Long-Term Outcome of Laparoscopic Totally Extraperitoneal Repair of Bilateral Inguinal Hernias with a Large Single Mesh
Background A totally extraperitoneal (TEP) approach is currently the technique of choice for the laparoscopic repair of bilateral inguinal hernias in our institution. Most other surgeons use two meshes for the TEP repair, one for each side. We prefer a large single mesh when possible since it allows...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Issa, Nidal [verfasserIn] |
|---|
| Format: |
E-Artikel |
|---|---|
| Sprache: |
Englisch |
| Erschienen: |
2015 |
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| Schlagwörter: |
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| Anmerkung: |
© Société Internationale de Chirurgie 2015 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 40(2015), 2 vom: 15. Okt., Seite 291-297 |
|---|---|
| Übergeordnetes Werk: |
volume:40 ; year:2015 ; number:2 ; day:15 ; month:10 ; pages:291-297 |
| Links: |
|---|
| DOI / URN: |
10.1007/s00268-015-3277-0 |
|---|
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SPR003455920 |
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| 520 | |a Background A totally extraperitoneal (TEP) approach is currently the technique of choice for the laparoscopic repair of bilateral inguinal hernias in our institution. Most other surgeons use two meshes for the TEP repair, one for each side. We prefer a large single mesh when possible since it allows for easier correct placement of the mesh in one stage. We compared our long-term results of both techniques in terms of late complications and recurrence rates. Methods This study retrospectively evaluated the medical records of 108 patients who underwent bilateral laparoscopic TEP repair in our institution between January 2002 and December 2003. Excluded were patients who had a conversion to a transabdominal preperitoneal or open approach. A total of 73 (67 %) patients fulfilled study entrance criteria and were enrolled: 39 had undergone single mesh repair and 34 had undergone double mesh repair. Results There were no significant group differences in demographics, operating time, postoperative morbidity, or hospital stay. Likewise, after a median follow-up of 102 months (range 94–115 months), there were no significant group differences between the single and double mesh groups in persistent pain (5.8 vs 2.5 %, respectively; p = 0.476) and recurrence (7.6 vs 8.8 %, respectively; p = 0.55). Conclusion The use of a large single mesh is an effective and safe alternative technique for TEP repair of bilateral inguinal hernias, and is technically easy to perform. | ||
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| 700 | 1 | |a Bachar, Gil Nissim |4 aut | |
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10.1007/s00268-015-3277-0 doi (DE-627)SPR003455920 (SPR)s00268-015-3277-0-e DE-627 ger DE-627 rakwb eng Issa, Nidal verfasserin aut Long-Term Outcome of Laparoscopic Totally Extraperitoneal Repair of Bilateral Inguinal Hernias with a Large Single Mesh 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2015 Background A totally extraperitoneal (TEP) approach is currently the technique of choice for the laparoscopic repair of bilateral inguinal hernias in our institution. Most other surgeons use two meshes for the TEP repair, one for each side. We prefer a large single mesh when possible since it allows for easier correct placement of the mesh in one stage. We compared our long-term results of both techniques in terms of late complications and recurrence rates. Methods This study retrospectively evaluated the medical records of 108 patients who underwent bilateral laparoscopic TEP repair in our institution between January 2002 and December 2003. Excluded were patients who had a conversion to a transabdominal preperitoneal or open approach. A total of 73 (67 %) patients fulfilled study entrance criteria and were enrolled: 39 had undergone single mesh repair and 34 had undergone double mesh repair. Results There were no significant group differences in demographics, operating time, postoperative morbidity, or hospital stay. Likewise, after a median follow-up of 102 months (range 94–115 months), there were no significant group differences between the single and double mesh groups in persistent pain (5.8 vs 2.5 %, respectively; p = 0.476) and recurrence (7.6 vs 8.8 %, respectively; p = 0.55). Conclusion The use of a large single mesh is an effective and safe alternative technique for TEP repair of bilateral inguinal hernias, and is technically easy to perform. Hernia Repair (dpeaa)DE-He213 Inguinal Hernia (dpeaa)DE-He213 Inguinal Hernia Repair (dpeaa)DE-He213 Mesh Repair (dpeaa)DE-He213 Mesh Group (dpeaa)DE-He213 Ohana, Gil aut Bachar, Gil Nissim aut Powsner, Eldad aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 40(2015), 2 vom: 15. Okt., Seite 291-297 (DE-627)SPR003391159 nnns volume:40 year:2015 number:2 day:15 month:10 pages:291-297 https://dx.doi.org/10.1007/s00268-015-3277-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 40 2015 2 15 10 291-297 |
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10.1007/s00268-015-3277-0 doi (DE-627)SPR003455920 (SPR)s00268-015-3277-0-e DE-627 ger DE-627 rakwb eng Issa, Nidal verfasserin aut Long-Term Outcome of Laparoscopic Totally Extraperitoneal Repair of Bilateral Inguinal Hernias with a Large Single Mesh 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2015 Background A totally extraperitoneal (TEP) approach is currently the technique of choice for the laparoscopic repair of bilateral inguinal hernias in our institution. Most other surgeons use two meshes for the TEP repair, one for each side. We prefer a large single mesh when possible since it allows for easier correct placement of the mesh in one stage. We compared our long-term results of both techniques in terms of late complications and recurrence rates. Methods This study retrospectively evaluated the medical records of 108 patients who underwent bilateral laparoscopic TEP repair in our institution between January 2002 and December 2003. Excluded were patients who had a conversion to a transabdominal preperitoneal or open approach. A total of 73 (67 %) patients fulfilled study entrance criteria and were enrolled: 39 had undergone single mesh repair and 34 had undergone double mesh repair. Results There were no significant group differences in demographics, operating time, postoperative morbidity, or hospital stay. Likewise, after a median follow-up of 102 months (range 94–115 months), there were no significant group differences between the single and double mesh groups in persistent pain (5.8 vs 2.5 %, respectively; p = 0.476) and recurrence (7.6 vs 8.8 %, respectively; p = 0.55). Conclusion The use of a large single mesh is an effective and safe alternative technique for TEP repair of bilateral inguinal hernias, and is technically easy to perform. Hernia Repair (dpeaa)DE-He213 Inguinal Hernia (dpeaa)DE-He213 Inguinal Hernia Repair (dpeaa)DE-He213 Mesh Repair (dpeaa)DE-He213 Mesh Group (dpeaa)DE-He213 Ohana, Gil aut Bachar, Gil Nissim aut Powsner, Eldad aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 40(2015), 2 vom: 15. Okt., Seite 291-297 (DE-627)SPR003391159 nnns volume:40 year:2015 number:2 day:15 month:10 pages:291-297 https://dx.doi.org/10.1007/s00268-015-3277-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 40 2015 2 15 10 291-297 |
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10.1007/s00268-015-3277-0 doi (DE-627)SPR003455920 (SPR)s00268-015-3277-0-e DE-627 ger DE-627 rakwb eng Issa, Nidal verfasserin aut Long-Term Outcome of Laparoscopic Totally Extraperitoneal Repair of Bilateral Inguinal Hernias with a Large Single Mesh 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2015 Background A totally extraperitoneal (TEP) approach is currently the technique of choice for the laparoscopic repair of bilateral inguinal hernias in our institution. Most other surgeons use two meshes for the TEP repair, one for each side. We prefer a large single mesh when possible since it allows for easier correct placement of the mesh in one stage. We compared our long-term results of both techniques in terms of late complications and recurrence rates. Methods This study retrospectively evaluated the medical records of 108 patients who underwent bilateral laparoscopic TEP repair in our institution between January 2002 and December 2003. Excluded were patients who had a conversion to a transabdominal preperitoneal or open approach. A total of 73 (67 %) patients fulfilled study entrance criteria and were enrolled: 39 had undergone single mesh repair and 34 had undergone double mesh repair. Results There were no significant group differences in demographics, operating time, postoperative morbidity, or hospital stay. Likewise, after a median follow-up of 102 months (range 94–115 months), there were no significant group differences between the single and double mesh groups in persistent pain (5.8 vs 2.5 %, respectively; p = 0.476) and recurrence (7.6 vs 8.8 %, respectively; p = 0.55). Conclusion The use of a large single mesh is an effective and safe alternative technique for TEP repair of bilateral inguinal hernias, and is technically easy to perform. Hernia Repair (dpeaa)DE-He213 Inguinal Hernia (dpeaa)DE-He213 Inguinal Hernia Repair (dpeaa)DE-He213 Mesh Repair (dpeaa)DE-He213 Mesh Group (dpeaa)DE-He213 Ohana, Gil aut Bachar, Gil Nissim aut Powsner, Eldad aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 40(2015), 2 vom: 15. Okt., Seite 291-297 (DE-627)SPR003391159 nnns volume:40 year:2015 number:2 day:15 month:10 pages:291-297 https://dx.doi.org/10.1007/s00268-015-3277-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 40 2015 2 15 10 291-297 |
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10.1007/s00268-015-3277-0 doi (DE-627)SPR003455920 (SPR)s00268-015-3277-0-e DE-627 ger DE-627 rakwb eng Issa, Nidal verfasserin aut Long-Term Outcome of Laparoscopic Totally Extraperitoneal Repair of Bilateral Inguinal Hernias with a Large Single Mesh 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2015 Background A totally extraperitoneal (TEP) approach is currently the technique of choice for the laparoscopic repair of bilateral inguinal hernias in our institution. Most other surgeons use two meshes for the TEP repair, one for each side. We prefer a large single mesh when possible since it allows for easier correct placement of the mesh in one stage. We compared our long-term results of both techniques in terms of late complications and recurrence rates. Methods This study retrospectively evaluated the medical records of 108 patients who underwent bilateral laparoscopic TEP repair in our institution between January 2002 and December 2003. Excluded were patients who had a conversion to a transabdominal preperitoneal or open approach. A total of 73 (67 %) patients fulfilled study entrance criteria and were enrolled: 39 had undergone single mesh repair and 34 had undergone double mesh repair. Results There were no significant group differences in demographics, operating time, postoperative morbidity, or hospital stay. Likewise, after a median follow-up of 102 months (range 94–115 months), there were no significant group differences between the single and double mesh groups in persistent pain (5.8 vs 2.5 %, respectively; p = 0.476) and recurrence (7.6 vs 8.8 %, respectively; p = 0.55). Conclusion The use of a large single mesh is an effective and safe alternative technique for TEP repair of bilateral inguinal hernias, and is technically easy to perform. Hernia Repair (dpeaa)DE-He213 Inguinal Hernia (dpeaa)DE-He213 Inguinal Hernia Repair (dpeaa)DE-He213 Mesh Repair (dpeaa)DE-He213 Mesh Group (dpeaa)DE-He213 Ohana, Gil aut Bachar, Gil Nissim aut Powsner, Eldad aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 40(2015), 2 vom: 15. Okt., Seite 291-297 (DE-627)SPR003391159 nnns volume:40 year:2015 number:2 day:15 month:10 pages:291-297 https://dx.doi.org/10.1007/s00268-015-3277-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 40 2015 2 15 10 291-297 |
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10.1007/s00268-015-3277-0 doi (DE-627)SPR003455920 (SPR)s00268-015-3277-0-e DE-627 ger DE-627 rakwb eng Issa, Nidal verfasserin aut Long-Term Outcome of Laparoscopic Totally Extraperitoneal Repair of Bilateral Inguinal Hernias with a Large Single Mesh 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2015 Background A totally extraperitoneal (TEP) approach is currently the technique of choice for the laparoscopic repair of bilateral inguinal hernias in our institution. Most other surgeons use two meshes for the TEP repair, one for each side. We prefer a large single mesh when possible since it allows for easier correct placement of the mesh in one stage. We compared our long-term results of both techniques in terms of late complications and recurrence rates. Methods This study retrospectively evaluated the medical records of 108 patients who underwent bilateral laparoscopic TEP repair in our institution between January 2002 and December 2003. Excluded were patients who had a conversion to a transabdominal preperitoneal or open approach. A total of 73 (67 %) patients fulfilled study entrance criteria and were enrolled: 39 had undergone single mesh repair and 34 had undergone double mesh repair. Results There were no significant group differences in demographics, operating time, postoperative morbidity, or hospital stay. Likewise, after a median follow-up of 102 months (range 94–115 months), there were no significant group differences between the single and double mesh groups in persistent pain (5.8 vs 2.5 %, respectively; p = 0.476) and recurrence (7.6 vs 8.8 %, respectively; p = 0.55). Conclusion The use of a large single mesh is an effective and safe alternative technique for TEP repair of bilateral inguinal hernias, and is technically easy to perform. Hernia Repair (dpeaa)DE-He213 Inguinal Hernia (dpeaa)DE-He213 Inguinal Hernia Repair (dpeaa)DE-He213 Mesh Repair (dpeaa)DE-He213 Mesh Group (dpeaa)DE-He213 Ohana, Gil aut Bachar, Gil Nissim aut Powsner, Eldad aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 40(2015), 2 vom: 15. Okt., Seite 291-297 (DE-627)SPR003391159 nnns volume:40 year:2015 number:2 day:15 month:10 pages:291-297 https://dx.doi.org/10.1007/s00268-015-3277-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 40 2015 2 15 10 291-297 |
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Most other surgeons use two meshes for the TEP repair, one for each side. We prefer a large single mesh when possible since it allows for easier correct placement of the mesh in one stage. We compared our long-term results of both techniques in terms of late complications and recurrence rates. Methods This study retrospectively evaluated the medical records of 108 patients who underwent bilateral laparoscopic TEP repair in our institution between January 2002 and December 2003. Excluded were patients who had a conversion to a transabdominal preperitoneal or open approach. A total of 73 (67 %) patients fulfilled study entrance criteria and were enrolled: 39 had undergone single mesh repair and 34 had undergone double mesh repair. Results There were no significant group differences in demographics, operating time, postoperative morbidity, or hospital stay. 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Long-Term Outcome of Laparoscopic Totally Extraperitoneal Repair of Bilateral Inguinal Hernias with a Large Single Mesh |
| abstract |
Background A totally extraperitoneal (TEP) approach is currently the technique of choice for the laparoscopic repair of bilateral inguinal hernias in our institution. Most other surgeons use two meshes for the TEP repair, one for each side. We prefer a large single mesh when possible since it allows for easier correct placement of the mesh in one stage. We compared our long-term results of both techniques in terms of late complications and recurrence rates. Methods This study retrospectively evaluated the medical records of 108 patients who underwent bilateral laparoscopic TEP repair in our institution between January 2002 and December 2003. Excluded were patients who had a conversion to a transabdominal preperitoneal or open approach. A total of 73 (67 %) patients fulfilled study entrance criteria and were enrolled: 39 had undergone single mesh repair and 34 had undergone double mesh repair. Results There were no significant group differences in demographics, operating time, postoperative morbidity, or hospital stay. Likewise, after a median follow-up of 102 months (range 94–115 months), there were no significant group differences between the single and double mesh groups in persistent pain (5.8 vs 2.5 %, respectively; p = 0.476) and recurrence (7.6 vs 8.8 %, respectively; p = 0.55). Conclusion The use of a large single mesh is an effective and safe alternative technique for TEP repair of bilateral inguinal hernias, and is technically easy to perform. © Société Internationale de Chirurgie 2015 |
| abstractGer |
Background A totally extraperitoneal (TEP) approach is currently the technique of choice for the laparoscopic repair of bilateral inguinal hernias in our institution. Most other surgeons use two meshes for the TEP repair, one for each side. We prefer a large single mesh when possible since it allows for easier correct placement of the mesh in one stage. We compared our long-term results of both techniques in terms of late complications and recurrence rates. Methods This study retrospectively evaluated the medical records of 108 patients who underwent bilateral laparoscopic TEP repair in our institution between January 2002 and December 2003. Excluded were patients who had a conversion to a transabdominal preperitoneal or open approach. A total of 73 (67 %) patients fulfilled study entrance criteria and were enrolled: 39 had undergone single mesh repair and 34 had undergone double mesh repair. Results There were no significant group differences in demographics, operating time, postoperative morbidity, or hospital stay. Likewise, after a median follow-up of 102 months (range 94–115 months), there were no significant group differences between the single and double mesh groups in persistent pain (5.8 vs 2.5 %, respectively; p = 0.476) and recurrence (7.6 vs 8.8 %, respectively; p = 0.55). Conclusion The use of a large single mesh is an effective and safe alternative technique for TEP repair of bilateral inguinal hernias, and is technically easy to perform. © Société Internationale de Chirurgie 2015 |
| abstract_unstemmed |
Background A totally extraperitoneal (TEP) approach is currently the technique of choice for the laparoscopic repair of bilateral inguinal hernias in our institution. Most other surgeons use two meshes for the TEP repair, one for each side. We prefer a large single mesh when possible since it allows for easier correct placement of the mesh in one stage. We compared our long-term results of both techniques in terms of late complications and recurrence rates. Methods This study retrospectively evaluated the medical records of 108 patients who underwent bilateral laparoscopic TEP repair in our institution between January 2002 and December 2003. Excluded were patients who had a conversion to a transabdominal preperitoneal or open approach. A total of 73 (67 %) patients fulfilled study entrance criteria and were enrolled: 39 had undergone single mesh repair and 34 had undergone double mesh repair. Results There were no significant group differences in demographics, operating time, postoperative morbidity, or hospital stay. Likewise, after a median follow-up of 102 months (range 94–115 months), there were no significant group differences between the single and double mesh groups in persistent pain (5.8 vs 2.5 %, respectively; p = 0.476) and recurrence (7.6 vs 8.8 %, respectively; p = 0.55). Conclusion The use of a large single mesh is an effective and safe alternative technique for TEP repair of bilateral inguinal hernias, and is technically easy to perform. © Société Internationale de Chirurgie 2015 |
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| title_short |
Long-Term Outcome of Laparoscopic Totally Extraperitoneal Repair of Bilateral Inguinal Hernias with a Large Single Mesh |
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https://dx.doi.org/10.1007/s00268-015-3277-0 |
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Ohana, Gil Bachar, Gil Nissim Powsner, Eldad |
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Ohana, Gil Bachar, Gil Nissim Powsner, Eldad |
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10.1007/s00268-015-3277-0 |
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2024-07-03T19:34:40.954Z |
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