Laparoscopic umbilical herniorrhaphy
| Autor: | Steven L. Lee, Gabriela L. Furdui, Ninh T. Nguyen, Hung S. Ho, Kathrin L. Mayer |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Umbilical surgery Treatment outcome medicine Umbilical hernia repair Humans Hernia Laparoscopy Retrospective Studies medicine.diagnostic_test Ventral hernia repair business.industry Suture Techniques Retrospective cohort study Middle Aged medicine.disease digestive system diseases Surgery stomatognathic diseases surgical procedures operative Treatment Outcome Umbilical herniorrhaphy Female business Hernia Umbilical |
| Zdroj: | Journal of laparoendoscopicadvanced surgical techniques. Part A. 10(3) |
| ISSN: | 1092-6429 |
| Popis: | Laparoscopic technique is an alternative approach to ventral hernia repair. This study evaluated the feasibility of performing umbilical hernia repair using a single 5-mm trocar technique.During February 1999 to November 1999, we performed laparoscopic umbilical hernia repair in 16 consecutive patients. All operations were performed under general anesthesia. One 5-mm port was used to visualize the defect. A second 5-mm port was inserted only if there was incarcerated omentum requiring reduction. The Endo Close was inserted through a 2-mm incision made directly over the hernia to perform transabdominal closure of the defect using nonabsorbable suture.The mean size of the umbilical hernia defects was 1.2 cm +/- 0.4 (range 1.0-2.0 cm). All operations were completed laparoscopically with no intraoperative or postoperative complications. The mean operative time was 35 +/- 15 minutes (range 21-75 min). All cases were performed in an outpatient setting. There have been no recurrences at a mean follow-up of 5.9 months.Laparoscopic umbilical herniorrhaphy is safe and technically feasible. Its potential advantages, such as a lower rate of recurrence, will need to be validated with longer follow-up. |
| Databáze: | OpenAIRE |
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