After 10 years and 1903 inguinal hernias, what is the outcome for the laparoscopic repair?
The procedure of choice for inguinal hernia repair has remained controversial for decades. The laparoscopic approach has now been utilized for more than 10 years, and a significant volume of patient outcomes is now available for review. The hospital and office records of 1388 patients who underwent...
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| Veröffentlicht in: | Surgical endoscopy 2002-08, Vol.16 (8), p.1201-1206 |
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| creator | SCHWAB, J. R BEAIRD, D. A RAMSHAW, B. J FRANKLIN, J. S DUNCAN, T. D WILSON, R. A MILLER, J MASON, E. M |
| description | The procedure of choice for inguinal hernia repair has remained controversial for decades. The laparoscopic approach has now been utilized for more than 10 years, and a significant volume of patient outcomes is now available for review.
The hospital and office records of 1388 patients who underwent 1903 laparoscopic inguinal hernia repairs at Atlanta Medical Center during the past 10 years were retrospectively reviewed in order to determine demographics, recurrence rate, and complications. In addition, 123 hernia repairs were prospectively studied in 71 patients during this time period in order to accurately evaluate postoperative pain and return to activity.
Two hundred fifty-five (13.4%) hernias were recurrent and 1648 (86.6%) were primary. Five hundred and fifteen (37.1%) hernias were bilateral. The total extraperitoneal approach was utilized for 1561 (82.0%) of the 1903 repairs. The average operative time was 75.4 (14-193) minutes. Estimated blood loss was 22.0 (0-250) ml. Seventeen patients (1.2%) were converted to an open form of hernia repair. Minor complications occurred in 83 (6.0%) patients and major complications occurred in 18 (1.3%) patients.
The laparoscopic approach is a safe form of inguinal hernia repair that offers the patient a shorter and less painful recovery with an extremely low recurrence rate. |
| doi_str_mv | 10.1007/s00464-001-8341-1 |
| format | Article |
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The hospital and office records of 1388 patients who underwent 1903 laparoscopic inguinal hernia repairs at Atlanta Medical Center during the past 10 years were retrospectively reviewed in order to determine demographics, recurrence rate, and complications. In addition, 123 hernia repairs were prospectively studied in 71 patients during this time period in order to accurately evaluate postoperative pain and return to activity.
Two hundred fifty-five (13.4%) hernias were recurrent and 1648 (86.6%) were primary. Five hundred and fifteen (37.1%) hernias were bilateral. The total extraperitoneal approach was utilized for 1561 (82.0%) of the 1903 repairs. The average operative time was 75.4 (14-193) minutes. Estimated blood loss was 22.0 (0-250) ml. Seventeen patients (1.2%) were converted to an open form of hernia repair. Minor complications occurred in 83 (6.0%) patients and major complications occurred in 18 (1.3%) patients.
The laparoscopic approach is a safe form of inguinal hernia repair that offers the patient a shorter and less painful recovery with an extremely low recurrence rate.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-001-8341-1</identifier><identifier>PMID: 11984685</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Abdomen ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Blood Loss, Surgical ; Female ; Georgia ; Hernia, Inguinal - surgery ; Hernias ; Hospitals ; Humans ; Laparoscopy ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Laparoscopy - statistics & numerical data ; Length of Stay ; Male ; Medical sciences ; Middle Aged ; Pain ; Pain Measurement ; Pain, Postoperative - classification ; Pain, Postoperative - drug therapy ; Pain, Postoperative - epidemiology ; Patients ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Questionnaires ; Recurrence ; Reoperation ; Retrospective Studies ; Surgeons ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Treatment Outcome ; Urinary Bladder - injuries ; Urinary Retention - epidemiology</subject><ispartof>Surgical endoscopy, 2002-08, Vol.16 (8), p.1201-1206</ispartof><rights>2003 INIST-CNRS</rights><rights>Copyright Springer-Verlag 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-8ba92a830461f0eccf4dfddb46eefb296a6fdd5f08e6666166f0d2c81320c8013</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14026400$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11984685$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SCHWAB, J. R</creatorcontrib><creatorcontrib>BEAIRD, D. A</creatorcontrib><creatorcontrib>RAMSHAW, B. J</creatorcontrib><creatorcontrib>FRANKLIN, J. S</creatorcontrib><creatorcontrib>DUNCAN, T. D</creatorcontrib><creatorcontrib>WILSON, R. A</creatorcontrib><creatorcontrib>MILLER, J</creatorcontrib><creatorcontrib>MASON, E. M</creatorcontrib><title>After 10 years and 1903 inguinal hernias, what is the outcome for the laparoscopic repair?</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>The procedure of choice for inguinal hernia repair has remained controversial for decades. The laparoscopic approach has now been utilized for more than 10 years, and a significant volume of patient outcomes is now available for review.
The hospital and office records of 1388 patients who underwent 1903 laparoscopic inguinal hernia repairs at Atlanta Medical Center during the past 10 years were retrospectively reviewed in order to determine demographics, recurrence rate, and complications. In addition, 123 hernia repairs were prospectively studied in 71 patients during this time period in order to accurately evaluate postoperative pain and return to activity.
Two hundred fifty-five (13.4%) hernias were recurrent and 1648 (86.6%) were primary. Five hundred and fifteen (37.1%) hernias were bilateral. The total extraperitoneal approach was utilized for 1561 (82.0%) of the 1903 repairs. The average operative time was 75.4 (14-193) minutes. Estimated blood loss was 22.0 (0-250) ml. Seventeen patients (1.2%) were converted to an open form of hernia repair. Minor complications occurred in 83 (6.0%) patients and major complications occurred in 18 (1.3%) patients.
The laparoscopic approach is a safe form of inguinal hernia repair that offers the patient a shorter and less painful recovery with an extremely low recurrence rate.</description><subject>Abdomen</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Blood Loss, Surgical</subject><subject>Female</subject><subject>Georgia</subject><subject>Hernia, Inguinal - surgery</subject><subject>Hernias</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - methods</subject><subject>Laparoscopy - statistics & numerical data</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - classification</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Pain, Postoperative - epidemiology</subject><subject>Patients</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Questionnaires</subject><subject>Recurrence</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgery (general aspects). 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R</au><au>BEAIRD, D. A</au><au>RAMSHAW, B. J</au><au>FRANKLIN, J. S</au><au>DUNCAN, T. D</au><au>WILSON, R. A</au><au>MILLER, J</au><au>MASON, E. M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>After 10 years and 1903 inguinal hernias, what is the outcome for the laparoscopic repair?</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>2002-08-01</date><risdate>2002</risdate><volume>16</volume><issue>8</issue><spage>1201</spage><epage>1206</epage><pages>1201-1206</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>The procedure of choice for inguinal hernia repair has remained controversial for decades. The laparoscopic approach has now been utilized for more than 10 years, and a significant volume of patient outcomes is now available for review.
The hospital and office records of 1388 patients who underwent 1903 laparoscopic inguinal hernia repairs at Atlanta Medical Center during the past 10 years were retrospectively reviewed in order to determine demographics, recurrence rate, and complications. In addition, 123 hernia repairs were prospectively studied in 71 patients during this time period in order to accurately evaluate postoperative pain and return to activity.
Two hundred fifty-five (13.4%) hernias were recurrent and 1648 (86.6%) were primary. Five hundred and fifteen (37.1%) hernias were bilateral. The total extraperitoneal approach was utilized for 1561 (82.0%) of the 1903 repairs. The average operative time was 75.4 (14-193) minutes. Estimated blood loss was 22.0 (0-250) ml. Seventeen patients (1.2%) were converted to an open form of hernia repair. Minor complications occurred in 83 (6.0%) patients and major complications occurred in 18 (1.3%) patients.
The laparoscopic approach is a safe form of inguinal hernia repair that offers the patient a shorter and less painful recovery with an extremely low recurrence rate.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>11984685</pmid><doi>10.1007/s00464-001-8341-1</doi><tpages>6</tpages></addata></record> |
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| subjects | Abdomen Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Blood Loss, Surgical Female Georgia Hernia, Inguinal - surgery Hernias Hospitals Humans Laparoscopy Laparoscopy - adverse effects Laparoscopy - methods Laparoscopy - statistics & numerical data Length of Stay Male Medical sciences Middle Aged Pain Pain Measurement Pain, Postoperative - classification Pain, Postoperative - drug therapy Pain, Postoperative - epidemiology Patients Postoperative Complications - epidemiology Postoperative Complications - etiology Questionnaires Recurrence Reoperation Retrospective Studies Surgeons Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Treatment Outcome Urinary Bladder - injuries Urinary Retention - epidemiology |
| title | After 10 years and 1903 inguinal hernias, what is the outcome for the laparoscopic repair? |
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