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Article: Selective Non-Stapling of Mesh during Unilateral Endoscopic Total Extraperitoneal Inguinal Hernioplasty: A Case-Control Study

TitleSelective Non-Stapling of Mesh during Unilateral Endoscopic Total Extraperitoneal Inguinal Hernioplasty: A Case-Control Study
Authors
Issue Date2003
PublisherAmerican Medical Association. The Journal's web site is located at http://www.archsurg.com
Citation
Archives Of Surgery, 2003, v. 138 n. 12, p. 1352-1355 How to Cite?
AbstractHypothesis: Selective non-stapling of the mesh during unilateral endoscopic total extraperitoneal inguinal hernioplasty (TEP) may reduce postoperative pain and morbidity rate. Design: Case-control study. Setting: Division of general surgery at a university-affiliated teaching hospital. Patients: Two hundred patients who underwent TEP. Intervention: Endoscopic total extraperitoneal inguinal hernioplasty with and without stapling the mesh. The mesh was stapled when the diameter of the hernial defect was greater than 4 cm or there was an inadequate overlap of the defect by the mesh. Main Outcome Measures: Postoperative pain score and morbidity rate were compared between patients who had stapling and selective non-stapling of the mesh during TEP. Results: Demographic features, hernia types, and mean operative times of the 2 groups were comparable. Postoperative pain scores upon coughing from the day of operation to postoperative day 6 were lower in patients who had not had the mesh stapled, but the difference was not statistically significant. Comparisons of the mean length of hospital stay, postoperative morbidity, and time taken to resume normal activities showed no significant difference between the 2 groups. With a mean follow-up of 1 year, no neuralgia or recurrence was noted in either group during follow-up. Conclusions: Selective non-stapling of the mesh did not confer short-term benefits, such as reduced postoperative pain and morbidity, compared with those who had routine stapling of the mesh during TEP. For patients with a hernial defect measuring less than 4 cm, TEP can be performed without stapling the mesh. The selective non-stapling strategy also helps to reduce the cost of the operation and the potential for nerve entrapment.
Persistent Identifierhttp://hdl.handle.net/10722/84365
ISSN
2014 Impact Factor: 4.926
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Hen_HK
dc.contributor.authorPatil, NGen_HK
dc.date.accessioned2010-09-06T08:52:05Z-
dc.date.available2010-09-06T08:52:05Z-
dc.date.issued2003en_HK
dc.identifier.citationArchives Of Surgery, 2003, v. 138 n. 12, p. 1352-1355en_HK
dc.identifier.issn0004-0010en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84365-
dc.description.abstractHypothesis: Selective non-stapling of the mesh during unilateral endoscopic total extraperitoneal inguinal hernioplasty (TEP) may reduce postoperative pain and morbidity rate. Design: Case-control study. Setting: Division of general surgery at a university-affiliated teaching hospital. Patients: Two hundred patients who underwent TEP. Intervention: Endoscopic total extraperitoneal inguinal hernioplasty with and without stapling the mesh. The mesh was stapled when the diameter of the hernial defect was greater than 4 cm or there was an inadequate overlap of the defect by the mesh. Main Outcome Measures: Postoperative pain score and morbidity rate were compared between patients who had stapling and selective non-stapling of the mesh during TEP. Results: Demographic features, hernia types, and mean operative times of the 2 groups were comparable. Postoperative pain scores upon coughing from the day of operation to postoperative day 6 were lower in patients who had not had the mesh stapled, but the difference was not statistically significant. Comparisons of the mean length of hospital stay, postoperative morbidity, and time taken to resume normal activities showed no significant difference between the 2 groups. With a mean follow-up of 1 year, no neuralgia or recurrence was noted in either group during follow-up. Conclusions: Selective non-stapling of the mesh did not confer short-term benefits, such as reduced postoperative pain and morbidity, compared with those who had routine stapling of the mesh during TEP. For patients with a hernial defect measuring less than 4 cm, TEP can be performed without stapling the mesh. The selective non-stapling strategy also helps to reduce the cost of the operation and the potential for nerve entrapment.en_HK
dc.languageengen_HK
dc.publisherAmerican Medical Association. The Journal's web site is located at http://www.archsurg.comen_HK
dc.relation.ispartofArchives of Surgeryen_HK
dc.titleSelective Non-Stapling of Mesh during Unilateral Endoscopic Total Extraperitoneal Inguinal Hernioplasty: A Case-Control Studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0004-0010&volume=138&issue=12&spage=1352&epage=1355&date=2003&atitle=Selective+non-stapling+of+mesh+during+unilateral+endoscopic+total+extraperitoneal+inguinal+hernioplasty+(a+case-control+study)en_HK
dc.identifier.emailPatil, NG: ngpatil@hkucc.hku.hken_HK
dc.identifier.authorityPatil, NG=rp00388en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1001/archsurg.138.12.1352en_HK
dc.identifier.pmid14662538-
dc.identifier.scopuseid_2-s2.0-0345492042en_HK
dc.identifier.hkuros85243en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0345492042&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume138en_HK
dc.identifier.issue12en_HK
dc.identifier.spage1352en_HK
dc.identifier.epage1355en_HK
dc.identifier.isiWOS:000187007900019-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLau, H=7201497812en_HK
dc.identifier.scopusauthoridPatil, NG=7103152514en_HK

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