Nerve irritation after laparoscopic hernia repair
| Autor: | B. Rumstadt, E. Stark, K. Wendl, E. Hagmüller, Kerstin Oestreich |
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| Rok vydání: | 1999 |
| Předmět: |
Male
medicine.medical_specialty Ilioinguinal nerve medicine.medical_treatment Hernia Inguinal Thigh Groin Genitofemoral nerve Peripheral Nerve Injuries medicine Humans Hernia Prospective Studies Laparoscopy medicine.diagnostic_test business.industry Nerve Compression Syndromes Cutaneous nerve Surgical Instruments Hernia repair medicine.disease Surgery medicine.anatomical_structure Anesthesia Female business Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 13:878-881 |
| ISSN: | 1432-2218 0930-2794 |
| DOI: | 10.1007/s004649901124 |
| Popis: | Background: Between October 1992 and May 1996, 893 hernia repairs were performed at the Surgical Clinic in Mannheim: 448 (50%) using laparoscopy (TAPP-method) and 445 (50%) using the conventional anterior approach (Shouldice). Materials and methods: For this study, 723 (81%) of these repairs were followed up in a prospective trial of postoperative nerve irritations. Results: The rate of nerve entrapment in the laparoscopic group was 4.2% (n= 19), and in the group that underwent conventional surgery 1.8% (n= 8). The genitofemoral nerve was affected with particularly high frequency (2%), and the ilioinguinal nerve and lateral cutaneous nerve of the thigh (LCNT) each was affected in 1.1% of the cases. Conclusions: Reduction in the number of clips used and careful attention to the anatomic nerve course during preparation and placement of mesh led to a significant reduction in the occurrence of nerve irritations. In the last 100 patients who underwent laparoscopic hernia repair, only one nerve lesion was seen. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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