Complications of laparoscopic herniorrhaphy.
Anterior inguinal hernia repair is the second-most-commonly performed abdominal operation and has been associated with low morbidity and mortality rates. The principle of laparoscopy has been applied to this surgical problem in a series of 762 patients with 841 inguinal hernias. Four types of laparoscopic repairs were conducted: (1) high ligation of the indirect inguinal hernia sac and closure of the internal ring (87 patients with 89 hernias); (2) plug and patch of the internal ring (74 patients with 87 hernias); (3) transperitoneal suture repair of the transversalis fascia to the iliopubic tract or Cooper's ligament (28 patients with 30 hernias); and (4) placement of a large prosthesis over the myopectoneal orifice (563 patients with 635 hernias). These early results indicate that the overall complication rates were low, especially when a large prosthesis was used to reinforce the myopectoneal orifice. It is concluded that laparoscopic inguinal herniorrhaphy is a safe and effective procedure with which to manage this surgical problem.
Department of Surgery, University of Texas Medical School, Houston 77030.
B V
BV
MacFadyen
M E
ME
Arregui
J D
JD
Corbitt
C J
CJ
Filipi
R J
RJ
Fitzgibbons
M E
ME
Franklin
J B
JB
McKernan
D O
DO
Olsen
E H
EH
Phillips
D
D
Rosenthal
D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008722:Methods; D008875:Middle Aged; D011126:Polypropylenes; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000453:epidemiology*; D019736:Prostheses and Implants; D013526:Surgical Mesh; D013528:Surgical Staplers; D013536:Suture Techniques
D011126:Polypropylenes; D011138:Polytetrafluoroethylene