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The Role of Laparoscopy in the Management of Groin Hernia
INTRODUCTION: The advantage of using minimally invasive techniques over open techniques in the repair of groin hernias is still debated. Despite its more widespread use, an apparent dichotomy exists. While some surgeons continue to believe that no advantage is gained using the laparoscopic technique...
Autores principales: | , , |
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Formato: | Texto |
Lenguaje: | English |
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Society of Laparoendoscopic Surgeons
1998
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015286/ https://www.ncbi.nlm.nih.gov/pubmed/9876732 |
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author | Ahmad, Syed Lettsome, Lydell Schuricht, Alan |
author_facet | Ahmad, Syed Lettsome, Lydell Schuricht, Alan |
author_sort | Ahmad, Syed |
collection | PubMed |
description | INTRODUCTION: The advantage of using minimally invasive techniques over open techniques in the repair of groin hernias is still debated. Despite its more widespread use, an apparent dichotomy exists. While some surgeons continue to believe that no advantage is gained using the laparoscopic technique, others argue laparoscopic hernia repair (LHR) offers a quicker recovery with the use of a tensionfree repair. METHODS: A mailing to the general surgeon members of the Society of Laparoendoscopic Surgeons, an international multidisciplinary laparoendoscopic society, was performed (mailing size=l680). RESULTS: Nine hundred and ninety-three surgeons responded (60%). Across all demographic variables, 60% of respondents performed approximately 27% of their hernia repairs laparoscopically (40% of respondents did not perform LHR). Surgeon age less than 45 was the only demographic characteristic that predicted the likelihood to perform LHR (p<0.0001) and the percentage of hernias repaired laparoscopically (p<0.005). Most respondents felt that the presence of bilateral hernias (73%) or a recurrent hernia (74%) were indications for LHR. Eighty-nine percent of respondents felt that LHR would still be performed 20 years from now. Surgeons expressed concerns regarding increased cost, the need for more anesthesia, and a lack of long-term follow-up for LHR. CONCLUSIONS: Only surgeon age predicted the likelihood of a surgeon performing LHR or the percentage of hernias that would be repaired laparoscopically. |
format | Text |
id | pubmed-3015286 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 1998 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-30152862011-02-17 The Role of Laparoscopy in the Management of Groin Hernia Ahmad, Syed Lettsome, Lydell Schuricht, Alan JSLS Scientific Papers INTRODUCTION: The advantage of using minimally invasive techniques over open techniques in the repair of groin hernias is still debated. Despite its more widespread use, an apparent dichotomy exists. While some surgeons continue to believe that no advantage is gained using the laparoscopic technique, others argue laparoscopic hernia repair (LHR) offers a quicker recovery with the use of a tensionfree repair. METHODS: A mailing to the general surgeon members of the Society of Laparoendoscopic Surgeons, an international multidisciplinary laparoendoscopic society, was performed (mailing size=l680). RESULTS: Nine hundred and ninety-three surgeons responded (60%). Across all demographic variables, 60% of respondents performed approximately 27% of their hernia repairs laparoscopically (40% of respondents did not perform LHR). Surgeon age less than 45 was the only demographic characteristic that predicted the likelihood to perform LHR (p<0.0001) and the percentage of hernias repaired laparoscopically (p<0.005). Most respondents felt that the presence of bilateral hernias (73%) or a recurrent hernia (74%) were indications for LHR. Eighty-nine percent of respondents felt that LHR would still be performed 20 years from now. Surgeons expressed concerns regarding increased cost, the need for more anesthesia, and a lack of long-term follow-up for LHR. CONCLUSIONS: Only surgeon age predicted the likelihood of a surgeon performing LHR or the percentage of hernias that would be repaired laparoscopically. Society of Laparoendoscopic Surgeons 1998 /pmc/articles/PMC3015286/ /pubmed/9876732 Text en © 1998 by the Society of Laparoendoscopic Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Scientific Papers Ahmad, Syed Lettsome, Lydell Schuricht, Alan The Role of Laparoscopy in the Management of Groin Hernia |
title | The Role of Laparoscopy in the Management of Groin Hernia |
title_full | The Role of Laparoscopy in the Management of Groin Hernia |
title_fullStr | The Role of Laparoscopy in the Management of Groin Hernia |
title_full_unstemmed | The Role of Laparoscopy in the Management of Groin Hernia |
title_short | The Role of Laparoscopy in the Management of Groin Hernia |
title_sort | role of laparoscopy in the management of groin hernia |
topic | Scientific Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015286/ https://www.ncbi.nlm.nih.gov/pubmed/9876732 |
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