1. Introduction. 2. Material and methods Methodology
|
|
- Roger Cox
- 5 years ago
- Views:
Transcription
1 Clinical evaluation on 96 patients of the SWING-CONTACT meshes in the treatment of groin hernia: a new three-dimensional device with atraumatic grips on both sides 1. Introduction This data collection was set up within the framework of the Swing-Contact meshes, manufactured by THT (Textile Hi-Tec), post-marketing surveillance plan. It allows evaluating safety and performances of the Swing-Contact meshes used in the treatment of inguinal and femoral hernias and to consolidate the pre-marketing clinical data. The data obtained aim to update the clinical evaluation and thus to improve the risk management during the life cycle of the device. 2. Material and methods 2.1. Methodology It is a non-interventional scientific evaluation subjected and accepted by the French independent administrative authority (CNIL) according to the regulations in force. The data recorded were collected by means of a pre-established follow-up form. These data include demographic and peroperative data as well as the results of a short-term follow-up visit. We are reporting data on a group of 96 patients operated between November 2009 and December 2010 for an inguinal or femoral hernia in 3 sites (cf. Appendix 1). Page 1/ 13
2 2.2. Objectives The main objective is to evaluate the safety of the Swing-Contact meshes in their normal use by the collection of complications after surgery. The secondary objective is to evaluate the performances of the Swing-Contact meshes in their normal use by the collection of the recurrence rate and the clinical evolution of the patient Assessment criteria The assessment criteria are as follows: Main assessment criterion To assess the level of complication during the postoperative period in a short term follow-up. Secondary assessment criteria To assess the level of recurrence and reoperation during the postoperative period in a short term follow-up Medical device The Swing-Contact meshes consist of polyester multifilament impregnated with aliphatic polyurethane, poly(ether urethane), PEU. These implants have a three-dimensional «honeycomb» knitted structure. Meshes have atraumatic grips on both sides avoiding the use of any fixation system. One of the references of the range is an anatomical prosthesis including a visual reference mark facilitating his positioning. Implants are available in several sizes: 8x13, 9x13, 10x15, 15x15 and 15x20 (in cm). The anatomical reference exists either in 11x15cm or 12x16cm. Theses implants are used in laparoscopy or laparotomy as abdominal wall reinforcement meshes placed in extraperitoneal position for: - Inguinal and femoral hernias - Small incisional or ventral hernia - Recurrences. The anatomical reference is used under laparoscopy in groin hernia repair in the adult (inguinal and femoral hernias). The prosthesis is introduced by a trocar under endoscopy via a completely extraperitoneal approach (TEP) or the transabdominal preperitoneal approach (TAPP). These implants have several advantages: - Unique porous structure to favor quick tissue ingrowth and colonization. - Elasticity and excellent multidirectional mechanical properties close to human tissue. - Impregnation of the implant with poly(ether urethane) to increase the rigidity of the mesh. - Fixation free prosthesis with atraumatic grips on both sides who allow reducing postoperative pain. Page 2/ 13
3 Three references were used in this cases series: - CO A, - CO S, - CO3A 1216 D+/G+ and CO3A 1115 D+/G+, anatomical reference. 3. ANALYSIS Patients included in this clinical data collection were divided in 2 groups according to the surgical approach used: laparotomy or laparoscopy. The characteristics of each group and the results obtained are presented separately in this report. The population concerned corresponds to the major population requiring parietal reinforcement for groin hernia or small incisional or ventral hernia and not having the counter-indications described in the instructions for use Laparotomy group = Lichtenstein technique Patient characteristics The 39 patients included in the laparotomy group are aged between 27 and 81 years old (mean of 56 years) and are a majority of men (36 men and 3 women). The body mass index (BMI) was calculated for 36 patients: - 12 patients have a normal stoutness (BMI ranging between 18.5 and 25) - 19 patients, including 3 older than 65 years old, are in overweight (BMI ranging between 25 and 30) - 5 patients, including 1 older than 65 years old, have a moderate obesity (BMI ranging between 30 and 35). No patient (33 provided) exerts repeated physical efforts in their daily activity. Population repartition by age All included patients had an inguinal hernia: right inguinal hernia in 53.8% (21/39), left inguinal hernia in 43.6% (17/39), and bilateral inguinal hernia in 2.6% (1/39) of cases. Page 3/ 13
4 For 1 patient, it was a recurrence. Hernias localization Surgery For the majority of cases (97.4%, 37/38 provided) a general anesthesia was practiced. One patient had a loco-regional anesthesia. The surgery length is between 15 to 55 minutes (mean of 32 minutes). Intervention duration (in minutes) The patients who had unilateral hernia were treated by the installation of a single prosthesis and the patient who has bilateral hernia was treated by the installation of two prostheses. For all patients, the reference used was CO The patient who had a bilateral hernia was treated for one side with one CO A mesh and for the other side with a mesh in polyester of three-dimensional structure and impregnated of equine collagen (SC3, manufactured by THT, Textile Hi-Tec). All prostheses implanted had the same size: 8x13 cm. Page 4/ 13
5 All the 40 implanted prostheses in this patient group were fixed. According to the Lichtenstein procedure, 3 points of fixation were carried out in 2-0 prolene suture: 1 point to inguinal ligament and 2 points to internal oblique muscle. The hospitalization duration was between 1 to 6 days (mean of 3 days). Hospitalization duration (in days) Postoperative visit All patients were reviewed during a postoperative visit at 35 days on average (from 20 to 60 days). Time of follow-up visit (in days) 3.2. Laparoscopy group Patient characteristics The 57 patients included in the laparoscopy group are aged between 21 and 85 years old (mean of 57 years) and are men in majority (50 men and 7 women). Page 5/ 13
6 The body mass index (BMI) was calculated for the 57 patients: - 30 patients have a normal stoutness (BMI ranging between 18.5 and 25) - 23 patients, including 3 older than 65 years old, are in overweight (BMI ranging between 25 and 30) - 4 patients, including 1 aged of 66 years old, present a moderate obesity (BMI ranging between 30 and 35). Twenty (20) patients on 56 exert repeated physical efforts in their daily activity. Population repartition by age The surgery indications for the 56 patients of the group are the following: - Direct inguinal hernia (11 bilateral, 3 left, 3 right) in 17 patients - External oblique inguinal hernia (8 bilateral, 9 left, 10 right) in 27 patients - Femoral hernia (1 bilateral, 1 left) in 2 patients - Right scrotal inguinal hernia in 1 patient - Left external oblique scrotal inguinal hernia in 1 patient - External oblique scrotal inguinal hernia in 1 patient - Direct and external oblique inguinal hernia (1 bilateral, 1 left, 2 right) in 4 patients - Left external oblique inguinal hernia + left femoral hernia in 1 patient - Right direct and external oblique + left external oblique inguinal hernia in 1 patient - Left external oblique inguinal hernia + a recurrence of a right inguinal hernia in 1 patient - Right direct + left external oblique inguinal hernia in 1 patient In conclusion, the group includes 33 unilateral hernias including a total of 37 defects and 24 bilateral hernias including a total of 51 defects therefore a total of 88 defects for the entire group. The direct and external oblique inguinal hernias are characterize by the presence of 2 defects but are operated with a single mesh. This is the same for the inguinal hernia associated to the femoral hernia. Hernia size varied approximately from 0.5 to 20 mm for 86 defects: - 1 hernia size of 0.5 mm - 3 hernia size of 5 mm - 1 hernia size of 8 mm - 2 hernia size < 10 mm - 36 hernia size of 10 mm - 29 hernia size of 15 mm - 2 hernia size < 20 mm - 12 hernia size of 20 mm Page 6/ 13
7 In 2 cases, it was a recurrence. Hernias localization Surgery For the 57 patients, the prostheses were introduced by a trocar under endoscopy via a total extraperitoneal technique (TEP). A general anesthesia was practiced for all patients. The intervention duration was between 15 to 55 minutes (mean of 33 minutes). Intervention duration (in minutes) The patients who had unilateral hernia were treated by the installation of a single prosthesis and patients who had bilateral hernia were treated by the installation of two prostheses. References CO3A D+ and/or G+ of two different sizes were used in 69 cases: 24 implants of size 11x15 cm and 45 implants of size 12x16 cm. The reference CO3+ S of size 10x15cm was used in 12 cases. Page 7/ 13
8 None of the 88 prostheses was fixed. The hospitalization length for 50/52 patients is between 1 to 4 days (mean of 1.7 days). Hospitalization duration (in days) Postoperative visit All patients were reviewed during a postoperative visit at 34 days on average (from 22 to 69 days). Time of follow-up visit (in days) 4. RESULTS 4.1. Tolerance data Preoperative complication No per-operative complication was recorded in the laparotomy group. Three per-operative complications were recorded in the laparoscopy group: 3 peritoneal breaking with 2 requiring a closure with either absorbable thread or vicryl 2/0. Page 8/ 13
9 Postoperative complication Laparotomy group (Lichtenstein technique) Six complications were recorded at the postoperative visit: - 1 discrete upstream edema related to the mesh incorporation (2.6%, 1/39) - 1 hematoma (2.6%, 1/39). - 4 pain (10.2%, 4/39). Two patients presented pain until the 3 rd postoperative week and one patient presented pain of constraint type until the 2 nd postoperative week. Three patients felt a constraint. One patient described a pain of constraint type and another patient described a constraint certainly related with the inflammatory process. In addition, one patient presented a discrete cicatricial pain at the end of the evening, another patient some normal twinges following efforts of load wearing and a last one brought back some small tugging. Twenty-nine (29/32) patients went back to a current activity at the postoperative visit. Laparoscopy group (TEP) Twenty-one (21) complications were recorded on 19 patients at the postoperative visit. It is: - 1 acute urinary retention (1.8%, 1/57) - 6 testicular syndromes (10.5%, 6/57) - 14 seromas (24.6%, 14/57) The acute urinary retention appeared in one patient who left the clinic the night of the surgery. He came back during the night with a full bladder, has a catheter and left the clinic when miction came back normally. Among the 6 testicular syndromes, one was accompanied by painful sensation, very well eased by paracetamol. The patient reported pain evaluated at 6 on the visual analogue scale (VAS). The 5 other testicular syndromes were of moderate to weak intensity. There were accompanied for 3 patients by a weak pain evaluated at 1 or 2 on the visual analogue scale (VAS). Among the 14 seroma, only 4 were accompanied by a moderate to weak pain evaluated from 1 to 3 on the visual analogue scale (VAS). Seroma observed in this group of patients were in majority painless and for the totality regressive. Three (3) seroma were of diameter < 1 cm and one was having a size of 20x30 mm. Two (2) patients presented a testicular syndrome accompanied by seroma. One of the patients had a voluminous scrotal inguinal hernia and presented banal post-surgery sequela: testicular syndrome of moderate intensity during 21 days, seroma whose regression was almost complete at 31 days post-surgery. The second patient, previously operated for a prostatic cancer by radical prostatectomy under laparoscopy and followed by a postoperative radiotherapy, presented a left external oblique inguinal hernia. This patient presented a minor testicular syndrome accompanied by a seroma of diameter < 1 cm, in process of resorption at 26 days post-surgery. Page 9/ 13
10 Most patients described small postoperative constraints during generally 4 to 5 days. These constraints were related to the surgery and the inflammatory reaction induced by the implant. No patient has constraint or discomfort related to the prosthesis. Only one patient on 56 does not retrieve a current activity at the postoperative visit. The time of return for 51/57 is between 2 to 21 days (mean of 9 days). Time of return to current activity (in days) 4.2. Efficacy data No reoperation and no recurrences were recorded on the 2 groups studied Device quality data The quality of the device was assessed, based on several criteria in the laparoscopy group: Handling/comfort of use of the prosthesis: it was deemed very satisfactory in 92.9% (52/56) and satisfactory in 7.1% (4/56) of cases. Flexibility: it was deemed very satisfactory in 92.9% (52/56) and satisfactory in 7.1% (4/56) of cases. Facility of introduction into a trocar: it was deemed middle in 74.5% (41/55) and satisfactory in 25.5% (14/55) of cases. Facility of installation and of positioning: it was deemed very satisfactory in 94.6% (53/56) and satisfactory in 5.4% (3/56) of cases. Shape memory of implant after his installation: it was deemed very satisfactory in 94.6% (53/56) and satisfactory in 5.4% (3/56) of cases. Adhesion to tissue: it was deemed middle in 92.9% (52/56) and satisfactory in 7.1% (4/56) of cases. Facility of repositioning: it was deemed very satisfactory in 94.6% (53/56) and satisfactory in 5.4% (3/56) of cases. Shape of the implant: it was deemed middle in 91.1% (51/56) and satisfactory in 8.9% (4/56) of cases. Comfort of the patient: it was deemed middle in 92.9% (52/56) and satisfactory in 7.1% (4/56) of cases. Page 10/ 13
11 Labeling: it was deemed clear in all cases (56/56). Packaging: it was deemed appropriate and secure in all cases (56/56). Operating instructions: it was deemed comprehensible in all cases (56/56). 5. Conclusion Twenty-seven (27) complications were reported in this clinical evaluation. No complication implicates the safety of the patients or the benefit-risk ratio. All these complications are awaited complication in the treatment of inguinal and femoral hernia and the sequela are simple. In particular, several current studies show a high rate of chronic pain with the Lichtenstein technique (1, 2), 5% to 45% according to the studies. This rate higher than in laparoscopy can be explained by the nervous terminations catches in the suture and by the chronic irritation of the ilioinguinal and iliohypogastric nerves in contact with the prosthesis (1). Seroma are early complications frequently observed following inguinal hernia surgery performed by totally extraperitoneal laparoscopy (4, 5, 6). A study on 105 patients shows by sonography, fluid collections compatible with seroma or hematoma in 33% of the patients (4). Indeed, seroma corresponds to a tissular secretion filling of the cavity occupied by the hernia. This inguinal collection could appear immediately after the surgery. In the majority of cases, a spontaneous resorption is achieved following few weeks. In our group of patients, the 14 seroma observed were regressive and in majority painless. No recurrence neither reoperation were recorded in this post-marketing follow-up in a short- term period on the Swing-Contact meshes. This result, very promising, will have to be confirmed by a long-term follow-up. Finally, it is important to note that no infection or intolerance was recorded. The results obtained in the group of patients operated by the Lichtenstein technique confirm safety and part of performances of the Swing-Contact implants. Indeed, these results do not allow concluding on the effectiveness of grips as all prostheses were fixed according to the recommendation of the Lichtenstein technique. In addition, the Lichtenstein technique being associated to a high rate of chronic pain, it is difficult to interpret the rate of pain evaluated at 10.2%. Nevertheless, no constraint or discomfort directly related to the prosthesis was recorded. Moreover the pain recorded is of short duration for 3 patients and not considered as a chronic pain (3). The complete safety and performance assessment of the Swing-Contact meshes has been possible with the data analysis obtained following the use of the implants in laparoscopy without fixation. Indeed, the effectiveness of the grips could be highlighted by the absence of recurrence and pain directly related to the prosthesis or the presence of grips. Page 11/ 13
12 BIBLIOGRAPHY (1) «Etat actuel du traitement de la hernie inguinale», Edouard Pélissier e-mémoires de l Académie Nationale de Chirurgie, 2009, 8 (2) : (2) «Comparison of endoscopic procedures vs lichtenstein and other open mesh techniques for inguinal hernia repair : A meta-analysis of randomized controlled trials», Schmedt CG, Sauerland S, Bittner R Surgical endoscopy, 2005, 19 (2): (3) International Association for the Study of Pain. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of pain, Subcommittee on Taxonomy Pain, 1986, Suppl 3: S1-226 (4) Early postoperative evaluation of groins after laparoscopic total extraperitoneal repair of inguinal hernias, Shpitz B, Kuriansky J, Werener M, Osadchi A, Tiomkin V, Bugayev N, Klein E. J Laparoendosc Adv Surg Tech A, 2004; 14 (6): (5) Totally extraperitoneal laparoscopic hernioplasty: the optimal surgical approach, Zhang H, Lin J, Liao Q, Xie N, Gui X, Li J, Hong S, Qin X, Lu Y Surg Laparosc Endosc Percutan Tech, 2009; 19 (6): (6) Total extraperitoneal (TEP) mesh repair of inguinal hernia in the developing world: comparison of low-cost indigenous ballon dissection versus direct telescopic dissection: a prospective randomized controlled study. Misra MC, Kumar S, Bansal VK Surg Endosc, 2008, 22 (9): Page 12/ 13
13 APPENDIX 1 LIST OF CENTERS Surgeon Address Speciality Dr LONJON Dr MAGNE Dr BERTOLASO Clinique Gale de Marignane Avenue Général R. Salan MARIGNANE Clinique Tivoli 91,rue de Rivière BORDEAUX Clinique du Pont de Chaume 330, avenue Marcel Unal MONTAUBAN General and visceral surgery Parietal digestive surgery Visceral surgery Page 13/ 13
JMSCR Vol 04 Issue 09 Page September 2016
JMSCR Vol 4 Issue 9 Page 4-47 September 6 www.jmscr.igmpublication.org Impact Factor 5.44 Index Copernicus Value: 8.7 ISSN (e)-47-76x ISSN (p) 455-45 DOI: http://dx.doi.org/.855/jmscr/v4i9.7 Comparative
More informationTransabdominal pre peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair
Transabdominal pre peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair An inguinal hernia (hernia of the groin) is a weakness in the wall of the abdominal
More informationTechnical points of the laparoscopic transabdominal preperitoneal (TAPP) approach in inguinal hernia repair
Surgical Technique Page 1 of 5 Technical points of the laparoscopic transabdominal preperitoneal (TAPP) approach in inguinal hernia repair Qiwei Shen, Qiyuan Yao Department of General Surgery, Huashan
More informationHybrid Laparoscopic and Anterior Approach for Postsurgical Inguinal Hernia After Iliofemoral Arterial Bypass
Int Surg 2015;100:431 435 DOI: 10.9738/INTSURG-D-14-00226.1 Case Report Hybrid Laparoscopic and Anterior Approach for Postsurgical Inguinal Hernia After Iliofemoral Arterial Bypass Tomoya Tsukada 1,2,
More informationSDRP JOURNAL OF ANESTHESIA & SURGERY
SDRP JOURNAL OF ANESTHESIA & SURGERY 2017 RESEARCH Hernia defect closure with corresponding mesh site fixation only in laparoscopic inguinal hernia repair. DOI: 10.15436/JAS.2.1.3 ISSN:2473-2184 Ahmed
More informationAssessment and comparison of laparoscopic hernia repair versus open hernia: a non-randomized study
International Surgery Journal Murthy PK et al. Int Surg J. 2018 Mar;5(3):1021-1025 http://www.ijsurgery.com pissn 2349-3305 eissn 2349-2902 Original Research Article DOI: http://dx.doi.org/10.18203/2349-2902.isj20180823
More informationABSITE Review: Hernias
ABSITE Review: Inguinal and Femoral Hernias Sybile Val M.D. SUNY Downstate Medical Center Department of Surgery June 27, 2008 Objectives www.downstatesurgery.org Correctly identify anatomical landmarks
More informationGroin hernia repair after radical prostatectomy and adenomectomy: versus patient without prostatectomie Club hernie database results.
APHS Tokyo 27-28 October 2016 EHS Vienna 25-27 MAY 2017 MESH Paris 15-17 Juin 2017 Groin hernia repair after radical prostatectomy and adenomectomy: versus patient without prostatectomie Club hernie database
More informationComparison of Transabdominal Preperitoneal and Total Extra Peritoneal: A Prospective Study
Original Article DOI:.1734/ijss/21/23 Comparison of Transabdominal Preperitoneal and Total Extra Peritoneal: A Prospective Study T Shivakumar 1, B M Pavan 1, C S Gurukiran 2, N Chandrashekar 2, N Satish
More informationFirst Transumbilical Transabdominal Preperitoneal Inguinal Hernia Repair in the Middle East
ISPUB.COM The Internet Journal of Surgery Volume 25 Number 1 First Transumbilical Transabdominal Preperitoneal Inguinal Hernia Repair in the Middle East A Al-Dowais Citation A Al-Dowais. First Transumbilical
More informationObjectives. Hesselbach s Triangle 11/30/2009. Myopectineal Orifice of Fruchaud. Hernias: Who, What, When, Where, Why?
Objectives Hernias: Who, What, When, Where, Why? J. Scott Roth, MD Chief, Gastrointestinal Surgery Director, Minimally Invasive Surgery University of Kentucky June 16, 2009 Identify patients at risk for
More informationTitle at a Single Institution. Issue Date Right.
NAOSITE: Nagasaki University's Ac Title Author(s) Laparoscopic Repair of a Ventral He at a Single Institution. Ono, Shinichiro; Kawashita, Yujo; K Citation Acta medica Nagasakiensia, 57(2), p Issue Date
More informationPilot study of selective fixation of mesh in laparoscopic extra-peritoneal inguinal hernia repair (TEP)
Original article: International J. of Healthcare and Biomedical Research, Volume: 05, Issue: 04, July 2017, 77-84 Pilot study of selective fixation of mesh in laparoscopic extra-peritoneal inguinal hernia
More informationTechnique Guide. Bard MK Hernia Repair. Featuring Modified Onflex Mesh SOFT TISSUE REPAIR. Anterior Approach to a Preperitoneal Inguinal Hernia Repair
Bard MK Hernia Repair Featuring Modified Onflex Mesh Technique Guide Anterior Approach to a Preperitoneal Inguinal Hernia Repair SOFT TISSUE REPAIR Right Procedure. Right Product. Right Outcome. The opinions
More informationSURGICAL TREATMENT OF INCISIONAL HERNIAS
UNIVERSITY OF MEDICINE AND FARMACY CRAIOVA PhD School PhD Thesis Abstract SURGICAL TREATMENT OF INCISIONAL HERNIAS Scientific coordinator: PROF.UNIV.DR. DAN MOGOȘ PhD Student: SFECLAN MARIA CRISTINA CRAIOVA
More informationMeshes. Meshes. Non-absorbable meshes. Absorbable meshes
Meshes Meshes Non-absorbable meshes Absorbable meshes Non-absorbable meshes hernia Premilene Mesh Premilene Mesh Plug Optilene Mesh Optilene Mesh LP Optilene Mesh Elastic Omyra Mesh Non-absorbable meshes
More informationCAT FOR TREATMENT. Clinical Scenario:
CAT FOR TREATMENT Clinical Scenario: A 30-year old male footballer presented at surgical OPD with clinical of painful, reducible groin hernia. I advice him for surgical management and gave him the possible
More informationKeyhole Laparoscopic Hernia Repairs: What s the Benefit for Your Patients?
InTouch ARTICLE Keyhole Laparoscopic Hernia Repairs: What s the Benefit for Your Patients? Author: Mr Steve Warren Date: Mary 2015 17 19 View Road, Highgate, London, N6 4DJ Tel. 020 8341 4182 Email. enquiries@highgatehospital.co.uk
More informationThe Feasibility of Laparoscopic Total Extraperitoneal (TEP) Herniorrhaphy after Previous Lower Abdominal Surgery
J Korean Surg Soc 2010;78:405-409 DOI: 10.4174/jkss.2010.78.6.405 원 저 The Feasibility of Laparoscopic Total Extraperitoneal (TEP) Herniorrhaphy after Previous Lower Abdominal Surgery Department of Surgery,
More informationLaparoscopic Repair of Inguinal Hernia with Biomimetic Matrix
SCIENTIFIC PAPER Laparoscopic Repair of Inguinal Hernia with Biomimetic Matrix Arthur Fine, MD ABSTRACT Background and Objectives: Materials utilized for the repair of hernias fall into 2 broad categories,
More informationRepair of inguinal hernia utilizing external oblique muscle sheath as posterior wall strengthening and placing spermatic cord subcutaneously
International Journal of Current Research in Medical Sciences ISSN: 2454-5716 P-ISJN: A4372-3064, E -ISJN: A4372-3061 www.ijcrims.com Original Research Article Volume 3, Issue 11-2017 DOI: http://dx.doi.org/10.22192/ijcrms.2017.03.11.009
More informationPerhaps the most controversial of new laparoscopic operations is the repair of the inguinal hernia. The
JOURNAL OF LAPAROENDOSCOPIC SURGERY Volume 2, Number 6, 1992 Mary Ann Liebert, Inc., Publishers Extraperitoneal Endoscopie Inguinal Hernia Repair GEORGE S. FERZLI, M.D., F.A.C.S., AZIZ MASSAD, M.D., and
More informationTension-Free Inguinal Hernia Repair: TEP Versus Mesh-Plug Versus Lichtenstein
ANNALS OF SURGERY Vol. 237, No. 1, 142 147 2003 Lippincott Williams & Wilkins, Inc. Tension-Free Inguinal Hernia Repair: TEP Versus Mesh-Plug Versus Lichtenstein A Prospective Randomized Controlled Trial
More informationLeft Side Approach in Laparoscopic Transabdominal Preperitoneal Inguinal Herniorrhaphy is Feasible for Any Type of Inguinal Hernia
ORIGINAL ARTICLE pissn 2234-778X eissn 2234-5248 J Minim Invasive Surg 2018;21(3):118-123 Journal of Minimally Invasive Surgery Left Side Approach in Laparoscopic Transabdominal Preperitoneal Inguinal
More informationBiomedical Research 2018; 29 (3):
Biomedical Research 2018; 29 (3): 460-464 ISSN 0970-938X www.biomedres.info Laparoscopic inguinal repair and Lichtenstein tension-free repair for children in 13-18 years old: a prospective, randomized,
More informationLAPAROSCOPIC TOTAL EXTRAPERITONEAL INGUINAL HERNIA REPAIR: A STUDY AT RAWALPINDI MEDICAL COLLEGE AND ALLIED TEACHING HOSPITALS ABSTRACT
ORIGINAL ARTICLE LAPAROSCOPIC TOTAL EXTRAPERITONEAL INGUINAL HERNIA REPAIR: A STUDY AT RAWALPINDI MEDICAL COLLEGE AND ALLIED TEACHING HOSPITALS Muhammad Hanif 1, Anis Ahmed 2, Muhammad Mussadiq Khan 3
More informationEco Balloon Systems Balloon systems
Eco Balloon Systems The combined disposable and reusable system for maximum cost-effectiveness Balloon systems MADE IN GERMANY PAJUNK Eco balloon systems Solutions for the extraperitoneal and abdominal
More informationNeedlescopic Surgery Versus Single-port Laparoscopy for Inguinal Hernia
SCIENTIFIC PAPER Needlescopic Surgery Versus Single-port Laparoscopy for Inguinal Hernia Yi-Wei Chan, MD, MSc, Christian Hollinsky, MD ABSTRACT Background and Objectives: In recent years, 2 modifications
More informationII.- PLUG. NAME of the products. Premilene Mesh Plug MANUFACTURER. B Braun DESCRIPTION. Polypropylene mesh for plug technique
II.- PLUG Premilene Mesh Plug B Braun Polypropylene mesh for plug technique Premilene Mesh Plug is a monofilament polypropylene mesh plug designed for the repair of recurrent hernias and can also be used
More informationA New Open Minimal Access Approach for Mesh Repair of Inguinal Hernia
Advances in Surgical Sciences 2015; 3(4): 27-31 Published online September 21, 2015 (http://www.sciencepublishinggroup.com/j/ass) doi: 10.11648/j.ass.20150304.11 ISSN: 2376-6174 (Print); ISSN: 2376-6182
More informationNeedlescopic Totally Extraperitoneal Hernioplasty for Unilateral Inguinal Hernia in Adult Patients
Original Article Needlescopic Totally Extraperitoneal Hernioplasty for Unilateral Inguinal Hernia in Adult Patients Wong-Hoi She, Oswens Siu-Hung Lo, Joe King-Man Fan, Jensen Tung-Chung Poon and Wai-Lun
More information4D Mesh Flat et 4D Mesh Anatomique
4D Mesh Flat et 4D Mesh Anatomique T DUGUE A DABROWSKI Clinique de St Omer MESH 16 Juin 2017 4DMESH STUDY Introduction. Caractéristiques Polypropylène (25%) Monofilament Léger PLLA (75%) Taux de résorption
More informationCOMPARISON OF OUTCOMES (EARLY AND LATE) FOLLOWING OPEN AND LAPAROSCOPIC REPAIR OF INGUINAL HERNIAS: AN EXPERIENCE OF A SINGLE SURGICAL UNIT
IMPACT: International Journal of Research in Applied, Natural and Social Sciences (IMPACT: IJRANSS) ISSN(E): 2321-8851; ISSN(P): 2347-4580 Vol. 2, Issue 2, Feb 2014, 163-168 Impact Journals COMPARISON
More informationLearning Curve in Laparoscopic Inguinal Hernia Repair: Experience at a Tertiary Care Centre
Indian J Surg (June 2016) 78(3): 197 202 DOI 10.1007/s12262-015-1341-5 ORIGINAL ARTICLE Learning Curve in Laparoscopic Inguinal Hernia Repair: Experience at a Tertiary Care Centre Virinder Kumar Bansal
More informationB. Braun Mesh Range It s All about Prevention. Experts in Abdominal Wall Health. Hernia Repair
B. Braun Mesh Range It s All about Prevention. Experts in Abdominal Wall Health Hernia Repair B. Braun Mesh Range It s All about Prevention Experts in Abdominal Wall Health Welcome to B. Braun Closure
More informationLaparoscopic inguinal hernioplasty after radical prostatectomy: is it safe? Prospective clinical trial
Hernia (2014) 18:255 259 DOI 10.1007/s10029-013-1204-6 ORIGINAL ARTICLE Laparoscopic inguinal hernioplasty after radical prostatectomy: is it safe? Prospective clinical trial C. M. P. Claus J. C. U. Coelho
More informationShort-term effect of laparoscopic assisted total extraperitoneal repair with small-incision for large inguinal hernia in adults.
Biomedical Research 2018; 29 (9): 1768-1773 ISSN 0970-938X www.biomedres.info Short-term effect of laparoscopic assisted total extraperitoneal repair with small-incision for large inguinal hernia in adults.
More informationINGUINAL HERNIA REPAIR PROCEDURE GUIDE
ROOM CONFIGURATION The following figure shows an overhead view of the recommended OR configuration for a da Vinci Inguinal Hernia Repair (Figure 1). NOTE: Configuration of the operating room suite is dependent
More informationCOMPLICATIONS OF HERNIA REPAIR
COMPLICATIONS OF HERNIA REPAIR Stanley Rogers, MD Associate Clinical Professor of Surgery University of Califronia, San Francisco Paré was respected as a hernia specialist, and was known to have elevated
More informationA comparative study of inguinal hernia repair: Shouldice versus Lichtenstein repair
International Surgery Journal Shah RS et al. Int Surg J. 2018 Jun;5(6):2238-2243 http://www.ijsurgery.com pissn 2349-3305 eissn 2349-2902 Original Research Article DOI: http://dx.doi.org/10.18203/2349-2902.isj20182229
More informationInguinal and Femoral Hernias. August 10, 2016 Basic Science Lecture Department of Surgery University of Tennessee Health Science Center
Inguinal and Femoral Hernias August 10, 2016 Basic Science Lecture Department of Surgery University of Tennessee Health Science Center Background Approximately 20 million groin hernias are repaired each
More informationORIGINAL ARTICLE. Total Extraperitoneal Laparoscopic Inguinal Hernia Repair Without Mesh Fixation
ORIGINAL ARTICLE Total Extraperitoneal Laparoscopic Inguinal Hernia Repair Without Mesh Fixation Prospective Study With 1-Year Follow-up Results Evangelos Messaris, MD, PhD; Guy Nicastri, MD; Stanley J.
More informationJMSCR Vol. 03 Issue 08 Page August 2015
www.jmscr.igmpublication.org Impact Factor 3.79 ISSN (e)-2347-176x DOI: http://dx.doi.org/10.18535/jmscr/v3i8.40 Comparison of Outcome between Lightweight Mesh & Heavy Weight Mesh in Lichtenstein Groin
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Laparoscopic Inguinal Hernia Repair (TAPP): Early and Medium-Term Results Gurung KB 1, Adhikari
More informationVALUE ANALYSIS COMMITTEE PRODUCT INFORMATION KIT
VALUE ANALYSIS COMMITTEE PRODUCT INFORMATION KIT Versatex Monofilament Mesh Macroporous flatsheet for preperitoneal hernia repair HERNIA CARE MESH FIXATION BIOLOGICS DISSECTION HERNIA REPAIR We have established
More information7/2/2015. Incidence. *Mudge M et al, Br. J. Surg, 1985, 72:70-71
Ventral Hernia Repair: Revisonal Surgery Natan Zundel MD FACS Professor of Surgery Vice-Chairman Department of Surgery FIU Herbert Wertheim College of Medicine. Miami Florida DISCLOSURE Ethicon Endosurgery
More informationLaparoscopic Versus Conventional Open Surgery for the Treatment of Bilateral Inguinal Hernias
ORIGINAL RESEARCH GYNECOLOGY // SURGERY Laparoscopic Versus Conventional Open Surgery for the Treatment of Bilateral Inguinal Hernias Előd Etele Élthes, Alexandra Lavinia Cozlea 2, Márton Dénes, Cristian
More informationTRANS-ABDOMINAL PREPERITONEAL AND TOTALLY EXTRAPERITONEAL LAPAROSCOPIC INGUINAL HERNIA REPAIR :A COMPARATIVE STUDY
TRANS-ABDOMINAL PREPERITONEAL AND TOTALLY EXTRAPERITONEAL LAPAROSCOPIC INGUINAL HERNIA REPAIR :A COMPARATIVE STUDY Abd Al-Rahman Mohamed Hasanin Abd Al-Rahman Nawar (M.Sc), Tarek Ezat Abd El-Latif (M.D),
More informationCorrespondence should be addressed to Mustafa Hasbahceci;
Minimally Invasive Surgery, Article ID 528517, 5 pages http://dx.doi.org/10.1155/2014/528517 Clinical Study A New Proposal for Learning Curve of TEP Inguinal Hernia Repair: Ability to Complete Operation
More informationVentralex ST Hernia Patch featuring Sepra Technology
Ventralex ST Hernia Patch featuring Sepra Technology Proven Sepra Technology in a Low Profile, Lightweight Mesh Sepra Technology An extensively studied barrier with more than 10 publications and used clinically
More informationPositioning System. Laparoscopic ventral hernia repair KEY BENEFITS SOFT TISSUE REPAIR
Echo PS Positioning System with Ventralight ST Mesh or Composix L/P Mesh Laparoscopic ventral hernia repair Echo PS Positioning System with Ventralight ST Mesh Echo PS Positioning System with Composix
More informationCOMPARATIVE STUDY OF LICHTENSTEIN VERSUS DESARDA REPAIR FOR INGUINAL HERNIA
COMPARATIVE STUDY OF LICHTENSTEIN VERSUS DESARDA REPAIR FOR INGUINAL HERNIA Sowmya G. R 1, Deepak G. Udapudi 2 1Assistant Professor, Department of Surgical Gastroenterology, Kempegowda Institute of Medical
More informationMr John Groom The Complete Guide to Hernia
Mr John Groom The Complete Guide to Hernia What Do They Have in Common? AA Both Subjects Controversial! Debate 1. Laparoscopic verses Open Hernia Repair Beautiful Big splash Debate 2. Use of Mesh in Hernia
More informationThe Recurrence Rate of Inguinal Hernia Repair, use of Mesh without Fixation.
International Journal of Advanced Research in Biological Sciences ISSN: 348-8069 www.ijarbs.com DOI: 10.19/ijarbs Coden: IJARQG(USA) Volume 5, Issue 4-018 Research Article DOI: http://dx.doi.org/10.19/ijarbs.018.05.04.00
More informationLaparoscopic Hernia Repair, Indications, Superiority and Outcome
Laparoscopic Hernia Repair, Indications, Superiority and Outcome Mr. Amir Morgan MBBCh; MSc; MD; FICS; JAG; FRCS Consultant Laparoscopic Colorectal & General Surgeon Lead of medical education and surgical
More information3/21/2011. Advances in laparoscopic ventral hernia repair. Laparoscopic approach well-suited for simple hernias:
Advances in laparoscopic ventral hernia repair Topics Technique of laparoscopic ventral hernia repair Patient selection Is laparoscopic any better than open? Recent advances (or, should we say, advances?)
More informationHERNIAS .(A) .(B) 5. .(A) 7..( (Lumbar hernia),
HERNIAS ysms91@wonju.yonsei.ac.kr 1..(B) 2..(B) 3..(A) 4. (Hesselbach's striangle).(b) 5.,.(A) 6. (Sliding hernia).(a) 7..( (Lumbar hernia), (Obturator hernia), (Sciatica hernia)).(b) Hernia = rupture
More informationTissue-Separating Mesh A Comparative Guide
Ethicon provides comprehensive solutions to advance hernia repair PROCEED Surgical Mesh with macroporous, partially absorbable monofilament construction has been trusted by surgeons for more than 10 years
More informationCure of inguinal hernias with large preperitoneal prosthesis: Experience of 2,312 cases
134 CMYK Symposium Cure of inguinal hernias with large preperitoneal prosthesis: Experience of 2,312 cases J H Alexandre, J L Bouillot, P Dupin, K Aouad, J P Bethoux Department of General and Digestive
More informationClinical usefulness of laparoscopic total extraperitoneal hernia repair for recurrent inguinal hernia
J Korean Surg Soc 2011;80:313-318 DOI: 10.4174/jkss.2011.80.5.313 ORIGINAL ARTICLE JKSS Journal of the Korean Surgical Society pissn 2233-7903 ㆍ eissn 2093-0488 Clinical usefulness of laparoscopic total
More informationComparison Between Laparoscopic And Open Hernia Repair: A Clinical Trial
International Journal of Advanced Multidisciplinary Research ISSN: 2393-8870 www.ijarm.com DOI: 10.22192/ijamr Volume 5, Issue 4-2018 Research Article DOI: http://dx.doi.org/10.22192/ijamr.2018.05.04.001
More informationGlue for mesh fixation in laparoscopic ventral hernia repair. An experimental comparison with conventional fixation.
Glue for mesh fixation in laparoscopic ventral hernia repair. An experimental comparison with conventional fixation. A.Vanlander, F. Berrevoet MD PhD Department of General and Hepatobiliary Surgery and
More informationNo Mesh Technique of Inguinal Hernia Repair Desarda s Repair
Quest Journals Journal of Medical and Dental Science Research Volume 3~ Issue 6 (2016) pp: 35-39 ISSN(Online) : 2394-076X ISSN (Print):2394-0751 www.questjournals.org Research Paper No Mesh Technique of
More informationMarkus Gass Laura Rosella Vanessa Banz Daniel Candinas Ulrich Güller
Surg Endosc (2012) 26:1364 1368 DOI 10.1007/s00464-011-2040-3 and Other Interventional Techniques Bilateral total extraperitoneal inguinal hernia repair (TEP) has outcomes similar to those for unilateral
More informationLaparoscopic inguinal hernia repair has become
Original Article Laparoscopic Inguinal Hernia Repair in a Developing Nation: Short term Outcomes in 103 Consecutive Procedures Shamir O. Cawich, Sanjib. K. Mohanty 1, Kimon O. Bonadie, Lindberg K. Simpson,
More informationFactors affecting recurrent hernia. An analysis of more than 4300 hernia operations. Clinica Guarnieri - Rome - Italy
Factors affecting recurrent hernia. An analysis of more than 4300 hernia operations Francesco Guarnieri Moscatelli Franco Smaldone Walter Cellamare Cosimo Clinica Guarnieri - Rome - Italy Hernias 1988-2003
More informationLife Science Journal 2017;14(1) Single port versus multiport laparoscopic trans abdominal preperitoneal hernia repair.
Single port versus multiport laparoscopic trans abdominal preperitoneal hernia repair. Hany Mohamed El-Barbary, FRCS, FACS, Department of General Surgery, Faculty of Medicine, Ain shams university (ASU)
More informationJ of Evolution of Med and Dent Sci/ eissn , pissn / Vol. 4/ Issue 77/ Sept 24, 2015 Page 13279
DESARDA S NO MESH REPAIR VERSUS LICHTENSTEIN S OPEN MESH REPAIR OF INGUINAL HERNIA: A COMPARATIVE STUDY Zaheer Abbas 1, Sujeet Kumar Bhat 2, Monika Koul 3, Rakesh Bhat 4 HOW TO CITE THIS ARTICLE: Zaheer
More informationIn the surgical treatment of inguinal hernia, the use of
Ó 2006 by the Société Internationale de Chirurgie World J Surg (2006) 30: 1 8 Published Online: 15 August 2006 DOI: 10.1007/s00268-005-0242-3 Impact of Polypropylene Amount on Functional Outcome and Quality
More informationA comparative study of totally extraperitoneal versus transabdominal preperitoneal repair of inguinal hernias
International Surgery Journal Sudarshan PB et al. Int Surg J. 2017 Apr;4(4):1244-1248 http://www.ijsurgery.com pissn 2349-3305 eissn 2349-2902 Original Research Article DOI: http://dx.doi.org/10.18203/2349-2902.isj20171017
More informationUwe Scheuermann *, Stefan Niebisch, Orestis Lyros, Boris Jansen-Winkeln and Ines Gockel
Scheuermann et al. BMC Surgery (2017) 17:55 DOI 10.1186/s12893-017-0253-7 RESEARCH ARTICLE Open Access Transabdominal Preperitoneal (TAPP) versus Lichtenstein operation for primary inguinal hernia repair
More informationEarly View Article: Online published version of an accepted article before publication in the final form.
: Online published version of an accepted article before publication in the final form. Journal Name: Journal of Case Reports and Images in Surgery doi: To be assigned Early view version published: November
More informationIs Laparoscopic Groin Hernia Repair Better Than Open Mesh Repair?
ISPUB.COM The Internet Journal of Surgery Volume 8 Number 2 Is Laparoscopic Groin Hernia Repair Better Than Open Mesh Repair? S Jain, C Norbu Citation S Jain, C Norbu. Is Laparoscopic Groin Hernia Repair
More informationDesigned to help advance patient outcomes and ease of use
Introducing ULTRAPRO ADVANCED Macroporous Partially Absorbable Mesh for inguinal and ventral hernia repair Designed to help advance patient outcomes and ease of use t n rese rep otes n y k. r stic ights
More information2015 General Surgery Survival Guide
2015 General Surgery Survival Guide Chapter 10: Hernia Repair Know What to Look for When Coding Hernia Repair Reporting hernia repair can be tricky. But if you know what to look for then half the work
More informationEvidence Summary. Ethicon Hernia Portfolio. Better surgery for a better world
Ethicon Hernia Portfolio Ethicon HerniaSummary Portfolio Evidence Evidence Summary Color Better surgery for a better world sticky notes repre s ent cu stome r insig ht s. The third party trademarks used
More informationOpen Tension-Free Mesh Repair for Adult Inguinal Hernia: Eight Years of Experience in a Community Hospital
Original Articles Asian Journal of Surgery Excerpta Medica Asia Ltd Open Tension-Free Mesh Repair for Adult Inguinal Hernia: Eight Years of Experience in a Community Hospital Shunji Yamamoto, Toshiki Maeda,
More informationCODING AND PRACTICE MANAGEMENT CORNER
Hernia repair and complex abdominal wall reconstruction by Christopher Senkowski, MD, FACS; Mark Savarise, MD, FACS; John S. Roth, MD, FACS; and Jan Nagle, MS, RPh 52 The American College of Surgeons (ACS)
More informationJournal of Innovations in Pharmaceuticals and Biological Sciences
Journal of Innovations in Pharmaceuticals and Biological Sciences www.jipbs.com JIPBS ISSN: 2349-2759 Research article A Study on retrospective analysis of inguinal hernia repair by various methods in
More informationJournal of American Science 2017;13(1)
Laparoscopic TAPP Repair for Bilateral Inguinal Hernia, Single Large Mesh versus Double Mesh Technique Hany Mohamed El-Barbary, FRCS, FACS and Nasser Ahmed Nazeer, MD. Department of General Surgery Department,
More informationHernias Umbilical Hernia When to See a Surgeon? What Are Symptoms of an Umbilical Hernia? How is Repair Performed?
Hernias Umbilical Hernia An umbilical hernia occurs when part of the intestine protrudes through the umbilical opening in the abdominal muscles. Umbilical hernias are common and typically harmless. They
More informationBiosynthe*c meshes in hernia repair «Newer class of materials»
Biosynthe*c meshes in hernia repair «Newer class of materials» Pr C.Barrat Chirurgie diges*ve et métabolique Pôle des Ac*vités Interven*onnelles Ambulatoires et Nutri*onnelles Hôpitaux Universitaire de
More informationTransabdominal Pre-Peritoneal Versus Open Repair for Primary Unilateral Inguinal Hernia: A Meta-analysis
World J Surg (2018) 42:1304 1311 DOI 10.1007/s00268-017-4288-9 ORIGINAL SCIENTIFIC REPORT Transabdominal Pre-Peritoneal Versus Open Repair for Primary Unilateral Inguinal Hernia: A Meta-analysis James
More informationPercutaneous Transabdominal External Looped Needle for Peritoneal Closure in Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair
Ahmed E Lasheen et al original article 10.5005/jp-journals-10033-1273 Percutaneous Transabdominal External Looped Needle for Peritoneal Closure in Laparoscopic Transabdominal Preperitoneal Inguinal Hernia
More informationThe Preperitoneal Inguinal Hernia Prosthetic Repair: Indications and Technical Notes
Article ID: WMC002622 2046-1690 The Preperitoneal Inguinal Hernia Prosthetic Repair: Indications and Technical Notes Corresponding Author: Dr. Antonio Manenti, Associate Professor, Department Surgery -
More informationLAPAROSCOPIC HERNIA REPAIR
LAPAROSCOPIC HERNIA REPAIR Treating Your Hernia with Laparoscopy When You Have a Hernia Anyone can have a hernia. This is a weakness or tear in the wall of the abdomen. It often results from years of wear
More informationCase Report. XCM Biologic Tissue Matrix. Components separation using sandwich technique for reconstruction of abdominal wall defect.
Case Report XCM Biologic Tissue Matrix. Components separation using sandwich technique for reconstruction of abdominal wall defect. XCM Biologic Tissue Matrix. Components separation using sandwich technique
More informationTrans Abdominal Pre-Peritoneal (TAPP) mesh for Inguinal Hernia Repair with External Fixation [Abdelhamid Technique], Outcome Assessment
Open Access Archives of Surgery and Clinical Research Research Article ISSN 2576-9537 Trans Abdominal Pre-Peritoneal (TAPP) mesh for Inguinal Hernia Repair with External Fixation [Abdelhamid Technique],
More informationLaparoscopic Inguinal Hernia Repair in Children
SCIENTIFIC PAPER Laparoscopic Inguinal Hernia Repair in Children Palanivelu Chinnaswamy, MCh (GE), Vijaykumar Malladi, MS, Kalpesh V. Jani, DNB, MS, R. Parthasarthi, MBBS, Roshan A. Shetty, MS, Alfie Jose
More informationContents SECTION I: ESSENTIALS OF LAPAROSCOPY. Chapter 1: Chronological advances in Minimal Access Surgery
Contents SECTION I: ESSENTIALS OF LAPAROSCOPY Chapter 1: Chronological advances in Minimal Access Surgery Chapter 2: Laparoscopic Equipments a. Laparoscopic Trolley b. Light cable c. Light source d. Telescope
More informationThe Learning Curve of the Beginner Surgeon with Supervisor for Laparoscopic Totally Extraperitoneal Repair
ORIGINAL ARTICLE pissn 2234-778X eissn 2234-5248 J Minim Invasive Surg 2015;18(4):127-132 Journal of Minimally Invasive Surgery The Learning Curve of the Beginner Surgeon with Supervisor for Laparoscopic
More informationInternational Journal of Science and Research (IJSR) ISSN (Online): Index Copernicus Value (2013): 6.14 Impact Factor (2013): 4.
Comparative Study on the Application of Surgipro Partiene Mesh and Light Partiene Mesh, in Patients with Inguinal Hernia Surgery with the Lichtenstein Method Dr. Gordana Bozhinovska - Beaka MOB "th September"
More informationA Study of the Clinical Manifestation of Subclinical Inguinal Hernias
75 Original Article J. St. Marianna Univ. Vol. 8, pp. 75 81, 2017 A Study of the Clinical Manifestation of Subclinical Inguinal Hernias Keisuke Ida, Shinjiro Kobayashi, Takehito Otsubo, Natsuko Sasaki,
More informationRole of Prolene Mesh in the repair of Recurrent Congenital Inguinal Hernia: a Pilot Study
Annals of Pediatric Surgery, Vol 5, No 1, January, 2009, PP 11-15 Original Article Role of Prolene Mesh in the repair of Recurrent Congenital Inguinal Hernia: a Pilot Study Ehab El-Shafei Pediatric Surgery
More informationSetting The setting was a hospital. The economic study was carried out in Parma, Italy.
Hernioplasty and simultaneous laparoscopic cholecystectomy: a prospective randomized study of open tension-free versus laparoscopic inguinal hernia repair Sarli L, Villa F, Marchesi F Record Status This
More informationSetting The study setting was tertiary care. The economic study was carried out in the USA.
Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia: prospective comparison to open prefascial polypropylene mesh repair DeMaria E J, Moss J M, Sugerman
More informationUltrapro Hernia System Bi Layer Dr Cosmas Gora T SpB-KBD. dffdfdfxxgfxgfxgffxgxgxg
Bi Layer Dr Cosmas Gora T SpB-KBD dffdfdfxxgfxgfxgffxgxgxg Why UHS? Lightweight Mesh Covering entire myopectineal orifices with underlay mesh in preperitoneal space (posterior repair) Covering the inguinal
More informationEndoscopic totally extraperitoneal repair of bilateral inguinal hernias
Original article Endoscopic totally extraperitoneal repair of bilateral inguinal hernias M. T. T. Knook, W. F. Weidema*, L. P. S. Stassen², R. U. Boelhouwer* and C. J. van Steensel* Departments of Surgery,
More informationP R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal
More informationA prospective comparison of ambulatory endoscopic totally extraperitoneal inguinal hernioplasty versus open mesh hernioplasty
J. of Ambulatory Surgery 137 (2003) 137/141 www.elsevier.com/locate/ambsur A prospective comparison of ambulatory endoscopic totally extraperitoneal inguinal hernioplasty versus open mesh hernioplasty
More information