[Laparoscopic reconstruction in inguinal hernias].
The author describes his experience with laparoscopic plastic operations of inguinal hernias by means of a prolene net. This tension-free method makes rapid convalescence and return to normal life possible. A very important advantage as compared with classical procedures is the substantially lower percentage of relapses. Advanced experience (639 plastic operations) by the TransAbdominalPrePeritoneal method justify the following conclusions: The operation is much less painful, it is cheaper (if we take into account the costs of a longer stay in hospital and longer work incapacity after classical plastic operations of inguinal hernias) and there is a lower percentages of relapses (0.6%). The author has the most favourable experience using a net with a preperitoneal transabdominal approach. The very good results obtained with 639 operations are a reason for optimism. The development of new techniques will, no doubt contribute to a clearer view of this complicated problem.
Czudek
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Chirurgické oddĕlení, Nemocnice Podlesí, Trinec.
D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications; D012008:Recurrence; D013526:Surgical Mesh