropylene mesh was carried out following successful laparoscopic right orchiectomy. In patients with undescended testicle who are indicated for orchiectomy and accompanied by inguinal hernia, videoscopic TEP operation is a safe procedure, also providing the oppurtunity for prophylactic hernia repair at the orchiectomy site.

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Section: Introductionmentioning

confidence: 99%

Videoscopic totally extraperitoneal approach to an adult patient with undescended testicle accompanied by a contra-lateral inguinal hernia

Birol

Бекин

Öztürkmen

et al. 2014

UCD

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“…In medicine, CARVALHO et al (2012) have used an optic of 10mm in three different techniques for inguinal hernia repair through MINI. Further, LEGGETT et al (2001) performed cholecystectomy using the MINI technique, with a 5mm optic in the umbilical portal, and reported that enlargement of the incision for gallbladder removal was necessary in less than 20% of cases.…”

Section: Resultsmentioning

confidence: 99%

“…The laparoscope used and its proper positioning provided adequate visualization of anatomical structures, enabling execution of the proposed surgical technique. Although the use of a smaller scope results in reduced parietal injury due to the use of smaller trocars, the use of a 2 or 3mm optic would considerably increase the cost of the procedure because the instruments are moderately durable and expensive; and these features not provide significant benefits to the technique (CARVALHO et al, 2009;CARVALHO et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

Minilaparoscopic ovariohysterectomy in healthy cats

et al. 2017

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The purpose of this study was to investigate the feasibility of minilaparoscopic (MINI) ovariohysterectomy (OHE) in healthy cats using three portals, one of 5 millimeters (mm) in diameter and two of 3mm diameter, along with bipolar diathermy. Technical difficulty, feasibility of MINI access, use of bipolar diathermy, surgery time, need for enlargement of incisions, trans- and post-operative complications and rate of conversion to open surgery were assessed. One out of 15 animals required incision enlargement, and one animal required conversion to celiotomy. The main postoperative complication observed was subcutaneous emphysema (46.7%). In conclusion, MINI OHE is feasible in healthy cats.

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“…On the other hand, TAPP is superior in discovering subclinical contralateral hernias and better control on dissection field and hernia sac [1,2]. Combination of both TEP and TAPP and modifications in either technique has been tried but did not gain popularity due to complexity of techniques with no advantages [4,5].…”

Section: Introduction and Review Of Surgical Technique Conceptmentioning

confidence: 98%

Early results of dual approach hernioplasty (DAH): an innovative laparoscopic inguinal hernioplasty technique

Nasr

2015

Surg Endosc

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The proposed procedure showed preliminary encouraging results regarding technique, clinical outcome, time-saving, and patients' safety. Combination of extraperitoneal gas-derived dissection, transabdominal field review, and preperitoneal mesh application offers an innovative and promising laparoscopic hernioplasty technique. The study is introducing the technique and as well invites further trials on wider scale to verify the technique.

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Minilaparoscopic Technique for Inguinal Hernia Repair Combining Transabdominal Pre-Peritoneal and Totally Extraperitoneal Approaches

Abstract: A minilaparoscopic combined approach for inguinal hernia appears to be safe and feasible for a more simple endoscopic hernia repair.

Cited by 18 publications

References 14 publications

Videoscopic totally extraperitoneal approach to an adult patient with undescended testicle accompanied by a contra-lateral inguinal hernia

Videoscopic totally extraperitoneal approach to an adult patient with undescended testicle accompanied by a contra-lateral inguinal hernia

Minilaparoscopic ovariohysterectomy in healthy cats

Early results of dual approach hernioplasty (DAH): an innovative laparoscopic inguinal hernioplasty technique

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