Totally Extraperitoneal Laparoscopic Inguinal Hernia Repair Is a Safe Option in Patients with Previous Lower Abdominal Surgery.

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  • Additional Information
    • Abstract:
      Background: History of inguinal hernia repair changed over the decades from repair by tissue approximation to the insertion of synthetic mesh and the introduction of laparoscopic repair. Despite accounting for 15–20% of hernia operations worldwide, many surgeons considered previous lower abdominal surgery as a contraindication to performing totally extraperitoneal (TEP) repair. Aim: The aim of this study was to assess the feasibility of TEP in primary and recurrent inguinal hernias in patients with previous lower abdominal surgery. Patients and Methods: This study was a retrospective review of patients who underwent TEP inguinal hernia repair from January 2001 to July 2005. Variables studied included patient demographics, type of hernia, type of previous surgery, conversion to open repair, postoperative complications, and overnight admission. Results: One hundred eight patients (107 males, 1 female), with a median age of 55 years (range 87–24), underwent TEP repair. Ninety-four patients had primary inguinal hernias, and 13 patients had recurrent inguinal hernias. Seventeen patients had a previous lower abdominal surgery (13 primary and 4 recurrent inguinal hernias). There was 1 conversion to open repair and 1 case of postoperative bleeding that required an exploration—both in the group with no previous surgery. Postoperative complications were minimal. All cases were performed as day cases; however, patients with recurrent hernia stayed longer in the hospital than those with primary hernia ( P = 0.006). Conclusion: TEP repair is feasible in patients with previous lower abdominal surgery. TEP was planned as a day-case procedure; however, patients with recurrent hernias needed a planned admission, as an overnight stay was required. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Journal of Laparoendoscopic & Advanced Surgical Techniques is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Our Lady's Hospital--Navan, Dublin, Ireland
      2Department of General Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland
    • ISSN:
      1092-6429
    • Accession Number:
      10.1089/lap.2007.0071
    • Accession Number:
      32165349
  • Citations
    • ABNT:
      AL-SAHAF, O. et al. Totally Extraperitoneal Laparoscopic Inguinal Hernia Repair Is a Safe Option in Patients with Previous Lower Abdominal Surgery. Journal of Laparoendoscopic & Advanced Surgical Techniques, [s. l.], v. 18, n. 3, p. 353–356, 2008. DOI 10.1089/lap.2007.0071. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=32165349&custid=s6224580. Acesso em: 16 dez. 2019.
    • AMA:
      Al-Sahaf O, Al-Azawi D, Fauzi MZ, Cunningham FO, McGrath JP. Totally Extraperitoneal Laparoscopic Inguinal Hernia Repair Is a Safe Option in Patients with Previous Lower Abdominal Surgery. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2008;18(3):353-356. doi:10.1089/lap.2007.0071.
    • APA:
      Al-Sahaf, O., Al-Azawi, D., Fauzi, M. Z., Cunningham, F. O., & McGrath, J. P. (2008). Totally Extraperitoneal Laparoscopic Inguinal Hernia Repair Is a Safe Option in Patients with Previous Lower Abdominal Surgery. Journal of Laparoendoscopic & Advanced Surgical Techniques, 18(3), 353–356. https://doi.org/10.1089/lap.2007.0071
    • Chicago/Turabian: Author-Date:
      Al-Sahaf, Osama, Dhafir Al-Azawi, Muhammad Z. Fauzi, Frank O. Cunningham, and Joseph P. McGrath. 2008. “Totally Extraperitoneal Laparoscopic Inguinal Hernia Repair Is a Safe Option in Patients with Previous Lower Abdominal Surgery.” Journal of Laparoendoscopic & Advanced Surgical Techniques 18 (3): 353–56. doi:10.1089/lap.2007.0071.
    • Harvard:
      Al-Sahaf, O. et al. (2008) ‘Totally Extraperitoneal Laparoscopic Inguinal Hernia Repair Is a Safe Option in Patients with Previous Lower Abdominal Surgery’, Journal of Laparoendoscopic & Advanced Surgical Techniques, 18(3), pp. 353–356. doi: 10.1089/lap.2007.0071.
    • Harvard: Australian:
      Al-Sahaf, O, Al-Azawi, D, Fauzi, MZ, Cunningham, FO & McGrath, JP 2008, ‘Totally Extraperitoneal Laparoscopic Inguinal Hernia Repair Is a Safe Option in Patients with Previous Lower Abdominal Surgery’, Journal of Laparoendoscopic & Advanced Surgical Techniques, vol. 18, no. 3, pp. 353–356, viewed 16 December 2019, .
    • MLA:
      Al-Sahaf, Osama, et al. “Totally Extraperitoneal Laparoscopic Inguinal Hernia Repair Is a Safe Option in Patients with Previous Lower Abdominal Surgery.” Journal of Laparoendoscopic & Advanced Surgical Techniques, vol. 18, no. 3, June 2008, pp. 353–356. EBSCOhost, doi:10.1089/lap.2007.0071.
    • Chicago/Turabian: Humanities:
      Al-Sahaf, Osama, Dhafir Al-Azawi, Muhammad Z. Fauzi, Frank O. Cunningham, and Joseph P. McGrath. “Totally Extraperitoneal Laparoscopic Inguinal Hernia Repair Is a Safe Option in Patients with Previous Lower Abdominal Surgery.” Journal of Laparoendoscopic & Advanced Surgical Techniques 18, no. 3 (June 2008): 353–56. doi:10.1089/lap.2007.0071.
    • Vancouver/ICMJE:
      Al-Sahaf O, Al-Azawi D, Fauzi MZ, Cunningham FO, McGrath JP. Totally Extraperitoneal Laparoscopic Inguinal Hernia Repair Is a Safe Option in Patients with Previous Lower Abdominal Surgery. Journal of Laparoendoscopic & Advanced Surgical Techniques [Internet]. 2008 Jun [cited 2019 Dec 16];18(3):353–6. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=32165349&custid=s6224580