Complications of laparoscopic herniorrhaphy

Bruce V. MacFadyen, Maurice E. Arregui, John D. Corbitt, Charles J. Filipi, Robert J. Fitzgibbons, Morris E. Franklin, J. Barry McKernan, Douglas O. Olsen, Edward H. Phillips, Daniel Rosenthal, Leonard S. Schultz, Robert W. Sewell, Roy T. Smoot, Albert T. Spaw, Frederick K. Toy, Robert L. Waddell, Karl A. Zucker

Research output: Contribution to journalArticlepeer-review

101 Scopus citations

Abstract

Anterior inguinal hernia repair is the second-most-commonly performed abdominal operation and has been associated with low morbidity and mortality rates. The principle of laparoscopy has been applied to this surgical problem in a series of 762 patients with 841 inguinal hernias. Four types of laparoscopic repairs were conducted: (1) high ligation of the indirect inguinal hernia sac and closure of the internal ring (87 patients with 89 hernias); (2) plug and patch of the internal ring (74 patients with 87 hernias); (3) transperitoneal suture repair of the transversalis fascia to the iliopubic tract or Cooper's ligament (28 patients with 30 hernias); and (4) placement of a large prosthesis over the myopectoneal orifice (563 patients with 635 hernias). These early results indicate that the overall complication rates were low, especially when a large prosthesis was used to reinforce the myopectoneal orifice. It is concluded that laparoscopic inguinal herniorrhaphy is a safe and effective procedure with which to manage this surgical problem.

Original languageEnglish (US)
Pages (from-to)155-158
Number of pages4
JournalSurgical endoscopy
Volume7
Issue number3
DOIs
StatePublished - May 1 1993
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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