Totally extraperitoneal laparoscopic hernia repair in patients with previous lower abdominal surgery

被引：23

作者：

Paterson H.M. ^{[1
]}

Casey J.J. ^{[1
]}

Nixon S.J. ^{[1
]}

机构：

[1] Department of Clinical and Surgical Sciences, Royal Infirmary of Edinburgh, Edinburgh EH16 4SA, Little France Crescent

来源：

Hernia | 2005年 / 9卷 / 3期

关键词：

Hernia; Inguinal; Laparoscopic; Scar; Surgery;

D O I：

10.1007/s10029-005-0323-0

中图分类号：

学科分类号：

摘要：

Introduction: Patients with lower abdominal scars are generally excluded from laparoscopic hernia repair due to the perceived technical difficulty and risk of visceral injury. This study examines the outcome of a series of patients who underwent totally extraperitoneal (TEP) inguinal hernia repair despite previous lower abdominal surgery. Methods: Retrospective review of 47 consecutive patients who underwent TEP inguinal hernia repair in the presence of lower abdominal scars between 1993 and 2002. Results: Thirty-five unilateral and 12 bilateral TEP hernia repairs were performed in the presence of 20 appendicectomy, 10 lower midline, 18 suprapubic and 5 paramedian incisions. Two cases were converted to open repair. There were no major complications and no early or late recurrences. Median operating time was 67.5 min and 83% of patients were managed as day cases. Conclusions: Totally extraperitoneal laparoscopic hernia repair can be carried out safely in the presence of scars from previous lower abdominal surgery. © Springer-Verlag 2005.

引用

页码：228 / 230

页数：2

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