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Surgical Endoscopy
Erschienen in: Surgical Endoscopy 12/2006

01.12.2006 | Review

Laparoscopic vs conventional tension free inguinal herniorrhaphy: 2005 Society of American Gastrointestinal Endoscopic Surgeons (SAGES) annual meeting debate

verfasst von: V. Puri, E. Felix, R. J. Fitzgibbons Jr

Erschienen in: Surgical Endoscopy | Ausgabe 12/2006

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Abstract

This report summarizes the 2005 Society of American Gastrointestinal and Endoscopic Surgeons’ inguinal herniorrhaphy debate. Most inguinal herniorrhaphies in the United States are performed using one of several prosthesis-based, tension-free (TFR) procedures. Approximately 15% of the procedures used are laparoscopic inguinal herniorrhaphies (LIH). Technical ease, lower cost, and local anesthesia are the major advantages attributed to TFR, whereas superior cosmesis, less perioperative pain, and a faster return to normal activity is attributed to LIH. The overall cost–benefit ratio, incidence of chronic pain syndromes, and relevance of a recent major trial could not be entirely settled in this debate. The importance of adequate training for surgeons undertaking LIH cannot be overemphasized. Experienced surgeons displaying equivalent results for LIH and TFR are justified in offering LIH to patients with primary unilateral inguinal hernias.
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Metadaten
Titel
Laparoscopic vs conventional tension free inguinal herniorrhaphy: 2005 Society of American Gastrointestinal Endoscopic Surgeons (SAGES) annual meeting debate
verfasst von
V. Puri
E. Felix
R. J. Fitzgibbons Jr
Publikationsdatum
01.12.2006
Erschienen in
Surgical Endoscopy / Ausgabe 12/2006
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-006-0073-9

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