BACKGROUND: Between October 1992 and May 1996, 893 hernia repairs were performed at the Surgical Clinic in Mannheim: 448 (50%) using laparoscopy (TAPP-method) and 445 (50%) using the conventional anterior approach (Shouldice). MATERIALS AND METHODS: For this study, 723 (81%) of these repairs were followed up in a prospective trial of postoperative nerve irritations. RESULTS: The rate of nerve entrapment in the laparoscopic group was 4.2% (n = 19), and in the group that underwent conventional surgery 1.8% (n = 8). The genitofemoral nerve was affected with particularly high frequency (2%), and the ilioinguinal nerve and lateral cutaneous nerve of the thigh (LCNT) each was affected in 1.1% of the cases. CONCLUSIONS: Reduction in the number of clips used and careful attention to the anatomic nerve course during preparation and placement of mesh led to a significant reduction in the occurrence of nerve irritations. In the last 100 patients who underwent laparoscopic hernia repair, only one nerve lesion was seen.
BACKGROUND: Between October 1992 and May 1996, 893 hernia repairs were performed at the Surgical Clinic in Mannheim: 448 (50%) using laparoscopy (TAPP-method) and 445 (50%) using the conventional anterior approach (Shouldice). MATERIALS AND METHODS: For this study, 723 (81%) of these repairs were followed up in a prospective trial of postoperative nerve irritations. RESULTS: The rate of nerve entrapment in the laparoscopic group was 4.2% (n = 19), and in the group that underwent conventional surgery 1.8% (n = 8). The genitofemoral nerve was affected with particularly high frequency (2%), and the ilioinguinal nerve and lateral cutaneous nerve of the thigh (LCNT) each was affected in 1.1% of the cases. CONCLUSIONS: Reduction in the number of clips used and careful attention to the anatomic nerve course during preparation and placement of mesh led to a significant reduction in the occurrence of nerve irritations. In the last 100 patients who underwent laparoscopic hernia repair, only one nerve lesion was seen.
Authors: Amit Kaul; Susan Hutfless; Hamilton Le; Senan A Hamed; Kevin Tymitz; Hien Nguyen; Michael R Marohn Journal: Surg Endosc Date: 2012-02-21 Impact factor: 4.584
Authors: Rattapol Pinnaratip; Mohammad Saleh Akram Bhuiyan; Kaylee Meyers; Rupak M Rajachar; Bruce P Lee Journal: Adv Healthc Mater Date: 2019-04-03 Impact factor: 9.933