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- W2753052863 abstract "Background : Even though laparoscopic hernia repair has been shown tobe an efficient method with the benefits of minimally invasive surgery,it is poorly accepted in general surgical practice. Aims : Toevaluate the safety, complications and recurrence rates of laparoscopictotally extraperitoneal (TEP) repair and reflect on the learning curve. Setting : Single surgeon series from Princess Royal Hospital,Telford, United Kingdom. Materials and Methods : Prospectivelycollected data of laparoscopic TEP repairs performed by a singlesurgeon (JDP) between January 2001 and February 2006 were analyzed. 134patients in the age range of 19 to 86 years had laparoscopic TEP repairfor 209 inguinal herniae. Herniae were classified according to the typeand Nyhus grades. A 10 mm reusable and two 5 mm ports were placed inthe midline subumbilically. A large 12 x 15 cm polypropylene mesh wasused with a lateral fish tail slit around the cord structures. No meshfixation was employed and the rectus sheath at the umbilical port wasclosed in only 27% of the patients. Operating times, intraoperative andpostoperative complications were recorded. The majority of the patientsstayed overnight in the hospital. Overall morbidity was 13% with nowound or mesh infections. Overall recurrence rate was 2.4% andrecurrence rate for primary hernia repair was 1.85%. Follow-up periodwas 6 months to 66 months with a median of 24.5 months. Conclusions :Laparoscopic TEP repair is a safe and efficient method of hernia repairwith low morbidity but with a long learning curve." @default.
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- W2753052863 date "2007-08-28" @default.
- W2753052863 modified "2023-09-27" @default.
- W2753052863 title "Laparoscopic totally extraperitoneal inguinal hernia repair: A personalexperience and learning curve" @default.
- W2753052863 hasPublicationYear "2007" @default.
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