ArticleHernia : the journal of hernias and abdominal wall surgery2018
A 12-year experience of using the Kugel procedure for adult inguinal hernias via the internal ring approach.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 11 citations in OpenAlex.
- Article
- Inguinal hernias in patients on continuous ambulatory peritoneal dialysis: is tension-free mesh repair feasible?BMC surgery · 2020Article
- Comment to: A 12-year experience of using the Kugel procedure for adult inguinal hernias via the internal ring approach. Lin R, Lin X, Lu F et al. Hernia 2018;22:863-870.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- Transabdominal preperitoneal repair for a recurrent inguinal hernia after Kugel procedure using the medial umbilical ligament: A case report.Journal of minimal access surgeryArticle
- Effect of Drains on Complications in Laparoscopic Repair of Unilateral Inguinal Hernia.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeKugel procedure is a classic preperitoneal herniorrhaphy via the posterior approach for inguinal hernias but it has a steep learning curve. The aim of the study is to evaluate the efficacy of the Kugel procedure via the internal ring approach.
methodsKugel procedures via the internal ring approach were performed on 3673 patients with inguinal hernias between September, 2005 and August, 2017. Demographic data, peri-operative data and postoperative data were collected to evaluate of the efficacy of this technique.
resultsNone of the patients with inguinal hernias who underwent the Kugel procedure via the internal ring approach was converted to other procedures. The mean operation time for a unilateral hernia was 46.3 ± 15.2 min, with a mean blood loss of 28.9 ± 10.5 mL. The mean visual analogue scale score on postoperative day 1 was 3.1 ± 0.9. Drainage tubes were placed in 266 patients and were removed after a mean duration of 2.8 ± 0.5 days. The mean postoperative hospital stay was 1.2 ± 0.8 days. There were no serious intra-operative complications. Postoperative complications included seroma (n = 84), haematoma (n = 28), ecchymosis (n = 33), superficial incision infection (n = 1), recurrence (n = 1) and mild chronic pain (n = 11).
conclusionsThe Kugel procedure via the internal ring approach is a safe, feasible and cost-effective technique for inguinal hernias that retains the benefits of the standard Kugel procedure and is easier to master.
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