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Article: Endoscopic totally extraperitoneal inguinal hernioplasty under spinal anesthesia

TitleEndoscopic totally extraperitoneal inguinal hernioplasty under spinal anesthesia
Authors
Issue Date2005
PublisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/lap
Citation
Journal Of Laparoendoscopic And Advanced Surgical Techniques - Part A, 2005, v. 15 n. 2, p. 121-124 How to Cite?
AbstractObjectives: Although endoscopie totally extraperitoneal inguinal hernioplasty (TEP) confers superior early outcomes compared to those of open repair, the requirement of general anesthesia has been held as an argument against the application of TEP by opponents of laparoscopic surgery. To date, the literature on TEP performed under spinal anesthesia remains scarce. The present study reports our early experience performing TEP under spinal anesthesia in selected patients who were medically unfit for general anesthesia. Methods: Between March 2003 and March 2004, 6 male patients underwent attempted TEP under spinal anesthesia. Selection criteria for the procedure included reducibility of the inguinal hernia and concomitant medical conditions precluding general aesthesia, such as impaired lung function. Informed consent was obtained in all patients. Results: All patients were conscious and able to communicate verbally during the operation. TEP was successfully completed in 4 patients, with a mean operative time of 33 minutes. All 4 patients were asymptomatic and experienced no pain throughout the procedure. Conversion to open repair was required in 2 patients because of uncooperative movement in one, and inadequate neural blockade by spinal anesthesia in the other. Intraoperative cardiorespiratory parameters were stable in all patients. Postoperative urinary retention occurred in 1 patient. The mean length of follow-up exceeded 3 months, and no seroma or recurrence was detected clinically. Conclusion: Successful performance of TEP under spinal anesthesia requires the combined efforts of an experienced anesthesiologist, a skilled surgeon, and a cooperative patient. Our initial experience of TEP under spinal anesthesia appeared promising. TEP under spinal anesthesia may have a role in selected patients who are medically unfit for general anesthesia but are otherwise suitable for TEP. © Mary Ann Liebert, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/83083
ISSN
2015 Impact Factor: 1.297
2015 SCImago Journal Rankings: 0.680
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Hen_HK
dc.contributor.authorWong, Cen_HK
dc.contributor.authorChu, Ken_HK
dc.contributor.authorPatil, NGen_HK
dc.date.accessioned2010-09-06T08:36:48Z-
dc.date.available2010-09-06T08:36:48Z-
dc.date.issued2005en_HK
dc.identifier.citationJournal Of Laparoendoscopic And Advanced Surgical Techniques - Part A, 2005, v. 15 n. 2, p. 121-124en_HK
dc.identifier.issn1092-6429en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83083-
dc.description.abstractObjectives: Although endoscopie totally extraperitoneal inguinal hernioplasty (TEP) confers superior early outcomes compared to those of open repair, the requirement of general anesthesia has been held as an argument against the application of TEP by opponents of laparoscopic surgery. To date, the literature on TEP performed under spinal anesthesia remains scarce. The present study reports our early experience performing TEP under spinal anesthesia in selected patients who were medically unfit for general anesthesia. Methods: Between March 2003 and March 2004, 6 male patients underwent attempted TEP under spinal anesthesia. Selection criteria for the procedure included reducibility of the inguinal hernia and concomitant medical conditions precluding general aesthesia, such as impaired lung function. Informed consent was obtained in all patients. Results: All patients were conscious and able to communicate verbally during the operation. TEP was successfully completed in 4 patients, with a mean operative time of 33 minutes. All 4 patients were asymptomatic and experienced no pain throughout the procedure. Conversion to open repair was required in 2 patients because of uncooperative movement in one, and inadequate neural blockade by spinal anesthesia in the other. Intraoperative cardiorespiratory parameters were stable in all patients. Postoperative urinary retention occurred in 1 patient. The mean length of follow-up exceeded 3 months, and no seroma or recurrence was detected clinically. Conclusion: Successful performance of TEP under spinal anesthesia requires the combined efforts of an experienced anesthesiologist, a skilled surgeon, and a cooperative patient. Our initial experience of TEP under spinal anesthesia appeared promising. TEP under spinal anesthesia may have a role in selected patients who are medically unfit for general anesthesia but are otherwise suitable for TEP. © Mary Ann Liebert, Inc.en_HK
dc.languageengen_HK
dc.publisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/lapen_HK
dc.relation.ispartofJournal of Laparoendoscopic and Advanced Surgical Techniques - Part Aen_HK
dc.titleEndoscopic totally extraperitoneal inguinal hernioplasty under spinal anesthesiaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1092-6429&volume=15&issue=2&spage=121&epage=124&date=2005&atitle=Endoscopic+totally+extraperitoneal+inguinal+hernioplasty+under+spinal+anesthesiaen_HK
dc.identifier.emailPatil, NG: ngpatil@hkucc.hku.hken_HK
dc.identifier.authorityPatil, NG=rp00388en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1089/lap.2005.15.121en_HK
dc.identifier.pmid15898900-
dc.identifier.scopuseid_2-s2.0-18744398749en_HK
dc.identifier.hkuros98576en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-18744398749&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume15en_HK
dc.identifier.issue2en_HK
dc.identifier.spage121en_HK
dc.identifier.epage124en_HK
dc.identifier.isiWOS:000229120500003-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLau, H=7201497812en_HK
dc.identifier.scopusauthoridWong, C=36862847700en_HK
dc.identifier.scopusauthoridChu, K=8227198100en_HK
dc.identifier.scopusauthoridPatil, NG=7103152514en_HK

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