Postoperative complications in endoscopically operated patients with inguinal hernias

Trokovski, Nikola and Mitevski, Aleksandar and Zafirova-Ivanovska, Beti (2019) Postoperative complications in endoscopically operated patients with inguinal hernias. Medicus. ISSN 1409-6366

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Laparoscopic inguinal hernia repair arised in the early 1990s as laparoscopy gained a mainstay in
general surgery.Inguinal hernias are one of the most common surgical diseases, they are about 80% of all hernias
on the anterior abdominal wall. Each inguinal hernia is a serious illness associated with limited work capacity and
worsened quality of life for patients. The only radical treatment is operational.
Purpose: A retrospective and prospective review examined outcomes of laparoscopic hernia operations in 80
patients, concentrate on intraoperative and early postoperative complications, pain, and time until return to work
and normal physical activities.
Materials and Methods: Observed in the research are eighty patients with inguinal hernia, confirmed by clinical
trials. All of them were male subjects over 18 years of age or above. Patients with incarcerated hernia in emergency
were excluded from the study.
Results: There were no intraoperative complications in this series; 80 patients experienced early postoperative
complications across 6 evaluated categories: urinary retention (2,5%), seroma (5.0%), hematoma on the wound
(3,75%),hydrocele (2,5%), ischemic orchitis (1,25%), trocar complications (1,25%) and neurological symptoms (3,75%).
Patients used an average of 3,0 analgesics pills after the procedure, and mean times until return to work and
normal activities, were 3.5 ± 1.4 days,respectively.
Conclusion: Complication rates and convalescence times were considered equivalent or superior to those found
in other studies estimating both laparoscopic and open techniques. In the hands of an experienced surgeon,
laparoscopic hernia repair is a safe and effective procedure.

Item Type: Article
Subjects: Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health sciences
Divisions: Faculty of Medical Science
Depositing User: Aleksandar Mitevski
Date Deposited: 25 Jan 2021 08:37
Last Modified: 25 Jan 2021 08:37

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