A Aikoye1, M Harilingam2, A Khushal3. 1. Registrar Surgery, Department of General and Vascular Surgery, Kent and Canterbury Hospital , Canterbury, CT1 3NG . 2. Locum Consultant Surgeon, Queen Elizabeth the Queen Mother Hospital , Margate, CT9 4AN . 3. Locum Consultant Surgeon Department of General and Vascular Surgery, Kent and Canterbury Hospital , Canterbury, CT1 3NG .
Abstract
PURPOSE: Laparoscopic hernia repair is characterised by a steep learning curve for the surgeon, and proficiency and outcomes are dependent on experience. The aim of this study was to compare laparoscopic totally extra peritoneal (TEP) inguinal hernia repair outcomes conducted by a single surgeon as experience changed over time. MATERIALS AND METHODS: Clinical records of 100 consecutive patients who underwent laparoscopic TEP inguinal hernia repair (n=113 hernias) at Kent and Canterbury Hospital by a single laparoscopic surgeon over a four-year period were reviewed for postoperative outcomes. Outcomes were compared with a previous cohort of patients undergoing TEP repair in the preceding three years. RESULTS: One patient experienced chronic postoperative pain, but there were no recurrences, wound infections, haematomas, or conversions compared to three recurrences, three conversions to open operations, one haematoma, and one episode of postoperative pain in the preceding period. CONCLUSIONS: Laparoscopic TEP inguinal hernia repair can be further improved with surgical proficiency and high surgical volumes.
PURPOSE: Laparoscopic hernia repair is characterised by a steep learning curve for the surgeon, and proficiency and outcomes are dependent on experience. The aim of this study was to compare laparoscopic totally extra peritoneal (TEP) inguinal hernia repair outcomes conducted by a single surgeon as experience changed over time. MATERIALS AND METHODS: Clinical records of 100 consecutive patients who underwent laparoscopic TEP inguinal hernia repair (n=113 hernias) at Kent and Canterbury Hospital by a single laparoscopic surgeon over a four-year period were reviewed for postoperative outcomes. Outcomes were compared with a previous cohort of patients undergoing TEP repair in the preceding three years. RESULTS: One patient experienced chronic postoperative pain, but there were no recurrences, wound infections, haematomas, or conversions compared to three recurrences, three conversions to open operations, one haematoma, and one episode of postoperative pain in the preceding period. CONCLUSIONS: Laparoscopic TEP inguinal hernia repair can be further improved with surgical proficiency and high surgical volumes.
Entities:
Keywords:
General surgery; Hernia; Laparoscopic surgical procedures
Authors: M S Liem; Y van der Graaf; C J van Steensel; R U Boelhouwer; G J Clevers; W S Meijer; L P Stassen; J P Vente; W F Weidema; A J Schrijvers; T J van Vroonhoven Journal: N Engl J Med Date: 1997-05-29 Impact factor: 91.245
Authors: H Pokorny; A Klingler; T Schmid; R Fortelny; C Hollinsky; R Kawji; E Steiner; H Pernthaler; R Függer; M Scheyer Journal: Hernia Date: 2008-02-19 Impact factor: 4.739
Authors: M Maneck; F Köckerling; C Fahlenbrach; C D Heidecke; G Heller; H J Meyer; U Rolle; E Schuler; B Waibel; E Jeschke; C Günster Journal: Hernia Date: 2019-11-30 Impact factor: 4.739