LAPAROSCOPIC INGUINAL HERNIOTOMY: RECREATING THE OPEN OPERATION OPTIMISES OUTCOMES
Author / Expert
Jonathan Ducey, Robert T Peters, David J Wilkinson, Christian Verhoef, Nick Lansdale
Topic overview
ABSTRACT
Background
Recent evidence suggests simple laparoscopic inguinal herniorrhaphy is associated with higher rates of recurrence and testicular ascent. We instigated a standardised approach to laparoscopic inguinal herniotomy (LIH), with circumferential sac division and ‘purse-string' closure (4/0 monofilament polypropylene). An active follow-up programme was pursued. We reviewed our outcomes of this technique and compared them to an open herniotomy (OIH) cohort.
Methods
LIH patients were identified prospectively (2017 - 2021): OIH retrospectively from 2016. Risk factors for complications were defined: extremely to very preterm (
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