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Article: A comparative outcome analysis of bilateral versus unilateral endoscopic extraperitoneal inguinal hernioplastics

TitleA comparative outcome analysis of bilateral versus unilateral endoscopic extraperitoneal inguinal hernioplastics
Authors
Issue Date2003
PublisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/lap
Citation
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2003, v. 13 n. 3, p. 153-157 How to Cite?
AbstractBackground: Bilateral inguinal hernia is an accepted indication for endoscopic totally extraperitoneal inguinal hernioplasty (TEP), but few studies have proved that the outcomes of bilateral TEP are as good as those of unilateral TEP. The objective of the present study was to compare the clinical outcomes of patients who underwent unilateral TEP with those of patients who underwent bilateral TEP. Patients and Methods: From June 1999 to May 2002, 103 patients underwent simultaneous bilateral TEP. The clinical data and outcomes of these patients were compared with those of an age-matched cohort of patients who underwent unilateral TEP during the same period. Results: The demographic features and hernia types were similar for the two groups. The incidence of direct inguinal hernia was significantly higher in the patients with bilateral inguinal hernia. The mean operative time for unilateral TEP was 65 minutes, and for bilateral TEP it was 97 minutes. The mean pain score at rest was significantly lower in the bilateral group than in the unilateral group on postoperative days 2 and 3. Pain scores at rest and during coughing from the day of operation to day 6 were otherwise comparable for the two groups. Comparisons of postoperative morbidity, length of hospital stay, and time to resumption of normal outdoor activities showed no significant differences between the two groups. Conclusions: The postoperative recovery and morbidity of patients who underwent bilateral TEP were equivalent to those who underwent unilateral TEP. Simultaneous bilateral TEP is safe and advantageous in patients with from bilateral inguinal hernias.
Persistent Identifierhttp://hdl.handle.net/10722/84195
ISSN
2023 Impact Factor: 1.1
2023 SCImago Journal Rankings: 0.420
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Hen_HK
dc.contributor.authorPatil, NGen_HK
dc.contributor.authorYuen, WKen_HK
dc.date.accessioned2010-09-06T08:50:05Z-
dc.date.available2010-09-06T08:50:05Z-
dc.date.issued2003en_HK
dc.identifier.citationJournal of Laparoendoscopic & Advanced Surgical Techniques, 2003, v. 13 n. 3, p. 153-157en_HK
dc.identifier.issn1092-6429en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84195-
dc.description.abstractBackground: Bilateral inguinal hernia is an accepted indication for endoscopic totally extraperitoneal inguinal hernioplasty (TEP), but few studies have proved that the outcomes of bilateral TEP are as good as those of unilateral TEP. The objective of the present study was to compare the clinical outcomes of patients who underwent unilateral TEP with those of patients who underwent bilateral TEP. Patients and Methods: From June 1999 to May 2002, 103 patients underwent simultaneous bilateral TEP. The clinical data and outcomes of these patients were compared with those of an age-matched cohort of patients who underwent unilateral TEP during the same period. Results: The demographic features and hernia types were similar for the two groups. The incidence of direct inguinal hernia was significantly higher in the patients with bilateral inguinal hernia. The mean operative time for unilateral TEP was 65 minutes, and for bilateral TEP it was 97 minutes. The mean pain score at rest was significantly lower in the bilateral group than in the unilateral group on postoperative days 2 and 3. Pain scores at rest and during coughing from the day of operation to day 6 were otherwise comparable for the two groups. Comparisons of postoperative morbidity, length of hospital stay, and time to resumption of normal outdoor activities showed no significant differences between the two groups. Conclusions: The postoperative recovery and morbidity of patients who underwent bilateral TEP were equivalent to those who underwent unilateral TEP. Simultaneous bilateral TEP is safe and advantageous in patients with from bilateral inguinal hernias.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 & Advanced Surgical Techniquesen_HK
dc.rightsThis is a copy of an article published in the [Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A] © [2003] [copyright Mary Ann Liebert, Inc.]; [Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A} is available online at: http://www.liebertonline.com.-
dc.titleA comparative outcome analysis of bilateral versus unilateral endoscopic extraperitoneal inguinal hernioplasticsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1092-6429&volume=13 &issue=3&spage=153&epage=157&date=2003&atitle=A+comparative+outcome+analysis+of+bilateral+versus+unilateral+endoscopic+extraperitoneal+inguinal+hernioplasticsen_HK
dc.identifier.emailPatil, NG: ngpatil@hkucc.hku.hken_HK
dc.identifier.authorityPatil, NG=rp00388en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1089/109264203766207663-
dc.identifier.pmid12855096-
dc.identifier.scopuseid_2-s2.0-0037499481en_HK
dc.identifier.hkuros76890en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0037499481&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume13en_HK
dc.identifier.issue3en_HK
dc.identifier.spage153en_HK
dc.identifier.epage157en_HK
dc.identifier.isiWOS:000183512500003-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLau, H=7201497812en_HK
dc.identifier.scopusauthoridPatil, NG=7103152514en_HK
dc.identifier.scopusauthoridYuen, WK=7102761292en_HK
dc.identifier.issnl1092-6429-

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