Comparing the Incidences of Occult Contralateral Hernia under Laparo-Endoscopic Techniques and of Contralateral Metachronous Hernia after a Unilateral Groin Hernia Repair in Open Technique
| Autor: | Yusuke Suzuki, Junna Sakane, Yoshiro Imai, Ichiro Tsunematsu, Kono Emiko, Masako Hiramatsu, Toshihiro Kobayashi |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Hernia Inguinal Body Mass Index Young Adult Risk Factors medicine Humans Hernia Laparoscopy Herniorrhaphy Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test Groin business.industry Incidence Significant difference Retrospective cohort study General Medicine Middle Aged Hernia repair medicine.disease Occult digestive system diseases Surgery stomatognathic diseases surgical procedures operative medicine.anatomical_structure Female business |
| Zdroj: | The American surgeon. 85(2) |
| ISSN: | 1555-9823 |
| Popis: | The aim of this study was to evaluate the utility of immediate repair of a contralateral occult hernia at the same time as incipient hernia repair. A total of 693 patients were diagnosed preoperatively with a unilateral groin hernia from January 2006 to December 2017. The open technique was used for 541 patients, and the laparo-endoscopic technique was used for 152 patients. The incidences of occult contralateral hernia confirmed during surgery under laparo-endoscopic techniques and those of contralateral metachronous hernia after a unilateral groin hernia repair with open technique were compared. Fifty-one (9.4%) of 541 patients underwent a contralateral metachronous hernia repair after unilateral groin hernia repair. Twenty-three (15.1%) of 152 patients had occult contralateral hernias using laparo-endoscopic techniques. There was a significant difference in the incidence of contralateral metachronous hernia and that of occult contralateral hernia (P = 0.02). It is concluded that finding and repairing an occult contralateral hernia at the time of laparoendoscopic technique has the advantage of avoiding a second operation. However, it has been considered overtreatment to repair all patients with an occult contralateral hernia. |
| Databáze: | OpenAIRE |
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