Abstract
The basis of laparoscopic transabdominal preperitoneal repair (LTPR) of herniae rests upon the utilization of a prosthetic screen to cover hernia defects. Preperitoneal prosthetic screen interposition reproduces the effect of the inguinal shutter mechanism. In this 3-year longitudinal study, one surgeon performed 224 laparoscopic hernia repairs (LTPR) on 164 patients. These patients have been examined postoperatively by that surgeon and a trained research assistant according to an established protocol. Patient mean age was 50.6 years; 45 cases involved bilateral inguinal herniae (21.5%); 20 laparoscopic repairs were for failed open repair (9.6%); and 46 herniae were incarcerated (22%) at the time of laparoscopic repairs. There were no intraoperative complications. Two procedures required conversion to open repair, the first because of uncertainty regarding incarcerated bowel viability and the second for massive abdominal-wall adhesions. Two laparoscopic repairs recurred and required subsequent repair.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Bassini D (1889) Nuovo metodo per la cura radicale dellernia inguinale. R Stabilimento Prosperini, Padua
Chealte GL (1920) An operation for the radical cure of inguinal and femoral hernias. Br Med J 2: 168–169
Deloitte, Touche (1993) Economic impact of laparoscopic surgery. 125 Summer Street, Dept A, Boston MA
Fruchaud H (1956) Anatomie chirurgicale des hernies de l'aine. G. Doin, Paris
Goss CM (ed) (1959) Gray's anatomy, 27th ed. Lea & Febiger, Philadelphia, p 686
Hammond TE (1923) Etiology of indirect inguinal hernia. Lancet 204: 1206–1208
Henry AK (1936) Operation for a femoral hernia by a midline extraperitoneal approach: with a preliminary note on the use of this route for reducible inguinal hernia. Lancet 1: 531–533
Heydron W (1987) Abdominal hernia: principles of basic surgical practice. Hanley & Belfus Inc., Philadelphia, pp 346–352
Kavic MS (1993) Laparoscopic hernia repair. Surg Endosc 7: 163–167
Keith A (1923) The origin and nature of hernia. Br J Surg 11: 455–475
Lichtenstein IL (1986) Hernia repair without disability, 2nd ed. Ishiyaku EuroAmerican, St Louis, pp 65–118
McKernan BJ, Laws HL (1992) Laparoscopic preperitoneal prosthetic repair of inguinal hernias. Surg Rounds 15: 579–610
Newman L, Eubanks S, Mason E, Duncan T (1993) Is laparoscopic herniorrhaphy an effective alternative to open hernia repair. J Laparoendosc Surg 3(2): 121–128
Stoppa RE, Petit J, Henry X (1975) Unsutured Dacron prosthesis in groin hernias. Int Surg 60: 411
Stoppa RE, Rives JL, Warlaumont CR, Palot JP, Verhaege PJ, Delattre JF (1984) The use of Dacron in the repair of hernias of the groin. Surg Clin N Am 64(2): 269–285
Schultz LS, Graber, J Pietrafitta J, Hickok D (1990) Laser laparoscopic herniorrhaphy: a clinical trial preliminary results. J Laparoendosc Surg 1(1): 41–45
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kavic, M.S. Laparoscopic hernia repair. Surg Endosc 9, 12–15 (1995). https://doi.org/10.1007/BF00187877
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00187877