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Publication Type
Journal Article
Author, Analytic
Cawich, Shamir O.; Mohanty, Sanjib K.; Bonadie, Kimon O.; Simpson, Lindberg K.; Johnson, Peter B.; Shah, Sundeep
Author Affiliation, Ana.
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Article Title
Laparoscopic Inguinal Hernia Repair in a Developing Nation: Short-term Outcomes in 103 Consecutive Procedures
Medium Designator
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Connective Phrase
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Journal Title
Journal of Surgical Technigue and Case Report
Translated Title
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Reprint Status
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Date of Publication
2013
Volume ID
5
Issue ID
1
Page(s)
13-17
Language
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Connective Phrase
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Location/URL
https:; www.ncbi.nlm.nih.gov/pmc/articles/PMC3888997/
ISSN
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Notes
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Abstract
Background: There are no published data on the outcomes of inguinal hernia repair from the Anglophone Caribbean. To the best of our knowledge, this is the first report of a series of laparoscopic inguinal hernia repairs from the region. Materials and Methods: Data was extracted from a prospectively maintained database of consecutive trans abdominal pre-peritoneal (TAPP) repairs done between June 1, 2005 and May 30, 2012. Perioperative data collected included patient demographics, hernia type, operative technique, duration of surgery, intra-operative details, morbidity, analgesia requirements, and duration of hospitalization. A telephone survey was also performed to identify late recurrences and complications. Descriptive statistics were generated using Statistical Package for Social Sciences (SPSS) Ver 12.0. Results: There were 103 consecutive TAPP procedures in 88 patients at an average age of 35.4 years 12.9 (standard deviation; SD) and average body mass index (BMI) of 28.9 Kg/m2 2.23 (SD). The indications were bilateral (30), recurrent unilateral (24), and primary unilateral (49) inguinal hernias. The mean duration of operation was 68.5 minutes (SD 10.4; Range: 55-95; Median 65; Mode 65) minutes for unilateral TAPP and 89 minutes (SD 7.61; Range: 80-105; Median 90; Mode 90) for bilateral repairs. Post-operatively, 65/70 patients required =1 dose of parenteral opioid analgesia and 74 (84.1%) patients discontinued oral analgesia within 48 hours of operation. Complications were recorded in six (5.8%) cases and a recurrence in one (0.97%) case after a mean follow-up period of 3.2 years (SD 1.8; Range: 0.5-7).Conclusion: Laparoscopic inguinal hernia repair is a safe and effective operation in this setting.....
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