Laparoscopic repair of recurrent hernias
| Autor: | R. L. Mcknight, C. A. Michas, Edward L. Felix |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Adolescent Early Recurrence Hernia Inguinal Polypropylenes Recurrence medicine Humans Hernia Femoral component Child Laparoscopy Aged Transabdominal preperitoneal Aged 80 and over Recurrent Inguinal Hernia Recurrent Hernia medicine.diagnostic_test business.industry General surgery Middle Aged Surgical Mesh medicine.disease Surgery Female business Pneumoperitoneum Artificial Follow-Up Studies Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 9:135-139 |
| ISSN: | 1432-2218 0930-2794 |
| Popis: | The purpose of this study was to evaluate the results of a laparoscopic approach to recurrent inguinal hernia repair which dissected the entire inguinal floor and repaired all potential areas of recurrence without producing tension. Both a transabdominal preperitoneal and a totally extraperitoneal laparoscopic approach were utilized. Ninety recurrent hernias were repaired in 81 patients. The patients had 26 indirect, 36 direct, and 26 pantaloon recurrent hernias of which eight had a femoral component. In all but one patient the primary operations were open anterior repairs. The median follow-up was 14 months, ranging from 1 to 28 months. Patients returned to normal activities in an average of 1 week. The only recurrence observed was in the one patient whose primary repair was laparoscopic. When the entire inguinal floor of the recurrent hernia was redissected and buttressed with mesh, early recurrence was eliminated and recovery was shortened. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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