Early experience of performing a modified Kugel hernia repair with local anesthesia
Purpose We report our results with the modified Kugel hernia repair, a relatively new and minimally invasive open technique offering the advantages of preperitoneal repair without the need for general anesthesia. Methods We performed 42 inguinal or femoral hernias (44 sides), including incarcerated...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2008-07, Vol.38 (7), p.603-608 |
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| container_title | Surgery today (Tokyo, Japan) |
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| creator | Li, Junsheng Zhang, Yanan Hu, Haolin Tang, Whenhao |
| description | Purpose
We report our results with the modified Kugel hernia repair, a relatively new and minimally invasive open technique offering the advantages of preperitoneal repair without the need for general anesthesia.
Methods
We performed 42 inguinal or femoral hernias (44 sides), including incarcerated femoral hernias, using this modified technique, giving the patient local anesthesia with very little sedation. We describe the operative techniques used and the postoperative complications encountered.
Results
The mean operation time was 55 ± 26 min and the mean hospital stay was 4 days (2–8 days). There were no major postoperative complications and patients were followed up for a mean period of 1 year. Only one patient complained of mild discomfort in the inguinal area after 6 months. There was no incidence of recurrence.
Conclusion
The modified Kugel hernia repair is easy to learn, and it seems to have a lower recurrence rate and fewer postoperative complications than conventional types of hernia repair. Moreover, it offers the advantage of allowing the patient to undergo preperitoneal inguinal hernia repair under local anesthesia, which is especially beneficial for older patients with preoperative morbidity. |
| doi_str_mv | 10.1007/s00595-007-3681-7 |
| format | Article |
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We report our results with the modified Kugel hernia repair, a relatively new and minimally invasive open technique offering the advantages of preperitoneal repair without the need for general anesthesia.
Methods
We performed 42 inguinal or femoral hernias (44 sides), including incarcerated femoral hernias, using this modified technique, giving the patient local anesthesia with very little sedation. We describe the operative techniques used and the postoperative complications encountered.
Results
The mean operation time was 55 ± 26 min and the mean hospital stay was 4 days (2–8 days). There were no major postoperative complications and patients were followed up for a mean period of 1 year. Only one patient complained of mild discomfort in the inguinal area after 6 months. There was no incidence of recurrence.
Conclusion
The modified Kugel hernia repair is easy to learn, and it seems to have a lower recurrence rate and fewer postoperative complications than conventional types of hernia repair. Moreover, it offers the advantage of allowing the patient to undergo preperitoneal inguinal hernia repair under local anesthesia, which is especially beneficial for older patients with preoperative morbidity.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-007-3681-7</identifier><identifier>PMID: 18612784</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anesthesia, Local ; Female ; Follow-Up Studies ; Hernia, Femoral - surgery ; Hernia, Inguinal - surgery ; Humans ; Length of Stay ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Postoperative Complications - surgery ; Surgery ; Surgical Oncology ; Time Factors ; Treatment Outcome</subject><ispartof>Surgery today (Tokyo, Japan), 2008-07, Vol.38 (7), p.603-608</ispartof><rights>Springer 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c395t-404798f25f73e6a73d5b9db1b0c0c947f0f280db16152957bac4cf94037172d23</citedby><cites>FETCH-LOGICAL-c395t-404798f25f73e6a73d5b9db1b0c0c947f0f280db16152957bac4cf94037172d23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-007-3681-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-007-3681-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18612784$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Junsheng</creatorcontrib><creatorcontrib>Zhang, Yanan</creatorcontrib><creatorcontrib>Hu, Haolin</creatorcontrib><creatorcontrib>Tang, Whenhao</creatorcontrib><title>Early experience of performing a modified Kugel hernia repair with local anesthesia</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>Purpose
We report our results with the modified Kugel hernia repair, a relatively new and minimally invasive open technique offering the advantages of preperitoneal repair without the need for general anesthesia.
Methods
We performed 42 inguinal or femoral hernias (44 sides), including incarcerated femoral hernias, using this modified technique, giving the patient local anesthesia with very little sedation. We describe the operative techniques used and the postoperative complications encountered.
Results
The mean operation time was 55 ± 26 min and the mean hospital stay was 4 days (2–8 days). There were no major postoperative complications and patients were followed up for a mean period of 1 year. Only one patient complained of mild discomfort in the inguinal area after 6 months. There was no incidence of recurrence.
Conclusion
The modified Kugel hernia repair is easy to learn, and it seems to have a lower recurrence rate and fewer postoperative complications than conventional types of hernia repair. Moreover, it offers the advantage of allowing the patient to undergo preperitoneal inguinal hernia repair under local anesthesia, which is especially beneficial for older patients with preoperative morbidity.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia, Local</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hernia, Femoral - surgery</subject><subject>Hernia, Inguinal - surgery</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Postoperative Complications - surgery</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UMtOwzAQtBCIlsIHcEE-cQusH4njI6rKQ1TiAJwtx7FbV3kUuxH073GVStw47Wh3ZnZ3ELomcEcAxH0EyGWeJZixoiSZOEFTwlmR0ZKwUzQFyUlGqCQTdBHjBoDyEuAcTUhZECpKPkXvCx2aPbY_Wxu87YzFvcMJuz60vlthjdu-9s7bGr8OK9vgtQ2d1zjYrfYBf_vdGje90Q3WnY27tY1eX6Izp5tor451hj4fFx_z52z59vQyf1hmhsl8l3HgQpaO5k4wW2jB6rySdUUqMGAkFw4cLSE1CpJTmYtKG26c5MAEEbSmbIZuR99t6L-GtF21PhrbNOmUfoiqkAyAJf4MkZFoQh9jsE5tg2912CsC6pCkGpNUB3hIUomkuTmaD1Vr6z_FMbpEoCMhplG3skFt-iF06eF_XH8BILx-DQ</recordid><startdate>20080701</startdate><enddate>20080701</enddate><creator>Li, Junsheng</creator><creator>Zhang, Yanan</creator><creator>Hu, Haolin</creator><creator>Tang, Whenhao</creator><general>Springer Japan</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080701</creationdate><title>Early experience of performing a modified Kugel hernia repair with local anesthesia</title><author>Li, Junsheng ; Zhang, Yanan ; Hu, Haolin ; Tang, Whenhao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-404798f25f73e6a73d5b9db1b0c0c947f0f280db16152957bac4cf94037172d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia, Local</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hernia, Femoral - surgery</topic><topic>Hernia, Inguinal - surgery</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Postoperative Complications - surgery</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Junsheng</creatorcontrib><creatorcontrib>Zhang, Yanan</creatorcontrib><creatorcontrib>Hu, Haolin</creatorcontrib><creatorcontrib>Tang, Whenhao</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Junsheng</au><au>Zhang, Yanan</au><au>Hu, Haolin</au><au>Tang, Whenhao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early experience of performing a modified Kugel hernia repair with local anesthesia</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2008-07-01</date><risdate>2008</risdate><volume>38</volume><issue>7</issue><spage>603</spage><epage>608</epage><pages>603-608</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>Purpose
We report our results with the modified Kugel hernia repair, a relatively new and minimally invasive open technique offering the advantages of preperitoneal repair without the need for general anesthesia.
Methods
We performed 42 inguinal or femoral hernias (44 sides), including incarcerated femoral hernias, using this modified technique, giving the patient local anesthesia with very little sedation. We describe the operative techniques used and the postoperative complications encountered.
Results
The mean operation time was 55 ± 26 min and the mean hospital stay was 4 days (2–8 days). There were no major postoperative complications and patients were followed up for a mean period of 1 year. Only one patient complained of mild discomfort in the inguinal area after 6 months. There was no incidence of recurrence.
Conclusion
The modified Kugel hernia repair is easy to learn, and it seems to have a lower recurrence rate and fewer postoperative complications than conventional types of hernia repair. Moreover, it offers the advantage of allowing the patient to undergo preperitoneal inguinal hernia repair under local anesthesia, which is especially beneficial for older patients with preoperative morbidity.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>18612784</pmid><doi>10.1007/s00595-007-3681-7</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Anesthesia, Local Female Follow-Up Studies Hernia, Femoral - surgery Hernia, Inguinal - surgery Humans Length of Stay Male Medicine Medicine & Public Health Middle Aged Original Article Postoperative Complications - surgery Surgery Surgical Oncology Time Factors Treatment Outcome |
| title | Early experience of performing a modified Kugel hernia repair with local anesthesia |
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