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Article: Two hundred endoscopic extraperitoneal inguinal hernioplasties: Cost containment by reusable instruments

TitleTwo hundred endoscopic extraperitoneal inguinal hernioplasties: Cost containment by reusable instruments
Authors
KeywordsHerniorrhaphy
Inguinal hernia
Laparoscopy
Issue Date2002
PublisherZhonghua Yixuehui. The Journal's web site is located at http://www.cmj.org/
Citation
Chinese Medical Journal, 2002, v. 115 n. 6, p. 888-891 How to Cite?
AbstractObjective. To report our experience of 200 endoscopic totally extraperitoneal inguinal hernioplasties utilizing reusable instruments. Methods. Between August 1999 and June 2000, 200 endoscopic totally extraperitoneal hernioplasties were performed on 163 patients. The mean age of the study population was 63 years with a male to female ratio of 157:6. Perioperative details and postoperative outcomes were prospectively evaluated and analyzed. Results. A total of 196 (98%) endoscopic extraperitoneal inguinal hernioplasties were successfully performed. Conversion rates to transabdominal preperitoneal and open repairs were 1.5% (n = 3) and 0.5% (n = 1), respectively. There were no other intraoperative complications. Postoperative morbidity included retention of urine (n = 7), wound bruising (n = 2), atelectasis (n = 2) and gouty arthritis (n = 1). The mean visual analogue pain scores at rest were 2.3, 1.6 and 1.9 on postoperative days 0, 1 and 2, respectively. The mean length of hospital stay was 1.9 days. 113 patients (69%) returned to normal activities within one week. Of the 35 patients who experienced both open and laparoscopic repair, 80% expressed preference for endoscopic hernioplasty in the event of future recurrence. Conclusions. Endoscopic extraperitoneal inguinal hernioplasty can be safely performed utilizing reusable trocars. Substantial reduction of operative cost could be achieved by the elimination of disposable instruments. Deficiencies of the reusable metallic trocar, namely peri-cannula air-leak and sliding movements of the trocar, can be overcome by purse-string suture of the fascial opening.
Persistent Identifierhttp://hdl.handle.net/10722/83247
ISSN
2015 Impact Factor: 0.957
2015 SCImago Journal Rankings: 0.428
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Hen_HK
dc.contributor.authorLee, Fen_HK
dc.contributor.authorPatil, NGen_HK
dc.contributor.authorYuen, WKen_HK
dc.date.accessioned2010-09-06T08:38:45Z-
dc.date.available2010-09-06T08:38:45Z-
dc.date.issued2002en_HK
dc.identifier.citationChinese Medical Journal, 2002, v. 115 n. 6, p. 888-891en_HK
dc.identifier.issn0366-6999en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83247-
dc.description.abstractObjective. To report our experience of 200 endoscopic totally extraperitoneal inguinal hernioplasties utilizing reusable instruments. Methods. Between August 1999 and June 2000, 200 endoscopic totally extraperitoneal hernioplasties were performed on 163 patients. The mean age of the study population was 63 years with a male to female ratio of 157:6. Perioperative details and postoperative outcomes were prospectively evaluated and analyzed. Results. A total of 196 (98%) endoscopic extraperitoneal inguinal hernioplasties were successfully performed. Conversion rates to transabdominal preperitoneal and open repairs were 1.5% (n = 3) and 0.5% (n = 1), respectively. There were no other intraoperative complications. Postoperative morbidity included retention of urine (n = 7), wound bruising (n = 2), atelectasis (n = 2) and gouty arthritis (n = 1). The mean visual analogue pain scores at rest were 2.3, 1.6 and 1.9 on postoperative days 0, 1 and 2, respectively. The mean length of hospital stay was 1.9 days. 113 patients (69%) returned to normal activities within one week. Of the 35 patients who experienced both open and laparoscopic repair, 80% expressed preference for endoscopic hernioplasty in the event of future recurrence. Conclusions. Endoscopic extraperitoneal inguinal hernioplasty can be safely performed utilizing reusable trocars. Substantial reduction of operative cost could be achieved by the elimination of disposable instruments. Deficiencies of the reusable metallic trocar, namely peri-cannula air-leak and sliding movements of the trocar, can be overcome by purse-string suture of the fascial opening.en_HK
dc.languageengen_HK
dc.publisherZhonghua Yixuehui. The Journal's web site is located at http://www.cmj.org/en_HK
dc.relation.ispartofChinese Medical Journalen_HK
dc.subjectHerniorrhaphyen_HK
dc.subjectInguinal herniaen_HK
dc.subjectLaparoscopyen_HK
dc.titleTwo hundred endoscopic extraperitoneal inguinal hernioplasties: Cost containment by reusable instrumentsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0366-6999&volume=115&issue=6&spage=888&epage=891&date=2002&atitle=Two+hundred+endoscopic+extraperitoneal+inguinal+hernioplasties:+cost+containment+by+reusable+instrumentsen_HK
dc.identifier.emailPatil, NG: ngpatil@hkucc.hku.hken_HK
dc.identifier.authorityPatil, NG=rp00388en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid12123559-
dc.identifier.scopuseid_2-s2.0-0036290655en_HK
dc.identifier.hkuros70432en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036290655&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume115en_HK
dc.identifier.issue6en_HK
dc.identifier.spage888en_HK
dc.identifier.epage891en_HK
dc.identifier.isiWOS:000176693300020-
dc.publisher.placeChinaen_HK
dc.identifier.scopusauthoridLau, H=7201497812en_HK
dc.identifier.scopusauthoridLee, F=7403111996en_HK
dc.identifier.scopusauthoridPatil, NG=7103152514en_HK
dc.identifier.scopusauthoridYuen, WK=7102761292en_HK

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