Abstract
Endoscopic extraperitoneal herniorrhaphy (EEPH) was utilized to repair 326 groin hernias in 249 patients over a 32-month period. Nearly one in ten of the repairs was for a recurrent hernia. Several patients had contralateral hernias diagnosed only at the time of endoscopic examination. A recurrence rate of 1.6% and an overall complication rate of 5.2% are cited. After a plateau was reached on the surgeon's learning curve, various modifications in technique were implemented. Through these modifications, EEPH has become a safe, efficient, and standardized operation that can be performed with decreasing costs to the hospital and with increasing advantages to the patient.
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Ferzli, G., Kiel, T. Evolving techniques in endoscopic extraperitoneal herniorrhaphy. Surg Endosc 9, 928–930 (1995). https://doi.org/10.1007/BF00768897
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DOI: https://doi.org/10.1007/BF00768897