Cost-effective laparoscopic TEP inguinal hernia repair: the Portsmouth technique View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2005-12

AUTHORS

S. Basu, S. Chandran, S. S. Somers, S. K. C. Toh

ABSTRACT

NICE (UK) has not recommended unilateral primary laparoscopic inguinal hernia repair because of its expense. A two-port technique without balloon inflator or routine tacking was developed, which helped reduce costs to just Pounds 35 more than day-case open hernia repair. Over a 6-month period, 40 patients underwent 60 TEP repairs with a 6-month follow up. Zero degree laparoscope (10 mm) and blunt graspers (5 mm) created the pre-peritoneal space, identified landmarks and completed the dissection. Trimmed 15 x 15 cm mesh was placed over each defect. Operating times for unilateral and bilateral hernias for consultants and supervised trainees were 30*, 42.5* and 40*, 55* min (*: Median) respectively. Verbal rating pain scores at 24 and 72 h were 1* (0-3) and 0* (0-2) respectively. Patients returned to activity, driving and work in 5*, 7* and 14* days respectively. Cost of laparoscopic hernia repair was calculated at Pounds 105. A two-port laparoscopic hernia repair can be performed effectively and safely, in reasonable time and at a low cost. These data support the use of this technique in primary unilateral inguinal hernia. More... »

PAGES

363-367

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10029-005-0006-x

DOI

http://dx.doi.org/10.1007/s10029-005-0006-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1028506906

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/16273306


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