Simultaneous repair of bilateral groin hernias: open or laparoscopic approach?

Détails

ID Serval
serval:BIB_6CB315BF95CD
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Simultaneous repair of bilateral groin hernias: open or laparoscopic approach?
Périodique
Surgical laparoscopy & endoscopy
Auteur⸱e⸱s
Krähenbühl L., Schäfer M., Schilling M., Kuzinkovas V., Büchler M.W.
ISSN
1051-7200 (Print)
ISSN-L
1051-7200
Statut éditorial
Publié
Date de publication
08/1998
Peer-reviewed
Oui
Volume
8
Numéro
4
Pages
313-318
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: ppublish
Résumé
A persistent problem in hernia surgery concerns the repair of bilateral inguinal hernias. A retrospective analysis of 78 patients with bilateral inguinal hernias was performed. Hernia repair was performed either by an open anterior access (modified Shouldice repair) or a laparoscopic posterior approach (TAPP repair). The two patient groups were similar with regard to ASA classification, age, and sex. The intraoperative complication rate was low (2.6% to 7.8%), whereas postoperative complications occurred more frequently (7.7% to 15.4%). The recurrence rate was low in both groups: 5.1% for the open group and 1.3% for the laparoscopic group. The mean hospital stay was 4 days for both groups, and the mean off-work times were 56.4 days and 17.9 days for the open and laparoscopic group, respectively (p < 0.05). Both procedures gave satisfactory results. The main advantages of the laparoscopic approach are the shorter convalescence time and quicker return to work.
Mots-clé
Adolescent, Adult, Aged, Aged, 80 and over, Analysis of Variance, Female, Follow-Up Studies, Hernia, Inguinal/pathology, Hernia, Inguinal/surgery, Humans, Intraoperative Complications, Laparoscopy/adverse effects, Laparoscopy/methods, Length of Stay, Male, Middle Aged, Recurrence, Retrospective Studies, Surgical Procedures, Operative/adverse effects, Surgical Procedures, Operative/methods, Treatment Outcome
Pubmed
Web of science
Création de la notice
11/12/2018 12:44
Dernière modification de la notice
20/08/2019 15:26
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