Laparoscopic total extra-peritoneal inguinal hernia repairs by a surgeon experienced at laparoscopic cholecystectomy

Shirazi, M. H., Marsh, P., Keane, M. G., Khushal, A. and Insall, R. (2012) Laparoscopic total extra-peritoneal inguinal hernia repairs by a surgeon experienced at laparoscopic cholecystectomy. Journal of the Pakistan Medical Association, 62(12), pp. 1301-1304. (PMID:23866478)

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Abstract

OBJECTIVE To measure standards achieved at total extra peritoneal hernia repair by a surgeon experienced in laparoscopic cholecystectomy, and to compare the results with standards identified by the National Institute for Clinical Excellence. METHODS The outcomes of the first 100 consecutive total extra-peritoneal hernia repair cases by the surgeon were retrieved retrospectively. The surgeries were conducted between January 2006 and July 2007. Data was collected 14 to 17 months post-surgery. RESULTS All patients were men with a median age of 58 years, ranging from 20 to 91 years. The maximum operating time was 75 minutes, while the minimum was 30 minutes. The conversion rate was 3% (n = 3) and the recurrence rate 4% (n = 4). Complications experienced included a chronic groin pain and one umbilical port-site haematoma. CONCLUSION Though related to a single-surgeon experience, the study highlighted reduced preceptorship due to previous laparoscopic skills that were transferable. Patients should have a choice to opt for either open or laparoscopic inguinal hernia repair.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Insall, Professor Robert
Authors: Shirazi, M. H., Marsh, P., Keane, M. G., Khushal, A., and Insall, R.
College/School:College of Medical Veterinary and Life Sciences > Institute of Cancer Sciences
Journal Name:Journal of the Pakistan Medical Association
Publisher:Pakistan Medical Association
ISSN:0030-9982
ISSN (Online):0030-9982
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