Assessing risks, costs, and benefits of laparoscopic hernia repair

Muhammed Ashraf Memon, Robert Joseph Fitzgibbons

Research output: Contribution to journalReview article

35 Citations (Scopus)

Abstract

Laparoscopic inguinal herniorrhaphy (LIHR) was introduced with the following potential advantages: less postoperative discomfort and pain, reduced recovery time that allows earlier return to full activity easier repair of a recurrent hernia, the ability to treat bilateral hernias concurrently, the performance of a simultaneous diagnostic laparoscopy, ligation of the hernia sac at the highest possible site, improved cosmesis, and decreased incidence of recurrence. Potential disadvantages include complications, such as bowel, bladder, and vascular injuries; potential adhesive complications at sites where the peritoneum has been breached or prosthetic material has been placed; the apparent need, at least at the present, for a general anesthetic; and the increased cost because of expensive equipment needs. Most surgeons agree that LIHR has a role in the management of patients with a recurrent hernia after a conventional inguinal herniorrhaphy (CIHR), bilateral inguinal hernia, or a need for laparoscopy for another procedure, such as laparoscopic cholecystectomy. The routine use of LIHR for the unilateral, uncomplicated hernia is a more contentious issue.

Original languageEnglish
Pages (from-to)95-109
Number of pages15
JournalAnnual Review of Medicine
Volume49
DOIs
StatePublished - 1998

Fingerprint

Laparoscopy
Herniorrhaphy
Hernia
Groin
Cost-Benefit Analysis
Repair
General Anesthetics
Prosthetics
Costs
Adhesives
Recovery
Inguinal Hernia
Laparoscopic Cholecystectomy
Vascular System Injuries
Peritoneum
Postoperative Pain
Ligation
Urinary Bladder
Costs and Cost Analysis
Recurrence

All Science Journal Classification (ASJC) codes

  • Cell Biology
  • Medicine(all)

Cite this

Assessing risks, costs, and benefits of laparoscopic hernia repair. / Memon, Muhammed Ashraf; Fitzgibbons, Robert Joseph.

In: Annual Review of Medicine, Vol. 49, 1998, p. 95-109.

Research output: Contribution to journalReview article

@article{fe56bbd2c29c431485315b5389ddddbf,
title = "Assessing risks, costs, and benefits of laparoscopic hernia repair",
abstract = "Laparoscopic inguinal herniorrhaphy (LIHR) was introduced with the following potential advantages: less postoperative discomfort and pain, reduced recovery time that allows earlier return to full activity easier repair of a recurrent hernia, the ability to treat bilateral hernias concurrently, the performance of a simultaneous diagnostic laparoscopy, ligation of the hernia sac at the highest possible site, improved cosmesis, and decreased incidence of recurrence. Potential disadvantages include complications, such as bowel, bladder, and vascular injuries; potential adhesive complications at sites where the peritoneum has been breached or prosthetic material has been placed; the apparent need, at least at the present, for a general anesthetic; and the increased cost because of expensive equipment needs. Most surgeons agree that LIHR has a role in the management of patients with a recurrent hernia after a conventional inguinal herniorrhaphy (CIHR), bilateral inguinal hernia, or a need for laparoscopy for another procedure, such as laparoscopic cholecystectomy. The routine use of LIHR for the unilateral, uncomplicated hernia is a more contentious issue.",
author = "Memon, {Muhammed Ashraf} and Fitzgibbons, {Robert Joseph}",
year = "1998",
doi = "10.1146/annurev.med.49.1.95",
language = "English",
volume = "49",
pages = "95--109",
journal = "Annual Review of Medicine",
issn = "0066-4219",
publisher = "Annual Reviews Inc.",

}

TY - JOUR

T1 - Assessing risks, costs, and benefits of laparoscopic hernia repair

AU - Memon, Muhammed Ashraf

AU - Fitzgibbons, Robert Joseph

PY - 1998

Y1 - 1998

N2 - Laparoscopic inguinal herniorrhaphy (LIHR) was introduced with the following potential advantages: less postoperative discomfort and pain, reduced recovery time that allows earlier return to full activity easier repair of a recurrent hernia, the ability to treat bilateral hernias concurrently, the performance of a simultaneous diagnostic laparoscopy, ligation of the hernia sac at the highest possible site, improved cosmesis, and decreased incidence of recurrence. Potential disadvantages include complications, such as bowel, bladder, and vascular injuries; potential adhesive complications at sites where the peritoneum has been breached or prosthetic material has been placed; the apparent need, at least at the present, for a general anesthetic; and the increased cost because of expensive equipment needs. Most surgeons agree that LIHR has a role in the management of patients with a recurrent hernia after a conventional inguinal herniorrhaphy (CIHR), bilateral inguinal hernia, or a need for laparoscopy for another procedure, such as laparoscopic cholecystectomy. The routine use of LIHR for the unilateral, uncomplicated hernia is a more contentious issue.

AB - Laparoscopic inguinal herniorrhaphy (LIHR) was introduced with the following potential advantages: less postoperative discomfort and pain, reduced recovery time that allows earlier return to full activity easier repair of a recurrent hernia, the ability to treat bilateral hernias concurrently, the performance of a simultaneous diagnostic laparoscopy, ligation of the hernia sac at the highest possible site, improved cosmesis, and decreased incidence of recurrence. Potential disadvantages include complications, such as bowel, bladder, and vascular injuries; potential adhesive complications at sites where the peritoneum has been breached or prosthetic material has been placed; the apparent need, at least at the present, for a general anesthetic; and the increased cost because of expensive equipment needs. Most surgeons agree that LIHR has a role in the management of patients with a recurrent hernia after a conventional inguinal herniorrhaphy (CIHR), bilateral inguinal hernia, or a need for laparoscopy for another procedure, such as laparoscopic cholecystectomy. The routine use of LIHR for the unilateral, uncomplicated hernia is a more contentious issue.

UR - http://www.scopus.com/inward/record.url?scp=0031959270&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031959270&partnerID=8YFLogxK

U2 - 10.1146/annurev.med.49.1.95

DO - 10.1146/annurev.med.49.1.95

M3 - Review article

VL - 49

SP - 95

EP - 109

JO - Annual Review of Medicine

JF - Annual Review of Medicine

SN - 0066-4219

ER -