Preperitoneal Hernioplasty Performed with Needlescopic Instruments (Microlaparoscopy)

Vara-Thorbeck, C; Toscano, Rafael; Felices, Manuel

doi:10.1097/00129689-199906000-00007

Cited by 7 publications

(6 citation statements)

References 4 publications

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“…We agree with Vara-Thorbeck et al [18] that the needlescopic approach should be avoided in patients with large hernias and obesity. Surgeons should acquire adequate experience of conventional TEPs before embarking on needlescopic TEPs [12].…”

Section: Discussionsupporting

confidence: 92%

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A prospective comparative study of needlescopic and conventional endoscopic extraperitoneal inguinal hernioplasty

Lau

Lee

2002

Surgical Endoscopy

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Section: Discussionsupporting

confidence: 92%

“…Only two studies have demonstrated the feasibility and safety of needlescopic totally extraperitoneal inguinal hernioplasty (TEP) [4,18]. The postoperative outcome of needlescopic TEPs had not been previously compared with that of conventional TEPs.…”

mentioning

confidence: 99%

A prospective comparative study of needlescopic and conventional endoscopic extraperitoneal inguinal hernioplasty

Lau

Lee

2002

Surgical Endoscopy

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“…Mesh fixation is also not necessary for TEP, resulting in less chronic pain and faster recovery. 10 – 15 In this study, we noticed low pain scores in both groups of TEP repairs and lower in the MLG group.…”

Section: Discussionsupporting

confidence: 53%

“…Endoscopic hernia repair has been considered to be slightly superior to open approaches, mainly because it is associated with an earlier recovery, less chronic pain, and a lower risk of infection. 11 – 15 …”

Section: Discussionmentioning

confidence: 99%

Minilaparoscopy For Inguinal Hernia Repair

Malcher

Cavazzola

Carvalho

et al. 2016

JSLS

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Background and Objectives:Inguinal hernia repair is among the most common procedures performed worldwide and the laparoscopic totally extraperitoneal (TEP) approach is a recognized and effective surgical technique. Although technically advantageous because of the option of no mesh fixation and no need for creation of a peritoneal flap resulting, in less postoperative pain and faster recovery, TEP has not achieved the popularity it deserves, mainly because of its complexity and steep learning curve. Minilaparoscopy was first described in the 1990s and has recently gained significantly from better instrumentation that may increase TEP's effectiveness and acceptance. We performed a prospective study, to analyze the outcomes of minilaparoscopy in pain and operative time when compared to the conventional laparoscopic technique in hernia repair.Methods:Fifty-eight laparoscopic inguinal hernia repairs were performed: 36 by traditional laparoscopic technique and 22 by minilaparoscopic instruments (mini). A study protocol was applied prospectively for data collection. Variables analyzed were early postoperative pain (at hour 6 after procedure), pain at discharge, use of on-demand analgesics, and operative time.Results:The mini group presented reduced early postoperative pain and operative time. The present study also suggests less postoperative pain at discharge with mini procedures, although this difference was not statistically significant. No difference between the groups regarding on-demand use of analgesics was found.Conclusions:This study corroborates findings in previously published papers that have shown the feasibility of minilaparoscopy in laparoscopic TEP hernia repair and its benefits regarding postoperative pain, operative time, and aesthetic outcomes.

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“…MINI is a refined laparoscopic technique that uses instruments with reduced diameter. MINI was originally used for TEP in the late 1990s, 10–12 although an interest in the technique has recently been revived. 13 Due to the use of thinner instruments, MINI not only improves aesthetics, but also provides better visibility, especially in the narrow retroperitoneal space.…”

Section: Discussionmentioning

confidence: 99%

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

Carvalho

Loureiro

Bonin

et al. 2012

JSLS

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Preperitoneal Hernioplasty Performed with Needlescopic Instruments (Microlaparoscopy)

Cited by 7 publications

References 4 publications

A prospective comparative study of needlescopic and conventional endoscopic extraperitoneal inguinal hernioplasty

A prospective comparative study of needlescopic and conventional endoscopic extraperitoneal inguinal hernioplasty

Minilaparoscopy For Inguinal Hernia Repair

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

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