Cargando…
Minilaparoscopy For Inguinal Hernia Repair
BACKGROUND AND OBJECTIVES: Inguinal hernia repair is among the most common procedures performed worldwide and the laparoscopic totally extraperitoneal (TEP) approach is a recognized and effective surgical technique. Although technically advantageous because of the option of no mesh fixation and no n...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055584/ https://www.ncbi.nlm.nih.gov/pubmed/27777499 http://dx.doi.org/10.4293/JSLS.2016.00066 |
_version_ | 1782458782311251968 |
---|---|
author | Malcher, Flavio Cavazzola, Leandro Totti Carvalho, Gustavo L. Araujo, Guilherme D. E. Silva, José Antônio Da Cunha E. Rao, Prashanth Iglesias, Antonio Carlos |
author_facet | Malcher, Flavio Cavazzola, Leandro Totti Carvalho, Gustavo L. Araujo, Guilherme D. E. Silva, José Antônio Da Cunha E. Rao, Prashanth Iglesias, Antonio Carlos |
author_sort | Malcher, Flavio |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: Inguinal hernia repair is among the most common procedures performed worldwide and the laparoscopic totally extraperitoneal (TEP) approach is a recognized and effective surgical technique. Although technically advantageous because of the option of no mesh fixation and no need for creation of a peritoneal flap resulting, in less postoperative pain and faster recovery, TEP has not achieved the popularity it deserves, mainly because of its complexity and steep learning curve. Minilaparoscopy was first described in the 1990s and has recently gained significantly from better instrumentation that may increase TEP's effectiveness and acceptance. We performed a prospective study, to analyze the outcomes of minilaparoscopy in pain and operative time when compared to the conventional laparoscopic technique in hernia repair. METHODS: Fifty-eight laparoscopic inguinal hernia repairs were performed: 36 by traditional laparoscopic technique and 22 by minilaparoscopic instruments (mini). A study protocol was applied prospectively for data collection. Variables analyzed were early postoperative pain (at hour 6 after procedure), pain at discharge, use of on-demand analgesics, and operative time. RESULTS: The mini group presented reduced early postoperative pain and operative time. The present study also suggests less postoperative pain at discharge with mini procedures, although this difference was not statistically significant. No difference between the groups regarding on-demand use of analgesics was found. CONCLUSIONS: This study corroborates findings in previously published papers that have shown the feasibility of minilaparoscopy in laparoscopic TEP hernia repair and its benefits regarding postoperative pain, operative time, and aesthetic outcomes. |
format | Online Article Text |
id | pubmed-5055584 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-50555842016-10-24 Minilaparoscopy For Inguinal Hernia Repair Malcher, Flavio Cavazzola, Leandro Totti Carvalho, Gustavo L. Araujo, Guilherme D. E. Silva, José Antônio Da Cunha E. Rao, Prashanth Iglesias, Antonio Carlos JSLS Scientific Paper BACKGROUND AND OBJECTIVES: Inguinal hernia repair is among the most common procedures performed worldwide and the laparoscopic totally extraperitoneal (TEP) approach is a recognized and effective surgical technique. Although technically advantageous because of the option of no mesh fixation and no need for creation of a peritoneal flap resulting, in less postoperative pain and faster recovery, TEP has not achieved the popularity it deserves, mainly because of its complexity and steep learning curve. Minilaparoscopy was first described in the 1990s and has recently gained significantly from better instrumentation that may increase TEP's effectiveness and acceptance. We performed a prospective study, to analyze the outcomes of minilaparoscopy in pain and operative time when compared to the conventional laparoscopic technique in hernia repair. METHODS: Fifty-eight laparoscopic inguinal hernia repairs were performed: 36 by traditional laparoscopic technique and 22 by minilaparoscopic instruments (mini). A study protocol was applied prospectively for data collection. Variables analyzed were early postoperative pain (at hour 6 after procedure), pain at discharge, use of on-demand analgesics, and operative time. RESULTS: The mini group presented reduced early postoperative pain and operative time. The present study also suggests less postoperative pain at discharge with mini procedures, although this difference was not statistically significant. No difference between the groups regarding on-demand use of analgesics was found. CONCLUSIONS: This study corroborates findings in previously published papers that have shown the feasibility of minilaparoscopy in laparoscopic TEP hernia repair and its benefits regarding postoperative pain, operative time, and aesthetic outcomes. Society of Laparoendoscopic Surgeons 2016 /pmc/articles/PMC5055584/ /pubmed/27777499 http://dx.doi.org/10.4293/JSLS.2016.00066 Text en © 2016 by JSLS, Journal of 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/us/), 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 Paper Malcher, Flavio Cavazzola, Leandro Totti Carvalho, Gustavo L. Araujo, Guilherme D. E. Silva, José Antônio Da Cunha E. Rao, Prashanth Iglesias, Antonio Carlos Minilaparoscopy For Inguinal Hernia Repair |
title | Minilaparoscopy For Inguinal Hernia Repair |
title_full | Minilaparoscopy For Inguinal Hernia Repair |
title_fullStr | Minilaparoscopy For Inguinal Hernia Repair |
title_full_unstemmed | Minilaparoscopy For Inguinal Hernia Repair |
title_short | Minilaparoscopy For Inguinal Hernia Repair |
title_sort | minilaparoscopy for inguinal hernia repair |
topic | Scientific Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055584/ https://www.ncbi.nlm.nih.gov/pubmed/27777499 http://dx.doi.org/10.4293/JSLS.2016.00066 |
work_keys_str_mv | AT malcherflavio minilaparoscopyforinguinalherniarepair AT cavazzolaleandrototti minilaparoscopyforinguinalherniarepair AT carvalhogustavol minilaparoscopyforinguinalherniarepair AT araujoguilhermede minilaparoscopyforinguinalherniarepair AT silvajoseantoniodacunhae minilaparoscopyforinguinalherniarepair AT raoprashanth minilaparoscopyforinguinalherniarepair AT iglesiasantoniocarlos minilaparoscopyforinguinalherniarepair |