Laparoscopic repair of bilateral and recurrent hernias

Charles E. Frankum, Bruce Ramshaw, Jacqueline White, Titus D. Duncan, Russell A. Wilson, Edward M. Mason, George Lucas, John Promes

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

The optimal inguinal hernia repair has been controversial for decades. Since the advent of minimally invasive surgery, laparoscopic techniques have added to the controversy. Laparoscopic hernia repair has been advocated by many experts for the repair of bilateral and recurrent inguinal hernias. This study reviews the experience of a single community-based teaching hospital using the total extraperitoneal (TEP)-approach laparoscopic hernia repair for treating patients with bilateral and/or recurrent inguinal hernias. Since the TEP approach was adopted in June 1993, a total of 457 patients were treated for bilateral (322 patients) and/or recurrent (175) inguinal hernias (40 patients had recurrent and bilateral hernias). A total of 779 hernias were repaired with this technique. The average age of this patient group was 47 years, and there were 413 males and 44 females. Operative time averaged 68.3 minutes per patient, and there were 26 (5.7%) minor complications. There were 2 (0.4%) major complications, an enterotomy and a cystotomy, both early in the series and both in patients with previous lower abdominal surgery. There have been no deaths. With an average follow-up of 30 months (range, 1-60 months), there have been three (0.2%) recurrences. These recurrences were due to technical problems (inadequate mesh coverage), and each was repaired with a laparoscopic transabdominal approach or an anterior open approach. The use of the TEP-approach laparoscopic hernia repair is safe and effective in patients with recurrent and/or bilateral inguinal hernias.

Original languageEnglish (US)
Pages (from-to)839-843
Number of pages5
JournalAmerican Surgeon
Volume65
Issue number9
StatePublished - Jan 1 1999

Fingerprint

Hernia
Inguinal Hernia
Herniorrhaphy
Cystotomy
Recurrence
Minimally Invasive Surgical Procedures
Operative Time
Teaching Hospitals
Age Groups

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Frankum, C. E., Ramshaw, B., White, J., Duncan, T. D., Wilson, R. A., Mason, E. M., ... Promes, J. (1999). Laparoscopic repair of bilateral and recurrent hernias. American Surgeon, 65(9), 839-843.

Laparoscopic repair of bilateral and recurrent hernias. / Frankum, Charles E.; Ramshaw, Bruce; White, Jacqueline; Duncan, Titus D.; Wilson, Russell A.; Mason, Edward M.; Lucas, George; Promes, John.

In: American Surgeon, Vol. 65, No. 9, 01.01.1999, p. 839-843.

Research output: Contribution to journalArticle

Frankum, CE, Ramshaw, B, White, J, Duncan, TD, Wilson, RA, Mason, EM, Lucas, G & Promes, J 1999, 'Laparoscopic repair of bilateral and recurrent hernias', American Surgeon, vol. 65, no. 9, pp. 839-843.
Frankum CE, Ramshaw B, White J, Duncan TD, Wilson RA, Mason EM et al. Laparoscopic repair of bilateral and recurrent hernias. American Surgeon. 1999 Jan 1;65(9):839-843.
Frankum, Charles E. ; Ramshaw, Bruce ; White, Jacqueline ; Duncan, Titus D. ; Wilson, Russell A. ; Mason, Edward M. ; Lucas, George ; Promes, John. / Laparoscopic repair of bilateral and recurrent hernias. In: American Surgeon. 1999 ; Vol. 65, No. 9. pp. 839-843.
@article{717ec16a01e6401d94451dcf1aed8ac9,
title = "Laparoscopic repair of bilateral and recurrent hernias",
abstract = "The optimal inguinal hernia repair has been controversial for decades. Since the advent of minimally invasive surgery, laparoscopic techniques have added to the controversy. Laparoscopic hernia repair has been advocated by many experts for the repair of bilateral and recurrent inguinal hernias. This study reviews the experience of a single community-based teaching hospital using the total extraperitoneal (TEP)-approach laparoscopic hernia repair for treating patients with bilateral and/or recurrent inguinal hernias. Since the TEP approach was adopted in June 1993, a total of 457 patients were treated for bilateral (322 patients) and/or recurrent (175) inguinal hernias (40 patients had recurrent and bilateral hernias). A total of 779 hernias were repaired with this technique. The average age of this patient group was 47 years, and there were 413 males and 44 females. Operative time averaged 68.3 minutes per patient, and there were 26 (5.7{\%}) minor complications. There were 2 (0.4{\%}) major complications, an enterotomy and a cystotomy, both early in the series and both in patients with previous lower abdominal surgery. There have been no deaths. With an average follow-up of 30 months (range, 1-60 months), there have been three (0.2{\%}) recurrences. These recurrences were due to technical problems (inadequate mesh coverage), and each was repaired with a laparoscopic transabdominal approach or an anterior open approach. The use of the TEP-approach laparoscopic hernia repair is safe and effective in patients with recurrent and/or bilateral inguinal hernias.",
author = "Frankum, {Charles E.} and Bruce Ramshaw and Jacqueline White and Duncan, {Titus D.} and Wilson, {Russell A.} and Mason, {Edward M.} and George Lucas and John Promes",
year = "1999",
month = "1",
day = "1",
language = "English (US)",
volume = "65",
pages = "839--843",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "9",

}

TY - JOUR

T1 - Laparoscopic repair of bilateral and recurrent hernias

AU - Frankum, Charles E.

AU - Ramshaw, Bruce

AU - White, Jacqueline

AU - Duncan, Titus D.

AU - Wilson, Russell A.

AU - Mason, Edward M.

AU - Lucas, George

AU - Promes, John

PY - 1999/1/1

Y1 - 1999/1/1

N2 - The optimal inguinal hernia repair has been controversial for decades. Since the advent of minimally invasive surgery, laparoscopic techniques have added to the controversy. Laparoscopic hernia repair has been advocated by many experts for the repair of bilateral and recurrent inguinal hernias. This study reviews the experience of a single community-based teaching hospital using the total extraperitoneal (TEP)-approach laparoscopic hernia repair for treating patients with bilateral and/or recurrent inguinal hernias. Since the TEP approach was adopted in June 1993, a total of 457 patients were treated for bilateral (322 patients) and/or recurrent (175) inguinal hernias (40 patients had recurrent and bilateral hernias). A total of 779 hernias were repaired with this technique. The average age of this patient group was 47 years, and there were 413 males and 44 females. Operative time averaged 68.3 minutes per patient, and there were 26 (5.7%) minor complications. There were 2 (0.4%) major complications, an enterotomy and a cystotomy, both early in the series and both in patients with previous lower abdominal surgery. There have been no deaths. With an average follow-up of 30 months (range, 1-60 months), there have been three (0.2%) recurrences. These recurrences were due to technical problems (inadequate mesh coverage), and each was repaired with a laparoscopic transabdominal approach or an anterior open approach. The use of the TEP-approach laparoscopic hernia repair is safe and effective in patients with recurrent and/or bilateral inguinal hernias.

AB - The optimal inguinal hernia repair has been controversial for decades. Since the advent of minimally invasive surgery, laparoscopic techniques have added to the controversy. Laparoscopic hernia repair has been advocated by many experts for the repair of bilateral and recurrent inguinal hernias. This study reviews the experience of a single community-based teaching hospital using the total extraperitoneal (TEP)-approach laparoscopic hernia repair for treating patients with bilateral and/or recurrent inguinal hernias. Since the TEP approach was adopted in June 1993, a total of 457 patients were treated for bilateral (322 patients) and/or recurrent (175) inguinal hernias (40 patients had recurrent and bilateral hernias). A total of 779 hernias were repaired with this technique. The average age of this patient group was 47 years, and there were 413 males and 44 females. Operative time averaged 68.3 minutes per patient, and there were 26 (5.7%) minor complications. There were 2 (0.4%) major complications, an enterotomy and a cystotomy, both early in the series and both in patients with previous lower abdominal surgery. There have been no deaths. With an average follow-up of 30 months (range, 1-60 months), there have been three (0.2%) recurrences. These recurrences were due to technical problems (inadequate mesh coverage), and each was repaired with a laparoscopic transabdominal approach or an anterior open approach. The use of the TEP-approach laparoscopic hernia repair is safe and effective in patients with recurrent and/or bilateral inguinal hernias.

UR - http://www.scopus.com/inward/record.url?scp=0032850139&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032850139&partnerID=8YFLogxK

M3 - Article

C2 - 10484086

AN - SCOPUS:0032850139

VL - 65

SP - 839

EP - 843

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 9

ER -