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Article: Impact of previous appendectomy on the outcomes of endoscopic totally extraperitoneal inguinal hernioplasty

TitleImpact of previous appendectomy on the outcomes of endoscopic totally extraperitoneal inguinal hernioplasty
Authors
KeywordsAppendicitis
Inguinal hernia
Inguinal herniorrhaphy
Laparoscopy
Issue Date2004
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.surgical-laparoscopy.com
Citation
Surgical Laparoscopy, Endoscopy And Percutaneous Techniques, 2004, v. 14 n. 5, p. 257-259 How to Cite?
AbstractPrevious lower abdominal surgery presents a technical challenge during endoscopic totally extraperitoneal inguinal hernioplasty. Whether the presence of appendectomy scarring and adhesions will adversely influence the outcomes of totally extraperitoneal inguinal hernioplasty remains largely unknown. The objectives of the present study were to evaluate the safety of totally extraperitoneal inguinal hernioplasty in patients with a history of appendectomy and examine its impact on the perioperative outcomes. Between November 1999 and September 2003, patients who underwent totally extraperitoneal inguinal hernioplasty and had previous appendectomy were recruited as the appendectomy group. For each case patient, 3 age-matched cohorts were randomly selected during the same period. Perioperative data and postoperative outcomes were compared between the 2 groups of patients. A total of 92 patients, 23 cases and 69 controls, were recruited. There was no predominance of either direct or indirect inguinal hernia in the appendectomy group. One patient in the appendectomy group required conversion to transabdominal preperitoneal inguinal hernioplasty because of adhesions. The incidence of peritoneal tear and operative time was higher and longer in the appendectomy group respectively but the differences were not significant. Comparisons of the mean duration of hospitalization, postoperative morbidity rates, pain scores, and time taken to resume normal activities showed no significant difference between the 2 groups. Totally extraperitoneal inguinal hernioplasty in patients who had previous appendectomy was technically safe. A higher incidence of peritoneal tear was anticipated in the presence of appendectomy scarring and adhesions. Postoperative recovery and outcomes were equivalent to those who had no history of appendectomy.
Persistent Identifierhttp://hdl.handle.net/10722/84003
ISSN
2015 Impact Factor: 1.019
2015 SCImago Journal Rankings: 0.574
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Hen_HK
dc.contributor.authorPatil, NGen_HK
dc.date.accessioned2010-09-06T08:47:46Z-
dc.date.available2010-09-06T08:47:46Z-
dc.date.issued2004en_HK
dc.identifier.citationSurgical Laparoscopy, Endoscopy And Percutaneous Techniques, 2004, v. 14 n. 5, p. 257-259en_HK
dc.identifier.issn1530-4515en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84003-
dc.description.abstractPrevious lower abdominal surgery presents a technical challenge during endoscopic totally extraperitoneal inguinal hernioplasty. Whether the presence of appendectomy scarring and adhesions will adversely influence the outcomes of totally extraperitoneal inguinal hernioplasty remains largely unknown. The objectives of the present study were to evaluate the safety of totally extraperitoneal inguinal hernioplasty in patients with a history of appendectomy and examine its impact on the perioperative outcomes. Between November 1999 and September 2003, patients who underwent totally extraperitoneal inguinal hernioplasty and had previous appendectomy were recruited as the appendectomy group. For each case patient, 3 age-matched cohorts were randomly selected during the same period. Perioperative data and postoperative outcomes were compared between the 2 groups of patients. A total of 92 patients, 23 cases and 69 controls, were recruited. There was no predominance of either direct or indirect inguinal hernia in the appendectomy group. One patient in the appendectomy group required conversion to transabdominal preperitoneal inguinal hernioplasty because of adhesions. The incidence of peritoneal tear and operative time was higher and longer in the appendectomy group respectively but the differences were not significant. Comparisons of the mean duration of hospitalization, postoperative morbidity rates, pain scores, and time taken to resume normal activities showed no significant difference between the 2 groups. Totally extraperitoneal inguinal hernioplasty in patients who had previous appendectomy was technically safe. A higher incidence of peritoneal tear was anticipated in the presence of appendectomy scarring and adhesions. Postoperative recovery and outcomes were equivalent to those who had no history of appendectomy.en_HK
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.surgical-laparoscopy.comen_HK
dc.relation.ispartofSurgical Laparoscopy, Endoscopy and Percutaneous Techniquesen_HK
dc.rightsSurgical Laparoscopy, Endoscopy and Percutaneous Techniques. Copyright © Lippincott Williams & Wilkins.en_HK
dc.subjectAppendicitisen_HK
dc.subjectInguinal herniaen_HK
dc.subjectInguinal herniorrhaphyen_HK
dc.subjectLaparoscopyen_HK
dc.titleImpact of previous appendectomy on the outcomes of endoscopic totally extraperitoneal inguinal hernioplastyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1530-4515&volume=14&issue=5&spage=257&epage=259&date=2004&atitle=Impact+of+previous+appendectomy+on+the+outcomes+of+endoscopic+totally+extraperitoneal+inguinal+hernioplastyen_HK
dc.identifier.emailPatil, NG: ngpatil@hkucc.hku.hken_HK
dc.identifier.authorityPatil, NG=rp00388en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid15492653-
dc.identifier.scopuseid_2-s2.0-7044247333en_HK
dc.identifier.hkuros104398en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-7044247333&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume14en_HK
dc.identifier.issue5en_HK
dc.identifier.spage257en_HK
dc.identifier.epage259en_HK
dc.identifier.isiWOS:000231375800005-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLau, H=7201497812en_HK
dc.identifier.scopusauthoridPatil, NG=7103152514en_HK

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