Our Summary

The research paper is about a study conducted to analyze the effectiveness of a surgical method called Laparoscopy-Assisted Totally Extraperitoneal Plasty (LATEP) in treating strangulated groin hernias. The study involved 38 patients with different types of strangulated hernias.

LATEP was successfully performed on 37 out of 38 patients (97.3%). In one case (2.6%), the procedure was not successful and the patient had to undergo open surgery. In 29 out of 38 cases (76.3%), the correction of strangulation was performed with the help of external manipulations and careful traction from the abdominal cavity under the guidance of a laparoscope. In 8 cases (21%), the strangulation spontaneously corrected itself before the laparoscopy.

In one case (2.6%), a portion of the small intestine had to be removed because it had died. In all cases, the surgeons were able to prevent the hernia sac fluid from coming into contact with the surgical implant. After the surgery, there were no signs of implant infection or hernia recurrence in the patients for a period of 6 to 14 months.

The conclusion drawn from the study was that LATEP combined with diagnostic laparoscopy is a viable method for treating strangulated groin hernias.

FAQs

  1. What is the success rate of Laparoscopy-Assisted Totally Extraperitoneal Plasty (LATEP) in treating strangulated groin hernias according to the study?
  2. How often did the strangulation spontaneously correct itself before the laparoscopy was performed?
  3. Were there any cases of implant infection or hernia recurrence after the LATEP procedure?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laparoscopic hernia repair is to follow post-operative instructions carefully, including avoiding heavy lifting and strenuous activities for a certain period of time as recommended by the surgeon. It is also important to keep the incision site clean and dry to prevent infection. Additionally, attending follow-up appointments with the surgeon is crucial to monitor the healing process and ensure optimal recovery.

Suitable For

The types of patients typically recommended for laparoscopic hernia repair, specifically LATEP, are those with strangulated groin hernias. This study found that LATEP was successful in treating 97.3% of patients with strangulated hernias, with the majority of cases being corrected with external manipulations and careful traction under laparoscopic guidance. Patients who may benefit from laparoscopic hernia repair include those with a strangulated hernia that is deemed suitable for this minimally invasive surgical approach.

Timeline

Before laparoscopic hernia repair:

  1. Patient experiences symptoms of a hernia such as pain, swelling, and a bulge in the groin area.
  2. Patient undergoes physical examination and diagnostic tests to confirm the presence of a hernia.
  3. Patient is informed about the surgical procedure and the risks involved.
  4. Patient undergoes pre-operative preparations and receives anesthesia.

After laparoscopic hernia repair:

  1. Laparoscopic hernia repair is performed successfully on the patient.
  2. In most cases, the correction of strangulation is achieved with external manipulations and careful traction under the guidance of a laparoscope.
  3. In rare cases, open surgery may be required if laparoscopic repair is not successful.
  4. Post-surgery, patient is monitored for signs of infection or hernia recurrence.
  5. Patients are followed up for a period of 6 to 14 months to assess the effectiveness of the surgery.
  6. Study concludes that laparoscopic hernia repair is an effective method for treating strangulated groin hernias.

What to Ask Your Doctor

  1. How does laparoscopic hernia repair compare to traditional open surgery in terms of recovery time and complications?
  2. What are the specific risks and potential complications associated with laparoscopic hernia repair?
  3. How experienced are you in performing laparoscopic hernia repair procedures?
  4. What is the success rate of laparoscopic hernia repair in treating strangulated hernias?
  5. Will I need any additional procedures or treatments before or after the laparoscopic hernia repair?
  6. How long will I need to stay in the hospital after the procedure?
  7. What is the expected recovery time and when can I return to normal activities?
  8. Will I need any special care or follow-up appointments after the surgery?
  9. Are there any specific dietary or lifestyle changes I should make to aid in my recovery?
  10. What are the long-term outcomes and potential risks of laparoscopic hernia repair for strangulated hernias?

Reference

Authors: Tarasov EE, Nishnevich EV, Prudkov MI, Bagin VA, Salemyanov AZ, Korishch YA, Korishch DA, Anferov ID. Journal: Khirurgiia (Mosk). 2022;(4):42-47. doi: 10.17116/hirurgia202204142. PMID: 35477199