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Mesh fixation versus non fixation in laparoscopic transabdominal preperitoneal repair of inguinal hernia / Taher Saad Elsayed Alsawaf ; Supervised Hafez Mohammed Hafez , Sherif Emad Yossef Khalifa , Doaa Ahmed Mansour

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Taher Saad Elsayed Alsawaf , 2015Description: 89 P. : charts , facsimiles ; 25cmOther title:
  • مقارنة بين تثبيت الشبكة وعدم تثبيتها فى تصليح الفتق الاربى عبر جدار البطن بالمنظار الجراحى [Added title page title]
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Dissertation note: Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery Summary: Inguinal hernia repair is one of the oldest and most common operations in the history of medicine. Recent studies from the national center for health statistics show that approximately 750,000 groin herniorraphies are completed annually in the United States. More than 80% of these operations involve the use of mesh prosthesis and are performed on an outpatient basis (Rutkow, 1998). Laparoscopic inguinal hernia repair have been proved to be safe and effective, with less postoperative pain and less use of analgesics and faster return to normal function status (Vel, 2010). Laparoscopic repair of inguinal hernia follows some principles that have already proven its efficacy (Cohen et al.,1999).. Fixation of the mesh when the trans-peritoneal technique is employed.it developed a preperitoneal pocket to approximate the size of the patch and simply place the patch in the pocket, the peritoneum is closed over the prosthesis, their results suggest that this method is sufficient although follow up is limited (Schultz et al., 1990). There are reports of tacker related complications of adhesions, pain, intestinal obstruction and perforation of the bowel or urinary bladder (Ladurner et al., 2012). Different complications, such as neuralgia or meralgia-paresthetica by nerve entrapment or osteitis, can be avoided by not fixing the prosthesis Controversy exits regarding whether it is necessary to secure the mesh prosthesis during laparoscopic TAPP inguinal hernia repair. It is unknown whether stapling the mesh affects recurrence rate or the incidence of neuralgia in a port-site hernia.(Abdelhamid., 2011). the effect of non-fixation of mesh during TAPP on the recurrence rate and chronic pain needs to be further investigated.
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Item type Current library Home library Call number Copy number Status Date due Barcode
Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.14.M.Sc.2015.Ta.M (Browse shelf(Opens below)) Not for loan 01010110068713000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.14.M.Sc.2015.Ta.M (Browse shelf(Opens below)) 68713.CD Not for loan 01020110068713000

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery

Inguinal hernia repair is one of the oldest and most common operations in the history of medicine. Recent studies from the national center for health statistics show that approximately 750,000 groin herniorraphies are completed annually in the United States. More than 80% of these operations involve the use of mesh prosthesis and are performed on an outpatient basis (Rutkow, 1998). Laparoscopic inguinal hernia repair have been proved to be safe and effective, with less postoperative pain and less use of analgesics and faster return to normal function status (Vel, 2010). Laparoscopic repair of inguinal hernia follows some principles that have already proven its efficacy (Cohen et al.,1999).. Fixation of the mesh when the trans-peritoneal technique is employed.it developed a preperitoneal pocket to approximate the size of the patch and simply place the patch in the pocket, the peritoneum is closed over the prosthesis, their results suggest that this method is sufficient although follow up is limited (Schultz et al., 1990). There are reports of tacker related complications of adhesions, pain, intestinal obstruction and perforation of the bowel or urinary bladder (Ladurner et al., 2012). Different complications, such as neuralgia or meralgia-paresthetica by nerve entrapment or osteitis, can be avoided by not fixing the prosthesis Controversy exits regarding whether it is necessary to secure the mesh prosthesis during laparoscopic TAPP inguinal hernia repair. It is unknown whether stapling the mesh affects recurrence rate or the incidence of neuralgia in a port-site hernia.(Abdelhamid., 2011). the effect of non-fixation of mesh during TAPP on the recurrence rate and chronic pain needs to be further investigated.

Issued also as CD

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