Laparoscopic surgery for recurrent inguinal hernias
The OBJECTIVE was to evaluate the technical feasibility of endoscopic hernioplasty in recurrent inguinal hernia. METHODS AND MATERIALS. Personal experience of the authors covers more than 10 000 laparoscopic inguinal hernioplasties operated in 1996-2018. This paper analyzes the results of 127 patien...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2020-05-01
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| Series: | Вестник хирургии имени И.И. Грекова |
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| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/1307 |
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| author | V. V. Strizheletsky G. M. Rutenburg S. A. Makarov I. I. Suvorov R. B. Ramazanov A. B. Guslev A. N. Luchkin |
| author_facet | V. V. Strizheletsky G. M. Rutenburg S. A. Makarov I. I. Suvorov R. B. Ramazanov A. B. Guslev A. N. Luchkin |
| author_sort | V. V. Strizheletsky |
| collection | DOAJ |
| description | The OBJECTIVE was to evaluate the technical feasibility of endoscopic hernioplasty in recurrent inguinal hernia. METHODS AND MATERIALS. Personal experience of the authors covers more than 10 000 laparoscopic inguinal hernioplasties operated in 1996-2018. This paper analyzes the results of 127 patients treated for recurrent inguinal hernias after primary laparoscopic approach, reoperated using minimally-invasive surgical techniques.RESULTS. Possible causes of relapses after primary hernioplasty, both after TAPP and TEP techniques, were analyzed. The technical features of performing repeated laparoscopic interventions in this group of patients were considered. The developed and implemented technical methods, the tactics of the surgical treatment, the choice of the prostheses' type and size used in patients with various kinds of recurrent inguinal hernias were described. Results of the study included an analysis of the treatment while recommendations on the technique of repeated surgical intervention of recurrent hernias were formulated. The safety and effectiveness of the laparoscopic repeated surgery for recurrent inguinal hernias were shown. CONCLUSION. Laparoscopic approach to hernioplasty in recurrent inguinal hernia is equally effective after open and endoscopic primary repair. An increase in the number of hernioplasty for recurrent inguinal hernias with non-adhesive mesh grafts is promising. Contraindications to redo laparoscopic intervention may include high risk of general anesthesia and severe scarring in the lower abdomen. |
| format | Article |
| id | doaj-art-08cbe022d036401ba0bc6a54f4ba23b2 |
| institution | DOAJ |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2020-05-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-08cbe022d036401ba0bc6a54f4ba23b22025-08-20T03:23:31ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252020-05-011791465010.24884/0042-4625-2020-179-1-46-501111Laparoscopic surgery for recurrent inguinal herniasV. V. Strizheletsky0G. M. Rutenburg1S. A. Makarov2I. I. Suvorov3R. B. Ramazanov4A. B. Guslev5A. N. Luchkin6St. George the Great Martyr Municipal Hospital; Saint-Petersburg UniversitySt. George the Great Martyr Municipal Hospital; Pavlov UniversitySt. George the Great Martyr Municipal HospitalSt. George the Great Martyr Municipal HospitalSt. George the Great Martyr Municipal HospitalSaint-Petersburg University; Saint-Petersburg Clinical Hospital of the Russian Academy of SciencesSt. George the Great Martyr Municipal Hospital; Pavlov UniversityThe OBJECTIVE was to evaluate the technical feasibility of endoscopic hernioplasty in recurrent inguinal hernia. METHODS AND MATERIALS. Personal experience of the authors covers more than 10 000 laparoscopic inguinal hernioplasties operated in 1996-2018. This paper analyzes the results of 127 patients treated for recurrent inguinal hernias after primary laparoscopic approach, reoperated using minimally-invasive surgical techniques.RESULTS. Possible causes of relapses after primary hernioplasty, both after TAPP and TEP techniques, were analyzed. The technical features of performing repeated laparoscopic interventions in this group of patients were considered. The developed and implemented technical methods, the tactics of the surgical treatment, the choice of the prostheses' type and size used in patients with various kinds of recurrent inguinal hernias were described. Results of the study included an analysis of the treatment while recommendations on the technique of repeated surgical intervention of recurrent hernias were formulated. The safety and effectiveness of the laparoscopic repeated surgery for recurrent inguinal hernias were shown. CONCLUSION. Laparoscopic approach to hernioplasty in recurrent inguinal hernia is equally effective after open and endoscopic primary repair. An increase in the number of hernioplasty for recurrent inguinal hernias with non-adhesive mesh grafts is promising. Contraindications to redo laparoscopic intervention may include high risk of general anesthesia and severe scarring in the lower abdomen.https://www.vestnik-grekova.ru/jour/article/view/1307laparoscopic inguinal hernioplastyminimally-invasive techniquesinguinal herniacomplicationsrecurrent inguinal herniatechnique |
| spellingShingle | V. V. Strizheletsky G. M. Rutenburg S. A. Makarov I. I. Suvorov R. B. Ramazanov A. B. Guslev A. N. Luchkin Laparoscopic surgery for recurrent inguinal hernias Вестник хирургии имени И.И. Грекова laparoscopic inguinal hernioplasty minimally-invasive techniques inguinal hernia complications recurrent inguinal hernia technique |
| title | Laparoscopic surgery for recurrent inguinal hernias |
| title_full | Laparoscopic surgery for recurrent inguinal hernias |
| title_fullStr | Laparoscopic surgery for recurrent inguinal hernias |
| title_full_unstemmed | Laparoscopic surgery for recurrent inguinal hernias |
| title_short | Laparoscopic surgery for recurrent inguinal hernias |
| title_sort | laparoscopic surgery for recurrent inguinal hernias |
| topic | laparoscopic inguinal hernioplasty minimally-invasive techniques inguinal hernia complications recurrent inguinal hernia technique |
| url | https://www.vestnik-grekova.ru/jour/article/view/1307 |
| work_keys_str_mv | AT vvstrizheletsky laparoscopicsurgeryforrecurrentinguinalhernias AT gmrutenburg laparoscopicsurgeryforrecurrentinguinalhernias AT samakarov laparoscopicsurgeryforrecurrentinguinalhernias AT iisuvorov laparoscopicsurgeryforrecurrentinguinalhernias AT rbramazanov laparoscopicsurgeryforrecurrentinguinalhernias AT abguslev laparoscopicsurgeryforrecurrentinguinalhernias AT anluchkin laparoscopicsurgeryforrecurrentinguinalhernias |