A single institution's experience with transperitoneal laparoscopic hernia repair

American Journal of Surgery
B J LeiblR Bittner

Abstract

Previous evaluations of endoscopic hernia surgery mostly are based on small prospectively documented series or on a few randomized comparative studies. In the following, results of a large single-institution experience concerning the transabdominal preperitoneal patch (TAPP) technique with regard to the development of methods and the routine use are described. From April 1993 to March 1997, 2,700 TAPP procedures were performed at the Department of General and Visceral Surgery, Marien-hospital, Stuttgart, Germany. The follow-up was documented prospectively in all cases by use of computed data base. The majority of patients (83.8%) were operated because of primary hernias. In 17.2% a first or multiple recurrence of an inguinal hernia was indicated. At a median postoperative observation period of presently 20 months and a follow-up rate of 86.5%, 28 recurrences have been determined so far (total recurrence rate 1.03%), 6 of which occurred after a recurrent hernia reparation (1.33%) and 22 after primary hernia repair (0.97%). The most common cause for recurrence was in 39.3% a mesh (12 x 8 cm) being too small. The total complication rate was 4.6%; as an expression of the learning curve it was reduced from 7.8% (operations 1 to 500)...Continue Reading

References

Feb 1, 1995·Surgical Endoscopy·E H PhillipsF Toy
May 1, 1995·The British Journal of Surgery·A KaldB Anderberg
Jun 1, 1994·Journal of Laparoendoscopic Surgery·A DarziJ R Monson
Aug 1, 1993·Journal of Laparoendoscopic Surgery·K H Wheeler
Mar 1, 1996·American Journal of Surgery·P SandbichlerE Steiner
Mar 1, 1996·The British Journal of Surgery·C RiberH Tønnesen
Jan 1, 1996·Surgical Endoscopy·B J RamshawG W Lucas
Oct 1, 1996·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·G HoreyseckN Rolfes
May 29, 1997·The New England Journal of Medicine·M S LiemT J van Vroonhoven

❮ Previous
Next ❯

Citations

Feb 16, 2005·Langenbeck's Archives of Surgery·B J LeiblR Bittner
Mar 23, 2012·Surgical Endoscopy·Salvador Morales-CondeAbe Fingerhut
May 31, 2013·Surgical Endoscopy·Neel Maria HelvindJacob Rosenberg
Jul 10, 2001·Surgical Endoscopy·E L Felix
Apr 11, 2001·Journal of the American College of Surgeons·P A Philips, J F Amaral
Apr 5, 2003·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Pradeep K ChowbeyManish Baijal
Aug 14, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Paul ZiprinStephen J Chadwick
Apr 12, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Wei-Jun WangZhi-Tao Li
Feb 3, 2005·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Xavier FeliuEnrique Fernández-Sallent
Oct 28, 2016·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K TanoueK Ueno
Jun 7, 2006·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy
Aug 3, 2002·The British Journal of Surgery·R BittnerB J Leibl
Mar 4, 2003·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A ForteV Beltrami
Mar 21, 2012·World Journal of Surgery·Ferdinand KoeckerlingR Bittner
Nov 20, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Cory N CrissMarcus D Jarboe
Sep 1, 2015·Asian Journal of Endoscopic Surgery·Clement Lk ChiaWinston Wl Woon

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.