Evidence map›Paper›PMID 36147084›Full record

ArticleAnnals of medicine and surgery (2012)2022

Outcomes of laparoscopic repair in complicated groin hernia: A single institutional based cohort study in Nepal.

Bhawani Khanal, Sunit Agrawal, SashiShekhar Adhikari, Robal Lacoul, Abhijeet Kumar, Rakesh Kumar Gupta

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Article in Annals of medicine and surgery (2012), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Bhawani KhanalDepartment of General Surgery and MIS Unit, B P Koirala Institute of Health Sciences, Dharan, Nepal.
Sunit AgrawalDepartment of General Surgery and MIS Unit, B P Koirala Institute of Health Sciences, Dharan, Nepal.
SashiShekhar AdhikariDepartment of General Surgery and MIS Unit, B P Koirala Institute of Health Sciences, Dharan, Nepal.
Robal LacoulDepartment of General Surgery and MIS Unit, B P Koirala Institute of Health Sciences, Dharan, Nepal.
Abhijeet KumarDepartment of General Surgery and MIS Unit, B P Koirala Institute of Health Sciences, Dharan, Nepal.
Rakesh Kumar GuptaDepartment of General Surgery and MIS Unit, B P Koirala Institute of Health Sciences, Dharan, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Laparoscopic hernia repairs have comparable recurrence rate with less persisting pain and numbness and quicker return to usual activities as compared to open mesh repair. The excellent outcomes of minimally invasive surgery encourage us to extend the laparoscopic technique to complicated groin hernia. Method: A total of 22 patients with complicated groin hernia who presented to our institute from September 2017 to September 2018 were included in this prospective cohort study. Inclusion criteria were patients with age greater than 18 years and clinically diagnosed as complicated groin hernia. Patients with peritonitis, those with previous abdominal surgery and unfit for general anesthesia were excluded from our study. Results: The most common age group was 51-60 (31.8%) years.17 cases were repaired with totally laparoscopic approach (12 TEP, 5 TAPP). Laparoscopic repair with additional procedure was needed in 3 cases and 2 cases were converted to open for completion of the procedure. The mean operating time was 154.8 ± 51.6 (range: 90 to 230) minutes. The average length of hospital stay was 3.8 ± 3 (range: 1 to 12) days. Bleeding from the inferior epigastric and testicular vessels were the major intra-operative complication (11.8%). Seroma and surgical site infection were seen in 2 (11.8%) patients. Conclusion: Laparoscopic approach in cases of complicated groin hernia can achieve desirable patient outcomes without major complications, provided good patient selection and expertise. The evidence for laparoscopic repair as the choice of procedure in complicated groin hernia can be established from further comparative studies.

Indexed as

Complicated groin herniaEHS, European Hernia SocietyTAPP, Trans-abdominal Pre-peritonealTEP, Totally Extra-peritonealTotally extra-peritoneal repairTrans-abdominal preperitoneal repair

Identifiers

PMID36147084
PMCPMC9486746

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