Bilateral inguinal hernia repair: laparoscopic or open approach?

Background: The aim of this study was to investigate outcomes in the treatment of bilateral inguinal hernia, comparing the laparoscopic totally extraperitoneal (TEP) and open tension-free mesh repair (LICHT) approaches.

Methods: We performed a prospective controlled non randomized clinical study in 128 patients with bilateral inguinal hernia over a period of 3 years. LICHT was used in 106 cases (53 patients) while TEP was employed in 150 cases (75 patients).

[Laparoscopic treatment of perforated duodenal ulcer].

Objective: To analyze the results obtained in patients undergoing laparoscopic surgery for perforated duodenal ulcer.

Patients And Method: From January 2000 to August 2006, 15 consecutive patients with perforated duodenal ulcer underwent laparoscopic surgery after preoperative selection (ASA scores, time since onset of the perforation).

Results: The mean age was 44.

Laparoscopic resection of clinically suspected gastric stromal tumors.

Gastrointestinal stromal tumors (GISTs) account for 5% of all gastric tumors. Preoperative diagnosis is relatively difficult because biopsy samples are rarely obtained during fibergastroscopy. Surgical radical resection is the gold standard treatment, allowing pathologic study for both diagnosis and prognosis.

[Laparoscopic gastrectomy in the treatment of gastric cancer].

Objective: To present our initial results in the laparoscopic treatment of gastric cancer.

Material And Method: Between March 2002 and June 2005, 12 selected patients with resectable distal gastric cancer and oncological indication for radical treatment underwent laparoscopic gastrectomy.

Result: There were 9 men and 3 women.

Recurrent inguinal hernia: a ten-year review.

Background: This study evaluates the results obtained in recurrent inguinal hernia repair over the past ten years in a general hospital using laparoscopic (LAP) and open tension-free mesh (Lichtenstein) procedures.

Methods: A prospective controlled study with 258 recurrent inguinal hernias in 235 patients over a ten-year period. The main outcome measurements were recurrence rate, operating time, hospital stay, postoperative complications, and cost.

Preperitoneal repair for recurrent inguinal hernia: laparoscopic and open approach.

Background: The aim of this study was to investigate the outcome of preperitoneal repair using laparoscopic (TEP) and open (OPM) approach in recurrent inguinal hernia.

Methods: We performed a prospective controlled nonrandomized clinical study in 188 patients with 207 recurrent inguinal hernias over a period of 5 years. TEP repair was employed for 86 repairs, and OPM was used in 121 procedures.

The impact of the surgeon's experience on the results of laparoscopic hernia repair.

Background: The aim of this study was to evaluate our experience with the totally extraperitoneal (TEP) laparoscopic approach to hernia repair.

Methods: We performed a prospective study of 1227 hernia repairs using the TEP technique over a 7-year period. The main outcome measurements were postoperative complications, conversion rate, learning curve effect, surgery time, hospital stay, return to work, and recurrence rate.

Evolution of laparoscopic cholecystectomy in the regional hospitals of Catalonia.

Objective: to assess the safety and effectiveness of laparoscopic cholecystectomy in the hands of surgeons with different amounts of experience in laparoscopic surgery at 15 regional hospitals, and to analyze the evolution of the current performance in comparison with results published in 1993.

Methods: prospective study of 1168 laparoscopic cholecystectomies done in 1996 in 15 regional hospitals in Catalonia.

Results: in 887 cases (76%) the indication was uncomplicated cholelithiasis.