Outcomes of 207 totally extraperitoneal hernia repairs using self-fixation mesh

Abstract Inguinal hernia (IH) repair is one of the most common procedures in general surgery around the world. Minimizing postoperative acute and chronic pain without increasing recurrence has been a critical point, giving place to different strategies like self-fixation mesh. The current study aime...

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Autores principales: Felipe Girón, Juan David Hernandez, Juan David Linares, Alberto Ricaurte, Andres Mauricio García, Roberto Javier Rueda-Esteban, Lina Rodríguez, Ricardo Nassar
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/b20d123255224abb9176e3f6716968f8
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spelling oai:doaj.org-article:b20d123255224abb9176e3f6716968f82021-12-02T17:39:57ZOutcomes of 207 totally extraperitoneal hernia repairs using self-fixation mesh10.1038/s41598-021-92063-92045-2322https://doaj.org/article/b20d123255224abb9176e3f6716968f82021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92063-9https://doaj.org/toc/2045-2322Abstract Inguinal hernia (IH) repair is one of the most common procedures in general surgery around the world. Minimizing postoperative acute and chronic pain without increasing recurrence has been a critical point, giving place to different strategies like self-fixation mesh. The current study aimed to describe a group of patients who underwent IH repair by Totally Extraperitoneal (TEP) technique with self-gripping mesh at a fourth level hospital between 2012 and 2019. Retrospective review of a prospectively collected database including patients who underwent laparoscopic TEP approach with self-fixation mesh for IH repair. Follow up data was obtained at 12, 24, 36, 48, and 60 months post surgical intervention. 207 hernia repairs were performed in 142 patients, with a total of 66 patients with bilateral IH. 10.6% required hospitalization due to either concomitant procedure performed or cardiovascular comorbidities, with a mean hospital stay of 1.6 days. Median and late follow up was up to 5 years. 88.9% of patients complete a year, 86% two years, and 36.7% with a 5 year follow-up. IH repair using the TEP technique and self-fixation mesh showed to be an excellent approach, demonstrating satisfactory results in follow up and complications.Felipe GirónJuan David HernandezJuan David LinaresAlberto RicaurteAndres Mauricio GarcíaRoberto Javier Rueda-EstebanLina RodríguezRicardo NassarNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Felipe Girón
Juan David Hernandez
Juan David Linares
Alberto Ricaurte
Andres Mauricio García
Roberto Javier Rueda-Esteban
Lina Rodríguez
Ricardo Nassar
Outcomes of 207 totally extraperitoneal hernia repairs using self-fixation mesh
description Abstract Inguinal hernia (IH) repair is one of the most common procedures in general surgery around the world. Minimizing postoperative acute and chronic pain without increasing recurrence has been a critical point, giving place to different strategies like self-fixation mesh. The current study aimed to describe a group of patients who underwent IH repair by Totally Extraperitoneal (TEP) technique with self-gripping mesh at a fourth level hospital between 2012 and 2019. Retrospective review of a prospectively collected database including patients who underwent laparoscopic TEP approach with self-fixation mesh for IH repair. Follow up data was obtained at 12, 24, 36, 48, and 60 months post surgical intervention. 207 hernia repairs were performed in 142 patients, with a total of 66 patients with bilateral IH. 10.6% required hospitalization due to either concomitant procedure performed or cardiovascular comorbidities, with a mean hospital stay of 1.6 days. Median and late follow up was up to 5 years. 88.9% of patients complete a year, 86% two years, and 36.7% with a 5 year follow-up. IH repair using the TEP technique and self-fixation mesh showed to be an excellent approach, demonstrating satisfactory results in follow up and complications.
format article
author Felipe Girón
Juan David Hernandez
Juan David Linares
Alberto Ricaurte
Andres Mauricio García
Roberto Javier Rueda-Esteban
Lina Rodríguez
Ricardo Nassar
author_facet Felipe Girón
Juan David Hernandez
Juan David Linares
Alberto Ricaurte
Andres Mauricio García
Roberto Javier Rueda-Esteban
Lina Rodríguez
Ricardo Nassar
author_sort Felipe Girón
title Outcomes of 207 totally extraperitoneal hernia repairs using self-fixation mesh
title_short Outcomes of 207 totally extraperitoneal hernia repairs using self-fixation mesh
title_full Outcomes of 207 totally extraperitoneal hernia repairs using self-fixation mesh
title_fullStr Outcomes of 207 totally extraperitoneal hernia repairs using self-fixation mesh
title_full_unstemmed Outcomes of 207 totally extraperitoneal hernia repairs using self-fixation mesh
title_sort outcomes of 207 totally extraperitoneal hernia repairs using self-fixation mesh
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/b20d123255224abb9176e3f6716968f8
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