The Totally Extraperitoneal Laparoscopic Hernia Repair. Preliminary Results

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 1996 Mar 1

PMID 8779071

Citations 4

Authors

P Vanclooster

A L Meersman

C A de Gheldere

C K van de Ven

Affiliations

Soon will be listed here.

Abstract

Background: The totally extraperitoneal laparoscopic hernia repair has become our procedure of choice to manage inguinal hernia in adult patients since March 1993. This technique was developed in an attempt to diminish postoperative pain, shorten the convalescence period and equal the recurrence figures of the classical tension-free repair.

Methods: A complete extraperitoneal dissection is performed. A large Marlex prosthesis (15 x 15 cm) is placed and covers all potential defects.

Results: A consecutive series of 195 hernias in 158 patients is proposed. The minimum follow-up in our series is at least 6 months. Morbidity is low and so far, no recurrences have been seen.

Conclusions: The totally extraperitoneal laparoscopic approach for repairing inguinal hernia should have a promising future, because the same principles as the classical tension-free repair are followed. Preliminary results are promising. Further studies, even randomized prospective trials and fair reports of complications, will determine the future of laparoscopic hernia surgery.

Citing Articles

A 10-year follow-up study on endoscopic total extraperitoneal repair of primary and recurrent inguinal hernia.

Staarink M, van Veen R, Hop W, Weidema W Surg Endosc. 2008; 22(8):1803-6.

PMID: 18443875 DOI: 10.1007/s00464-008-9917-9.

History of treatment of groin hernia.

Lau W World J Surg. 2002; 26(6):748-59.

PMID: 12053232 DOI: 10.1007/s00268-002-6297-5.

Extraperitoneal laparoscopic hernia repair with local anesthesia.

Edelman D, Misiakos E, Moses K Surg Endosc. 2001; 15(9):976-80.

PMID: 11443449 DOI: 10.1007/s004640080102.

The totally extraperitoneal laparoscopic hernia repair.

Fiennes A, Himpens J Surg Endosc. 1997; 11(6):696-7.

PMID: 9171139 DOI: 10.1007/s004649900426.

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