If laparoscopic technique can be used for treatment of acutely incarcerated/strangulated inguinal hernia?
Abstract Purpose Laparoscopic treatment for acutely incarcerated/strangulated inguinal hernias is uncommon and controversial. In the present study, we assessed the safety and feasibility of transabdominal preperitoneal (TAPP) repair for the treatment of acutely incarcerated/strangulated inguinal her...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-02-01
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| Series: | World Journal of Emergency Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13017-021-00348-1 |
| _version_ | 1818969470500077568 |
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| author | Jing Liu Yingmo Shen Yusheng Nie Xuefei Zhao Fan Wang Jie Chen |
| author_facet | Jing Liu Yingmo Shen Yusheng Nie Xuefei Zhao Fan Wang Jie Chen |
| author_sort | Jing Liu |
| collection | DOAJ |
| description | Abstract Purpose Laparoscopic treatment for acutely incarcerated/strangulated inguinal hernias is uncommon and controversial. In the present study, we assessed the safety and feasibility of transabdominal preperitoneal (TAPP) repair for the treatment of acutely incarcerated/strangulated inguinal hernias. Methods Patients with acutely incarcerated/strangulated inguinal hernias who underwent TAPP repair at the Department of Hernia and Abdominal Wall Surgery (Beijing Chaoyang Hospital) from January 2017 to December 2019 were retrospectively reviewed. Patients’ characteristics, operation details, and postoperative complications were retrospectively analyzed. Results In total, 94 patients with acutely incarcerated/strangulated inguinal hernias underwent TAPP repair. The patients comprised 85 men and 9 women (mean age, 54.3 ± 13.6 years; mean operating time, 61.6 ± 17.7 min; mean hospital stay, 3.9 ± 2.2 days). No patients were converted to open surgery. Hernia reduction was successfully performed in all patients. The morbidity of complications was 20.2% (19/94). Two bowel resections were performed endoscopically. Nine (9.6%) patients avoided unnecessary bowel resections during laparoscopic procedures. All patients recovered well without severe complications. No recurrence or infection was recorded during a mean follow-up period of 26.8 ± 9.8 months. Conclusions TAPP appears to be safe and feasible for treatment of patients with acutely incarcerated/strangulated inguinal hernias. However, it requires performed by experienced surgeons in laparoscopic techniques. |
| first_indexed | 2024-12-20T14:21:06Z |
| format | Article |
| id | doaj.art-363e3ffff9044b3aaf55ed4d7d37bc51 |
| institution | Directory Open Access Journal |
| issn | 1749-7922 |
| language | English |
| last_indexed | 2024-12-20T14:21:06Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Emergency Surgery |
| spelling | doaj.art-363e3ffff9044b3aaf55ed4d7d37bc512022-12-21T19:37:56ZengBMCWorld Journal of Emergency Surgery1749-79222021-02-011611610.1186/s13017-021-00348-1If laparoscopic technique can be used for treatment of acutely incarcerated/strangulated inguinal hernia?Jing Liu0Yingmo Shen1Yusheng Nie2Xuefei Zhao3Fan Wang4Jie Chen5Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical UniversityDepartment of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical UniversityDepartment of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical UniversityDepartment of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical UniversityDepartment of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical UniversityDepartment of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical UniversityAbstract Purpose Laparoscopic treatment for acutely incarcerated/strangulated inguinal hernias is uncommon and controversial. In the present study, we assessed the safety and feasibility of transabdominal preperitoneal (TAPP) repair for the treatment of acutely incarcerated/strangulated inguinal hernias. Methods Patients with acutely incarcerated/strangulated inguinal hernias who underwent TAPP repair at the Department of Hernia and Abdominal Wall Surgery (Beijing Chaoyang Hospital) from January 2017 to December 2019 were retrospectively reviewed. Patients’ characteristics, operation details, and postoperative complications were retrospectively analyzed. Results In total, 94 patients with acutely incarcerated/strangulated inguinal hernias underwent TAPP repair. The patients comprised 85 men and 9 women (mean age, 54.3 ± 13.6 years; mean operating time, 61.6 ± 17.7 min; mean hospital stay, 3.9 ± 2.2 days). No patients were converted to open surgery. Hernia reduction was successfully performed in all patients. The morbidity of complications was 20.2% (19/94). Two bowel resections were performed endoscopically. Nine (9.6%) patients avoided unnecessary bowel resections during laparoscopic procedures. All patients recovered well without severe complications. No recurrence or infection was recorded during a mean follow-up period of 26.8 ± 9.8 months. Conclusions TAPP appears to be safe and feasible for treatment of patients with acutely incarcerated/strangulated inguinal hernias. However, it requires performed by experienced surgeons in laparoscopic techniques.https://doi.org/10.1186/s13017-021-00348-1Incarcerated/strangulated inguinal herniaTransabdominal preperitoneal repairLaparoscopy |
| spellingShingle | Jing Liu Yingmo Shen Yusheng Nie Xuefei Zhao Fan Wang Jie Chen If laparoscopic technique can be used for treatment of acutely incarcerated/strangulated inguinal hernia? World Journal of Emergency Surgery Incarcerated/strangulated inguinal hernia Transabdominal preperitoneal repair Laparoscopy |
| title | If laparoscopic technique can be used for treatment of acutely incarcerated/strangulated inguinal hernia? |
| title_full | If laparoscopic technique can be used for treatment of acutely incarcerated/strangulated inguinal hernia? |
| title_fullStr | If laparoscopic technique can be used for treatment of acutely incarcerated/strangulated inguinal hernia? |
| title_full_unstemmed | If laparoscopic technique can be used for treatment of acutely incarcerated/strangulated inguinal hernia? |
| title_short | If laparoscopic technique can be used for treatment of acutely incarcerated/strangulated inguinal hernia? |
| title_sort | if laparoscopic technique can be used for treatment of acutely incarcerated strangulated inguinal hernia |
| topic | Incarcerated/strangulated inguinal hernia Transabdominal preperitoneal repair Laparoscopy |
| url | https://doi.org/10.1186/s13017-021-00348-1 |
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