Single-incision totally extraperitoneal inguinal hernia repair is feasible and safe in patients on antithrombotic therapy: A single-center experience of 92 procedures

Asian Journal of Endoscopic Surgery
Masaki WakasugiHiroki Akamatsu

Abstract

The aim of this study was to evaluate the feasibility and safety of SILS for totally extraperitoneal inguinal hernia repair for patients on antithrombotic therapy. A total of 365 patients who underwent SILS for totally extraperitoneal inguinal hernia repair between January 2011 and November 2015 were analyzed retrospectively. Antithrombotic drugs were stopped preoperatively, and bridging intravenous heparin therapy was given according to the operative risk of each patient. Data on the patients' characteristics and perioperative outcomes were collected from their medical records. Ninety-two patients (25%, 92/365) were treated with antithrombotic drugs preoperatively. The mean operative times for unilateral and bilateral hernia repairs were 96 min and 94 min (P = 0.5), respectively, in the antithrombotic therapy group and 140 min and 130 min (P = 0.2), respectively, in the control group. Bleeding volume was minimal in all patients. There was no significant difference in the conversion rate. The mean postoperative hospital stay was 2.5 days in the antithrombotic therapy group and 2.1 days in the control group (P = 0.1). Postoperative complications were seen in 16% (15/92) of patients in the antithrombotic therapy group and in 11% ...Continue Reading

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Citations

Aug 23, 2018·Asian Journal of Endoscopic Surgery·Masaki WakasugiSatoshi Oshima
Apr 27, 2018·Asian Journal of Endoscopic Surgery·Masaki WakasugiSatoshi Oshima
Jan 15, 2019·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Masaki WakasugiSatoshi Oshima
Jun 8, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Y Y ParkJ Lee

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