Is a dissection balloon beneficial in bilateral, totally extraperitoneal, endoscopic hernioplasty? A randomized, prospective, multicenter study
Laparoscopic hernioplasty has been criticized because of its technical complexity and increased costs. Disposable dissection balloons can be used to gain the initial working space in totally extraperitoneal endoscopic (TEP) hernioplasty, but this increases its cost. Forty-four men with bilateral, pr...
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| Veröffentlicht in: | Surgical laparoscopy, endoscopy & percutaneous techniques endoscopy & percutaneous techniques, 2001-10, Vol.11 (5), p.322-326 |
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| container_title | Surgical laparoscopy, endoscopy & percutaneous techniques |
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| creator | Bringman, S Ek, A Haglind, E Heikkinen, T J Kald, A Kylberg, F Ramel, S Wallon, C Anderberg, B |
| description | Laparoscopic hernioplasty has been criticized because of its technical complexity and increased costs. Disposable dissection balloons can be used to gain the initial working space in totally extraperitoneal endoscopic (TEP) hernioplasty, but this increases its cost. Forty-four men with bilateral, primary or recurrent inguinal hernias were randomized to undergo TEP with or without dissection balloon. There were two conversions to transabdominal preperitoneal hernioplasty, or open herniorrhaphy, in the group with balloon and four in the group without balloon. There was no difference in the postoperative morbidity or operation time between the two groups, and there were no major complications in either group. The recurrence rate was 4.3% in the group with the balloon and 7.1% in the group without the balloon. There were no statistically significant differences between the groups. Although our study population is too small to detect small differences between the groups, it seems that the use of a dissection balloon is not beneficial in a bilateral TEP. |
| doi_str_mv | 10.1097/00129689-200110000-00007 |
| format | Article |
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A randomized, prospective, multicenter study</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Bringman, S ; Ek, A ; Haglind, E ; Heikkinen, T J ; Kald, A ; Kylberg, F ; Ramel, S ; Wallon, C ; Anderberg, B</creator><creatorcontrib>Bringman, S ; Ek, A ; Haglind, E ; Heikkinen, T J ; Kald, A ; Kylberg, F ; Ramel, S ; Wallon, C ; Anderberg, B</creatorcontrib><description>Laparoscopic hernioplasty has been criticized because of its technical complexity and increased costs. Disposable dissection balloons can be used to gain the initial working space in totally extraperitoneal endoscopic (TEP) hernioplasty, but this increases its cost. Forty-four men with bilateral, primary or recurrent inguinal hernias were randomized to undergo TEP with or without dissection balloon. There were two conversions to transabdominal preperitoneal hernioplasty, or open herniorrhaphy, in the group with balloon and four in the group without balloon. There was no difference in the postoperative morbidity or operation time between the two groups, and there were no major complications in either group. The recurrence rate was 4.3% in the group with the balloon and 7.1% in the group without the balloon. There were no statistically significant differences between the groups. Although our study population is too small to detect small differences between the groups, it seems that the use of a dissection balloon is not beneficial in a bilateral TEP.</description><identifier>ISSN: 1530-4515</identifier><identifier>DOI: 10.1097/00129689-200110000-00007</identifier><identifier>PMID: 11668230</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Aged ; Catheterization ; Follow-Up Studies ; Hernia, Inguinal - diagnosis ; Hernia, Inguinal - surgery ; Humans ; Laparoscopes ; Laparoscopy - methods ; Male ; Medicin och hälsovetenskap ; Middle Aged ; Probability ; Reference Values ; Statistics, Nonparametric ; Surgical Equipment ; Sweden ; Treatment Outcome</subject><ispartof>Surgical laparoscopy, endoscopy & percutaneous techniques, 2001-10, Vol.11 (5), p.322-326</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c329t-b710f101538f8fec79066d105ea8d04da6230263f64640ebcf01d79c11d704073</citedby><cites>FETCH-LOGICAL-c329t-b710f101538f8fec79066d105ea8d04da6230263f64640ebcf01d79c11d704073</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11668230$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:1936986$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Bringman, S</creatorcontrib><creatorcontrib>Ek, A</creatorcontrib><creatorcontrib>Haglind, E</creatorcontrib><creatorcontrib>Heikkinen, T J</creatorcontrib><creatorcontrib>Kald, A</creatorcontrib><creatorcontrib>Kylberg, F</creatorcontrib><creatorcontrib>Ramel, S</creatorcontrib><creatorcontrib>Wallon, C</creatorcontrib><creatorcontrib>Anderberg, B</creatorcontrib><title>Is a dissection balloon beneficial in bilateral, totally extraperitoneal, endoscopic hernioplasty? A randomized, prospective, multicenter study</title><title>Surgical laparoscopy, endoscopy & percutaneous techniques</title><addtitle>Surg Laparosc Endosc Percutan Tech</addtitle><description>Laparoscopic hernioplasty has been criticized because of its technical complexity and increased costs. Disposable dissection balloons can be used to gain the initial working space in totally extraperitoneal endoscopic (TEP) hernioplasty, but this increases its cost. Forty-four men with bilateral, primary or recurrent inguinal hernias were randomized to undergo TEP with or without dissection balloon. There were two conversions to transabdominal preperitoneal hernioplasty, or open herniorrhaphy, in the group with balloon and four in the group without balloon. There was no difference in the postoperative morbidity or operation time between the two groups, and there were no major complications in either group. The recurrence rate was 4.3% in the group with the balloon and 7.1% in the group without the balloon. There were no statistically significant differences between the groups. Although our study population is too small to detect small differences between the groups, it seems that the use of a dissection balloon is not beneficial in a bilateral TEP.</description><subject>Adult</subject><subject>Aged</subject><subject>Catheterization</subject><subject>Follow-Up Studies</subject><subject>Hernia, Inguinal - diagnosis</subject><subject>Hernia, Inguinal - surgery</subject><subject>Humans</subject><subject>Laparoscopes</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Medicin och hälsovetenskap</subject><subject>Middle Aged</subject><subject>Probability</subject><subject>Reference Values</subject><subject>Statistics, Nonparametric</subject><subject>Surgical Equipment</subject><subject>Sweden</subject><subject>Treatment Outcome</subject><issn>1530-4515</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UcFu1DAQ9QFES-kvIJ84bcrYSZz4hKoKaKVKvcDZcuyJanDiYDvA9if4ZRx2256wpZmx570Zjx8hlMEFA9m9B2Bcil5WvEQMyqo2070gp6ytoWpa1p6Q1yl9A-Bl16_ICWNC9LyGU_LnJlFNrUsJTXZhpoP2PmweZxydcdpTV07O64xR-x3NIRfInuLvHPWC0eUw45bA2YZkwuIMvcc4u7B4nfL-A72kUZfc5B7Q7ugSQ1q2Zj9xR6fVZ2dwLrVpyqvdvyEvR-0Tnh_9Gfn66eOXq-vq9u7zzdXlbWVqLnM1dAxGBmXAfuxHNJ0EISyDFnVvobFalOm4qEfRiAZwMCMw20nDioUGuvqMVIe66Rcu66CW6CYd9ypop45X30uEqpWC91Dw3X_xZSL7THokMlkL2YvCfHdgFtiPFVNWk0sGvdczhjWpjnMmpdye1B-ApvxQijg-NWGgNqnVo9TqSWr1T-pCfXvssQ4T2mfiUef6L83uqqw</recordid><startdate>20011001</startdate><enddate>20011001</enddate><creator>Bringman, S</creator><creator>Ek, A</creator><creator>Haglind, E</creator><creator>Heikkinen, T J</creator><creator>Kald, A</creator><creator>Kylberg, F</creator><creator>Ramel, S</creator><creator>Wallon, C</creator><creator>Anderberg, B</creator><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><scope>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>20011001</creationdate><title>Is a dissection balloon beneficial in bilateral, totally extraperitoneal, endoscopic hernioplasty? A randomized, prospective, multicenter study</title><author>Bringman, S ; Ek, A ; Haglind, E ; Heikkinen, T J ; Kald, A ; Kylberg, F ; Ramel, S ; Wallon, C ; Anderberg, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-b710f101538f8fec79066d105ea8d04da6230263f64640ebcf01d79c11d704073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Catheterization</topic><topic>Follow-Up Studies</topic><topic>Hernia, Inguinal - diagnosis</topic><topic>Hernia, Inguinal - surgery</topic><topic>Humans</topic><topic>Laparoscopes</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Medicin och hälsovetenskap</topic><topic>Middle Aged</topic><topic>Probability</topic><topic>Reference Values</topic><topic>Statistics, Nonparametric</topic><topic>Surgical Equipment</topic><topic>Sweden</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bringman, S</creatorcontrib><creatorcontrib>Ek, A</creatorcontrib><creatorcontrib>Haglind, E</creatorcontrib><creatorcontrib>Heikkinen, T J</creatorcontrib><creatorcontrib>Kald, A</creatorcontrib><creatorcontrib>Kylberg, F</creatorcontrib><creatorcontrib>Ramel, S</creatorcontrib><creatorcontrib>Wallon, C</creatorcontrib><creatorcontrib>Anderberg, B</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><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>Surgical laparoscopy, endoscopy & percutaneous techniques</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bringman, S</au><au>Ek, A</au><au>Haglind, E</au><au>Heikkinen, T J</au><au>Kald, A</au><au>Kylberg, F</au><au>Ramel, S</au><au>Wallon, C</au><au>Anderberg, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is a dissection balloon beneficial in bilateral, totally extraperitoneal, endoscopic hernioplasty? A randomized, prospective, multicenter study</atitle><jtitle>Surgical laparoscopy, endoscopy & percutaneous techniques</jtitle><addtitle>Surg Laparosc Endosc Percutan Tech</addtitle><date>2001-10-01</date><risdate>2001</risdate><volume>11</volume><issue>5</issue><spage>322</spage><epage>326</epage><pages>322-326</pages><issn>1530-4515</issn><abstract>Laparoscopic hernioplasty has been criticized because of its technical complexity and increased costs. Disposable dissection balloons can be used to gain the initial working space in totally extraperitoneal endoscopic (TEP) hernioplasty, but this increases its cost. Forty-four men with bilateral, primary or recurrent inguinal hernias were randomized to undergo TEP with or without dissection balloon. There were two conversions to transabdominal preperitoneal hernioplasty, or open herniorrhaphy, in the group with balloon and four in the group without balloon. There was no difference in the postoperative morbidity or operation time between the two groups, and there were no major complications in either group. The recurrence rate was 4.3% in the group with the balloon and 7.1% in the group without the balloon. There were no statistically significant differences between the groups. Although our study population is too small to detect small differences between the groups, it seems that the use of a dissection balloon is not beneficial in a bilateral TEP.</abstract><cop>United States</cop><pmid>11668230</pmid><doi>10.1097/00129689-200110000-00007</doi><tpages>5</tpages></addata></record> |
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| ispartof | Surgical laparoscopy, endoscopy & percutaneous techniques, 2001-10, Vol.11 (5), p.322-326 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Catheterization Follow-Up Studies Hernia, Inguinal - diagnosis Hernia, Inguinal - surgery Humans Laparoscopes Laparoscopy - methods Male Medicin och hälsovetenskap Middle Aged Probability Reference Values Statistics, Nonparametric Surgical Equipment Sweden Treatment Outcome |
| title | Is a dissection balloon beneficial in bilateral, totally extraperitoneal, endoscopic hernioplasty? A randomized, prospective, multicenter study |
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