Low admittance rate after ambulatory laparoscopic surgery.
CONCLUSION: In patients undergoing ambulatory laparoscopic surgery using a perioperative multimodal analgesic regimen, pain was the limiting factor for discharge in 1% of patients operated in an ambulatory set-up. FUNDING: none. TRIAL REGISTRATION: Danish Data Protection Agency: 2012-58-0004, Danish Health Authority: 3-3013-1435/1, Clinicaltrial.gov: NCT02782832. PMID: 31256774 [PubMed - in process]
AbstractPurposeTo evaluate and compare peri-operative outcomes through 30 days, including pain and quality of life (QOL) through 3 months across three cohorts of inguinal hernia repair (IHR) patients (robotic-assisted, laparoscopic, and open IHR).MethodsThe Prospective Hernia Study is an ongoing, multicenter, comparative, open-label analysis of clinical and patient-reported outcomes from robotic-assisted surgery (RAS) versus open and RAS versus laparoscopic IHR procedures. Patient responses to the Carolinas Comfort Scale (CCS) questionnaire provided QOL outcomes.Results504 enrolled patients underwent unilateral ...
Conclusions: There was no significant difference in terms of chronic pain between PG and FS group. The use of PG is effective in TEP.
Conditions: Inguinal Hernia; Analgesia; Pain, Acute; Pain, Chronic; Pain, Neuropathic Interventions: Other: local anesthetic and dexmedetomidine; Other: local anesthetic and placebo Sponsor: Aretaieion University Hospital Recruiting
Publication date: Available online 23 May 2020Source: Annals of Medicine and SurgeryAuthor(s): Christoph Paasch, Jennifer Fiebelkorn, Gianluca De Santo, Sascha Azarhoush, Katherina Boettge, Stefan Anders, Ulrich Gauger, Martin Strik
We read with interest the report by Axman et al1 entitled “Chronic pain and risk for reoperation for recurrence after inguinal hernia using self-gripping mesh.” We found this subject relevant because chronic pain after inguinal hernia repair remains one of the main postoperative complications than can cause chronic distress to patients. The authors reported a rate of 15% of patients with chronic pain after inguinal hernia repair, and although in their methods section they reported to have recorded how the surgeon handled the nerves, these data were not published.
CONCLUSIONS: Robotic inguinal hernia repair is safe and effective. 1) Proper training, including simulators and proctors, is necessary; 2) having the same operating room team and an interested first assistant at the OR table is very helpful; 3) the learning curve is about 50 patients; 4) postoperative narcotics are rarely more than three hydrocodone pills; 4) no fixation of the mesh is necessary, but fibrin sealant was used routinely in these patients; and 5) urinary retention is the most common postoperative issue and is best planned for by knowing the patients urinary history, use of peripheral alpha-blockers, and straig...
Conclusion: Laparoscopic percutaneous extraperitoneal closure of the internal ring using an epidural needle is a safe and feasible method for the treatment of inguinal hernias in girls. This method has the advantages of limited trauma, no scarring and a good cosmetic effect. PMID: 32427037 [PubMed - as supplied by publisher]
ConclusionMinilaparoscopic repair of a paraduodenal hernia is safe and feasible regardless of age and size of the patient.
CONCLUSION: Particularly in young athletic patients the nitinol ring will be subject to bending forces in the groin and prone to breakage. This can have potentially severe consequences given its location near abdominal organs and neurovascular structures. In our opinion, patients should be informed about the possibility of ring breakage and doctors should consider the risk-benefits well. PMID: 32374656 [PubMed - as supplied by publisher]
García MJ Abstract Inguinodynia or chronic postoperative inguinal pain is a growing problem between patients who undergo surgical repair of an inguinal hernia. The change in results measurement proposed by many authors towards Patient Reported Outcome Measurement has underlined the importance of chronic postoperative inguinal pain, because of the great limitations in everyday life and the huge socioeconomic impact that it causes. In this article a narrative review of the available literature in PUBMED, EMBASE and Cochrane Library is performed and the most relevant aspects about epidemiology, etiology preve...