Laparoscopic total extraperitoneal inguinal hernia repair with nonfixation of the mesh for 1,692 hernias
Autor: | Vino Varghese, Mohamed Ismail, Mahesh Rajagopal, Pankaj Garg |
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Rok vydání: | 2008 |
Předmět: |
Male
Laparoscopic surgery medicine.medical_specialty Time Factors medicine.medical_treatment Hernia Inguinal Prosthesis Design medicine Humans Hernia Laparoscopy Peritoneal Cavity Retrospective Studies medicine.diagnostic_test Urinary retention business.industry Length of Stay Middle Aged Plastic Surgery Procedures Surgical Mesh medicine.disease Hernia repair Surgery Inguinal hernia Treatment Outcome Seroma Female medicine.symptom business Follow-Up Studies Abdominal surgery |
Zdroj: | Surgical Endoscopy. 23:1241-1245 |
ISSN: | 1432-2218 0930-2794 |
Popis: | This study aimed to examine the recurrence rate and postoperative pain in total extraperitoneal repair (TEP) performed without fixation of the mesh and to compare the rates with those for repairs using fixation of mesh. A retrospective analysis was conducted over a 3-year period for 929 patients (1,753 hernias) who had undergone TEP. The recurrence rate, pain scores at 24 h and 1 week, hospital stay, days until resumption of normal activities, seroma formation, and urinary retention rates were noted. Of the 929 patients (1,753 hernias), the mesh was fixed (Fx) for 33 (61 hernias) and not fixed (NFx) for 896 (1,692 hernias). The follow-up period ranged from 6 to 40 months (mean, 17 months). The two groups did not differ significantly in terms of mean operating time, proportion of patients who had minimal or no pain (score, 1 or 2) 24 h after surgery, or proportion of patients who were totally pain free (score = 1) 1 week postoperatively. The proportions of patients reporting pain at the end of 1 month, the incidence of seroma formation and urinary retention, the hospital stay, and the days until resumption of normal activities were significantly greater in the Fx group than in the NFx group (p |
Databáze: | OpenAIRE |
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