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Article: Laparoscopic Totally Extraperitoneal Inguinal Hernioplasty: An Audit of the Early Postoperative Results of 100 Consecutive Repairs

TitleLaparoscopic Totally Extraperitoneal Inguinal Hernioplasty: An Audit of the Early Postoperative Results of 100 Consecutive Repairs
Authors
Issue Date2000
PublisherAcademy of Medicine Singapore. The Journal's web site is located at http://www.annals.edu.sg
Citation
Annals Of The Academy Of Medicine Singapore, 2000, v. 29 n. 5, p. 640-643 How to Cite?
AbstractIntroduction: With the establishment of a hernia specialist service at our medical centre in 1999, laparoscopic inguinal hernia repair was offered to all patients who presented with inguinal hernias. This is a report of our early experience of 100 consecutive laparoscopic totally extraperitoneal inguinal hernioplasties. Materials and Methods: Between June 1999 and January 2000, a total of 82 patients with 100 inguinal hernias underwent laparoscopic totally extraperitoneal hernioplasties. The mean age of the study population was 64 ± 16 (SD) years with a male to female ratio of 79:3. A prospective evaluation and analysis of perioperative outcomes were performed. Results: A total of 97 laparoscopic extraperitoneal inguinal hernioplasties were successfully performed. Three patients required conversion to transabdominal preperitoneal repair because of adhesion (n = 1), large peritoneal defect (n = 1) and the presence of bowel within hernial sac (n = 1). There were no other intraoperative complications. Postoperative morbidity included retention of urine (n = 4), asymptomatic groin collection (n = 4) and wound bruising (n = 2). All complications resolved uneventfully. The visual analogue pain score at rest was 2, 1 and 1 on postoperative days 0, 1 and 2, respectively. The mean length of hospital stay was 2 ± 1 (SD) days. Forty-seven patients (57%) returned to normal activities within one week. Conclusions: The early outcomes of laparoscopic extraperitoneal inguinal hernioplasties were encouraging. It confirmed the early success of laparoscopic repairs of inguinal hernias at our centre. Laparoscopic approach is a safe technique for repair of inguinal hernia in specialised centres.
Persistent Identifierhttp://hdl.handle.net/10722/172779
ISSN
2015 Impact Factor: 1.041
2015 SCImago Journal Rankings: 0.425
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Hen_US
dc.contributor.authorLee, Fen_US
dc.contributor.authorPatil, NGen_US
dc.contributor.authorYuen, WKen_US
dc.date.accessioned2012-10-30T06:24:53Z-
dc.date.available2012-10-30T06:24:53Z-
dc.date.issued2000en_US
dc.identifier.citationAnnals Of The Academy Of Medicine Singapore, 2000, v. 29 n. 5, p. 640-643en_US
dc.identifier.issn0304-4602en_US
dc.identifier.urihttp://hdl.handle.net/10722/172779-
dc.description.abstractIntroduction: With the establishment of a hernia specialist service at our medical centre in 1999, laparoscopic inguinal hernia repair was offered to all patients who presented with inguinal hernias. This is a report of our early experience of 100 consecutive laparoscopic totally extraperitoneal inguinal hernioplasties. Materials and Methods: Between June 1999 and January 2000, a total of 82 patients with 100 inguinal hernias underwent laparoscopic totally extraperitoneal hernioplasties. The mean age of the study population was 64 ± 16 (SD) years with a male to female ratio of 79:3. A prospective evaluation and analysis of perioperative outcomes were performed. Results: A total of 97 laparoscopic extraperitoneal inguinal hernioplasties were successfully performed. Three patients required conversion to transabdominal preperitoneal repair because of adhesion (n = 1), large peritoneal defect (n = 1) and the presence of bowel within hernial sac (n = 1). There were no other intraoperative complications. Postoperative morbidity included retention of urine (n = 4), asymptomatic groin collection (n = 4) and wound bruising (n = 2). All complications resolved uneventfully. The visual analogue pain score at rest was 2, 1 and 1 on postoperative days 0, 1 and 2, respectively. The mean length of hospital stay was 2 ± 1 (SD) days. Forty-seven patients (57%) returned to normal activities within one week. Conclusions: The early outcomes of laparoscopic extraperitoneal inguinal hernioplasties were encouraging. It confirmed the early success of laparoscopic repairs of inguinal hernias at our centre. Laparoscopic approach is a safe technique for repair of inguinal hernia in specialised centres.en_US
dc.languageengen_US
dc.publisherAcademy of Medicine Singapore. The Journal's web site is located at http://www.annals.edu.sgen_US
dc.relation.ispartofAnnals of the Academy of Medicine Singaporeen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshFemaleen_US
dc.subject.meshHernia, Inguinal - Surgeryen_US
dc.subject.meshHumansen_US
dc.subject.meshLaparoscopyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleLaparoscopic Totally Extraperitoneal Inguinal Hernioplasty: An Audit of the Early Postoperative Results of 100 Consecutive Repairsen_US
dc.typeArticleen_US
dc.identifier.emailPatil, NG: ngpatil@hkucc.hku.hken_US
dc.identifier.authorityPatil, NG=rp00388en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid11126701-
dc.identifier.scopuseid_2-s2.0-0034267749en_US
dc.identifier.hkuros59869-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034267749&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume29en_US
dc.identifier.issue5en_US
dc.identifier.spage640en_US
dc.identifier.epage643en_US
dc.publisher.placeSingaporeen_US
dc.identifier.scopusauthoridLau, H=7201497812en_US
dc.identifier.scopusauthoridLee, F=7403111996en_US
dc.identifier.scopusauthoridPatil, NG=7103152514en_US
dc.identifier.scopusauthoridYuen, WK=7102761292en_US

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