Laparoscopic herniorrhaphy: Technical concerns in prevention of complications and early recurrence

J. G. Tucker, R. A. Wilson, Bruce Ramshaw, E. M. Mason, T. D. Duncan, G. W. Lucas

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

Laparoscopic herniorrhaphy continues to gain popularity, but should be subjected to proper scrutiny before widespread acceptance. From 5/91 to 6/93, 290 transabdominal preperitoneal (TAPP) laparoscopic herniorrhaphies were performed on 244 adult patients at Georgia Baptist Medical Center. Procedures consisted of indirect (164), direct (73), femoral (5), obturator (7), and recurrent (41) hernia repairs, with a mean operative time of 81.2 minutes (range 30-193 min). The overall technical complication rate was 5.3% and includes lateral thigh paresthesias (6), inferior epigastric artery injury (4), enterotomy during adhesiolysis (1), bowel obstruction secondary to herniation through a lateral trocar site (1), and bladder injury (1). The recurrence rate is 1% (3/290), with a mean follow up of 11 months (range 2- 27 months). The authors present herein a discussion of technical considerations in an attempt to help decrease complications and recurrence as others incorporate laparoscopic hernia repair into their surgical armamentarium.

Original languageEnglish (US)
Pages (from-to)36-39
Number of pages4
JournalAmerican Surgeon
Volume61
Issue number1
StatePublished - Jan 1 1995

Fingerprint

Herniorrhaphy
Recurrence
Thigh
Epigastric Arteries
Paresthesia
Wounds and Injuries
Operative Time
Surgical Instruments
Urinary Bladder

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Tucker, J. G., Wilson, R. A., Ramshaw, B., Mason, E. M., Duncan, T. D., & Lucas, G. W. (1995). Laparoscopic herniorrhaphy: Technical concerns in prevention of complications and early recurrence. American Surgeon, 61(1), 36-39.

Laparoscopic herniorrhaphy : Technical concerns in prevention of complications and early recurrence. / Tucker, J. G.; Wilson, R. A.; Ramshaw, Bruce; Mason, E. M.; Duncan, T. D.; Lucas, G. W.

In: American Surgeon, Vol. 61, No. 1, 01.01.1995, p. 36-39.

Research output: Contribution to journalArticle

Tucker, JG, Wilson, RA, Ramshaw, B, Mason, EM, Duncan, TD & Lucas, GW 1995, 'Laparoscopic herniorrhaphy: Technical concerns in prevention of complications and early recurrence', American Surgeon, vol. 61, no. 1, pp. 36-39.
Tucker, J. G. ; Wilson, R. A. ; Ramshaw, Bruce ; Mason, E. M. ; Duncan, T. D. ; Lucas, G. W. / Laparoscopic herniorrhaphy : Technical concerns in prevention of complications and early recurrence. In: American Surgeon. 1995 ; Vol. 61, No. 1. pp. 36-39.
@article{bb914cb89f3a4e5ab9e25723c5b66d1f,
title = "Laparoscopic herniorrhaphy: Technical concerns in prevention of complications and early recurrence",
abstract = "Laparoscopic herniorrhaphy continues to gain popularity, but should be subjected to proper scrutiny before widespread acceptance. From 5/91 to 6/93, 290 transabdominal preperitoneal (TAPP) laparoscopic herniorrhaphies were performed on 244 adult patients at Georgia Baptist Medical Center. Procedures consisted of indirect (164), direct (73), femoral (5), obturator (7), and recurrent (41) hernia repairs, with a mean operative time of 81.2 minutes (range 30-193 min). The overall technical complication rate was 5.3{\%} and includes lateral thigh paresthesias (6), inferior epigastric artery injury (4), enterotomy during adhesiolysis (1), bowel obstruction secondary to herniation through a lateral trocar site (1), and bladder injury (1). The recurrence rate is 1{\%} (3/290), with a mean follow up of 11 months (range 2- 27 months). The authors present herein a discussion of technical considerations in an attempt to help decrease complications and recurrence as others incorporate laparoscopic hernia repair into their surgical armamentarium.",
author = "Tucker, {J. G.} and Wilson, {R. A.} and Bruce Ramshaw and Mason, {E. M.} and Duncan, {T. D.} and Lucas, {G. W.}",
year = "1995",
month = "1",
day = "1",
language = "English (US)",
volume = "61",
pages = "36--39",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "1",

}

TY - JOUR

T1 - Laparoscopic herniorrhaphy

T2 - Technical concerns in prevention of complications and early recurrence

AU - Tucker, J. G.

AU - Wilson, R. A.

AU - Ramshaw, Bruce

AU - Mason, E. M.

AU - Duncan, T. D.

AU - Lucas, G. W.

PY - 1995/1/1

Y1 - 1995/1/1

N2 - Laparoscopic herniorrhaphy continues to gain popularity, but should be subjected to proper scrutiny before widespread acceptance. From 5/91 to 6/93, 290 transabdominal preperitoneal (TAPP) laparoscopic herniorrhaphies were performed on 244 adult patients at Georgia Baptist Medical Center. Procedures consisted of indirect (164), direct (73), femoral (5), obturator (7), and recurrent (41) hernia repairs, with a mean operative time of 81.2 minutes (range 30-193 min). The overall technical complication rate was 5.3% and includes lateral thigh paresthesias (6), inferior epigastric artery injury (4), enterotomy during adhesiolysis (1), bowel obstruction secondary to herniation through a lateral trocar site (1), and bladder injury (1). The recurrence rate is 1% (3/290), with a mean follow up of 11 months (range 2- 27 months). The authors present herein a discussion of technical considerations in an attempt to help decrease complications and recurrence as others incorporate laparoscopic hernia repair into their surgical armamentarium.

AB - Laparoscopic herniorrhaphy continues to gain popularity, but should be subjected to proper scrutiny before widespread acceptance. From 5/91 to 6/93, 290 transabdominal preperitoneal (TAPP) laparoscopic herniorrhaphies were performed on 244 adult patients at Georgia Baptist Medical Center. Procedures consisted of indirect (164), direct (73), femoral (5), obturator (7), and recurrent (41) hernia repairs, with a mean operative time of 81.2 minutes (range 30-193 min). The overall technical complication rate was 5.3% and includes lateral thigh paresthesias (6), inferior epigastric artery injury (4), enterotomy during adhesiolysis (1), bowel obstruction secondary to herniation through a lateral trocar site (1), and bladder injury (1). The recurrence rate is 1% (3/290), with a mean follow up of 11 months (range 2- 27 months). The authors present herein a discussion of technical considerations in an attempt to help decrease complications and recurrence as others incorporate laparoscopic hernia repair into their surgical armamentarium.

UR - http://www.scopus.com/inward/record.url?scp=0028872146&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028872146&partnerID=8YFLogxK

M3 - Article

C2 - 7832379

AN - SCOPUS:0028872146

VL - 61

SP - 36

EP - 39

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 1

ER -