Laparoscopic hernia surgery: an overview.

Details

Serval ID
serval:BIB_62860171A632
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Laparoscopic hernia surgery: an overview.
Journal
Digestive surgery
Author(s)
Krähenbühl L., Schäfer M., Feodorovici M.A., Büchler M.W.
ISSN
0253-4886 (Print)
ISSN-L
0253-4886
Publication state
Published
Issued date
1998
Peer-reviewed
Oui
Volume
15
Number
2
Pages
158-166
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Despite the fact that laparoscopic hernia repair was already described in 1979, its value has still not been well defined. The standard treatment for uncomplicated primary hernia repair in Europe is an open anterior approach (i.e. Shouldice), and 'tension-free' mesh plug repair in the USA. At present, posterior mesh insertion is used to repair so-called complicated hernias with a complete myopectineal defect, and recurrent and bilateral hernias. Laparoscopic hernia repair (transabdominally and extraperitoneally) mimics this posterior mesh insertion and is therefore mostly used for treating complicated hernias. Whether or not a transabdominal or extraperitoneal approach is used depends on the type and size of the hernia, the risk to the patient, previous abdominal operations and the surgeon's experience. However, the extraperitoneal approach is now recommended because of its lower complication rate compared to the transabdominal approach. Compared to open surgical procedures the laparoscopic approach shows significant advantages in terms of less postoperative pain, decreased time off work and decreased overall costs. The disadvantages are increased operating time as well as difficulty in performing the procedure itself. A recent large randomized series has for the first time been able to demonstrate the advantages of the laparoscopic approach in a long-term follow-up. However, further studies are needed to define the exact place of laparoscopic hernia repair in the treatment of groin hernias.
Keywords
Hernia, Inguinal/surgery, Humans, Laparoscopy/methods, Postoperative Complications, Surgical Mesh
Pubmed
Web of science
Create date
11/12/2018 12:40
Last modification date
20/08/2019 15:19
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