Laparoscopic-assisted percutaneous herniorrhaphy as an alternative to open surgery technique in farm swines.

<h4>Background</h4>Despite numerous experimental studies presenting laparoscopic treatment of inguinal hernia in a pig model so far no described technique has been used in clinical patients of this species. Minimal invasiveness and the simplicity of closure of the inguinal canal using th...

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Autores principales:	Przemysław Prządka, Bartłomiej Liszka, Agnieszka Antończyk, Piotr Skrzypczak, Zdzisław Kiełbowicz, Dariusz Patkowski
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d0e67597c11642f291b90e9cdb6880e5
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spelling	oai:doaj.org-article:d0e67597c11642f291b90e9cdb6880e52021-12-02T20:14:48ZLaparoscopic-assisted percutaneous herniorrhaphy as an alternative to open surgery technique in farm swines.1932-620310.1371/journal.pone.0256890https://doaj.org/article/d0e67597c11642f291b90e9cdb6880e52021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256890https://doaj.org/toc/1932-6203<h4>Background</h4>Despite numerous experimental studies presenting laparoscopic treatment of inguinal hernia in a pig model so far no described technique has been used in clinical patients of this species. Minimal invasiveness and the simplicity of closure of the inguinal canal using the Percutaneous Internal Ring Suturing (PIRS) technique makes it the world's first technique for laparoscopic treatment of inguinal hernia in pigs as clinical patients.<h4>Aim</h4>This study aims to assess the applicability and effectiveness of the laparoscopic PIRS technique in the treatment of inguinal hernia in pigs as clinical patients and to compare the PIRS technique with the open surgery technique, which is currently being used.<h4>Methods</h4>The study was conducted on 22 non-castrated male pigs with inguinal hernia (clinical patients), divided into two equal groups: PIRS and open surgery (OS). In the PIRS group, the inner inguinal ring was closed with an optical trocar inserted at the umbilicus level and an injection needle with a suture material inserted percutaneously over the inguinal canal. The suture material was threaded through the inner inguinal ring and then tied, leaving the knot under the skin. As a result to this the inguinal canal was closed. In the OS group the procedure was performed with open access above the inguinal canal where, after dissection of the vaginal processus and reducing the contents of the hernia to the abdominal cavity, it was ligated as close to the inguinal canal as possible, and the wound was then closed in layers.<h4>Results</h4>All operated pigs returned to full fitness immediately after recovery from anesthesia. There was one case of hernia recurrence in the PIRS group. In the OS group all the operated pigs had a temporary swelling of the postoperative wound and the scrotum on the side of the operated inguinal hernia, which was not found in the PIRS group.<h4>Conclusions</h4>The effectiveness of the PIRS technique is comparable to that of open surgery. Considering the simplicity of the PIRS procedure and its minimal invasiveness, this technique may be used as an alternative to the open technique in the treatment of inguinal hernias in pigs not subjected to surgical castration.Przemysław PrządkaBartłomiej LiszkaAgnieszka AntończykPiotr SkrzypczakZdzisław KiełbowiczDariusz PatkowskiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0256890 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Przemysław Prządka Bartłomiej Liszka Agnieszka Antończyk Piotr Skrzypczak Zdzisław Kiełbowicz Dariusz Patkowski Laparoscopic-assisted percutaneous herniorrhaphy as an alternative to open surgery technique in farm swines.
description	<h4>Background</h4>Despite numerous experimental studies presenting laparoscopic treatment of inguinal hernia in a pig model so far no described technique has been used in clinical patients of this species. Minimal invasiveness and the simplicity of closure of the inguinal canal using the Percutaneous Internal Ring Suturing (PIRS) technique makes it the world's first technique for laparoscopic treatment of inguinal hernia in pigs as clinical patients.<h4>Aim</h4>This study aims to assess the applicability and effectiveness of the laparoscopic PIRS technique in the treatment of inguinal hernia in pigs as clinical patients and to compare the PIRS technique with the open surgery technique, which is currently being used.<h4>Methods</h4>The study was conducted on 22 non-castrated male pigs with inguinal hernia (clinical patients), divided into two equal groups: PIRS and open surgery (OS). In the PIRS group, the inner inguinal ring was closed with an optical trocar inserted at the umbilicus level and an injection needle with a suture material inserted percutaneously over the inguinal canal. The suture material was threaded through the inner inguinal ring and then tied, leaving the knot under the skin. As a result to this the inguinal canal was closed. In the OS group the procedure was performed with open access above the inguinal canal where, after dissection of the vaginal processus and reducing the contents of the hernia to the abdominal cavity, it was ligated as close to the inguinal canal as possible, and the wound was then closed in layers.<h4>Results</h4>All operated pigs returned to full fitness immediately after recovery from anesthesia. There was one case of hernia recurrence in the PIRS group. In the OS group all the operated pigs had a temporary swelling of the postoperative wound and the scrotum on the side of the operated inguinal hernia, which was not found in the PIRS group.<h4>Conclusions</h4>The effectiveness of the PIRS technique is comparable to that of open surgery. Considering the simplicity of the PIRS procedure and its minimal invasiveness, this technique may be used as an alternative to the open technique in the treatment of inguinal hernias in pigs not subjected to surgical castration.
format	article
author	Przemysław Prządka Bartłomiej Liszka Agnieszka Antończyk Piotr Skrzypczak Zdzisław Kiełbowicz Dariusz Patkowski
author_facet	Przemysław Prządka Bartłomiej Liszka Agnieszka Antończyk Piotr Skrzypczak Zdzisław Kiełbowicz Dariusz Patkowski
author_sort	Przemysław Prządka
title	Laparoscopic-assisted percutaneous herniorrhaphy as an alternative to open surgery technique in farm swines.
title_short	Laparoscopic-assisted percutaneous herniorrhaphy as an alternative to open surgery technique in farm swines.
title_full	Laparoscopic-assisted percutaneous herniorrhaphy as an alternative to open surgery technique in farm swines.
title_fullStr	Laparoscopic-assisted percutaneous herniorrhaphy as an alternative to open surgery technique in farm swines.
title_full_unstemmed	Laparoscopic-assisted percutaneous herniorrhaphy as an alternative to open surgery technique in farm swines.
title_sort	laparoscopic-assisted percutaneous herniorrhaphy as an alternative to open surgery technique in farm swines.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/d0e67597c11642f291b90e9cdb6880e5
work_keys_str_mv	AT przemysławprzadka laparoscopicassistedpercutaneousherniorrhaphyasanalternativetoopensurgerytechniqueinfarmswines AT bartłomiejliszka laparoscopicassistedpercutaneousherniorrhaphyasanalternativetoopensurgerytechniqueinfarmswines AT agnieszkaantonczyk laparoscopicassistedpercutaneousherniorrhaphyasanalternativetoopensurgerytechniqueinfarmswines AT piotrskrzypczak laparoscopicassistedpercutaneousherniorrhaphyasanalternativetoopensurgerytechniqueinfarmswines AT zdzisławkiełbowicz laparoscopicassistedpercutaneousherniorrhaphyasanalternativetoopensurgerytechniqueinfarmswines AT dariuszpatkowski laparoscopicassistedpercutaneousherniorrhaphyasanalternativetoopensurgerytechniqueinfarmswines
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Laparoscopic-assisted percutaneous herniorrhaphy as an alternative to open surgery technique in farm swines.

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