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inguinal hernia repair

Indications: - symptomatic inguinal hernia Procedure: - laparoscopic mesh repair [1,2,3] under general anesthesia - less postoperative pain than with open mesh repair - severe complications (0.05% vs 0.55%) & recurrent hernia within 2 years (0.25% vs 0.5%) more likely than with open mesh repair - open mesh repair under local anesthesia - robotic surgery Complications: - mesh migration (evaluate with non-contrast CT) - robotic surgery with highest rate of complications (unplanned reoperation, general medical complications, & wound infections): 3.5% [5]

Related

inguinal hernia

Specific

laparoscopic surgery for inguinal hernia

General

hernia repair; herniorrhaph; hernioplasty

References

  1. Journal Watch 23(13):104, 2003 Douek M, Smith G, Oshowo A, Stoker DL, Wellwood JM. Prospective randomised controlled trial of laparoscopic versus open inguinal hernia mesh repair: five year follow up. BMJ 326:1012, 2003 PMID: 12742923 http://bmj.com/cgi/content/full/326/7397/1012
  2. Journal Watch 24(11):85, 2004 Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R Jr, Dunlop D, Gibbs J, Reda D, Henderson W; Veterans Affairs Cooperative Studies Program 456 Investigators. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med. 2004 Apr 29;350(18):1819-27. Epub 2004 Apr 25. PMID: 15107485
  3. O'Reilly EA et al. A meta-analysis of surgical morbidity and recurrence after laparoscopic and open repair of primary unilateral inguinal hernia. Ann Surg 2012 May; 255:846. PMID: 22470068
  4. VA Southern Oregon Rehabilitation Center and Clinics SORCC
  5. Holleran TJ et al. Trends and outcomes of open, laparoscopic, and robotic inguinal hernia repair in the Veterans Affairs system. Hernia 2022 Jun; 26:889. PMID: 33909151 https://link.springer.com/article/10.1007/s10029-021-02419-3