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Titolo:
Treatment of inguinodynia after laparoscopic herniorrhaphy - A combined laparoscopic and fluoroscopic approach to the removal of helical tackers
Autore:
Wong, J; Anvari, M;
Indirizzi:
McMaster Univ, St Josephs Hosp, Dept Surg, Hamilton, ON, Canada McMaster Univ Hamilton ON Canada s Hosp, Dept Surg, Hamilton, ON, Canada
Titolo Testata:
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
fascicolo: 2, volume: 11, anno: 2001,
pagine: 148 - 151
SICI:
1051-7200(200104)11:2<148:TOIALH>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
INGUINAL-HERNIA REPAIR; MESH; COMPLICATIONS; PREVENTION; RECURRENCE; NEURALGIA; TRIAL;
Keywords:
helical tacker; laparoscopic hernia repair; nerve entrapment;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Anvari, M 50 Charlton Ave E, Hamilton, ON L8N 4A6, Canada 50 Charlton AveE Hamilton ON Canada L8N 4A6 ON L8N 4A6, Canada
Citazione:
J. Wong e M. Anvari, "Treatment of inguinodynia after laparoscopic herniorrhaphy - A combined laparoscopic and fluoroscopic approach to the removal of helical tackers", SURG LA E P, 11(2), 2001, pp. 148-151

Abstract

Laparoscopic inguinal herniorrhaphy has become a popular operation for thetreatment of inguinal hernia. However, injury and entrapment of the cutaneous nerves of the lumbar plexus by the staples or tackers used for mesh fixation have been described. Laparoscopic removal of the staples or tackers in the inguinal region has been attempted with variable success. The successof the laparoscopic approach for removal of helical tackers in particular is sometimes limited by the fact that the offending tackers are deeply embedded in particular is sometimes limited by the fact that the offending tackers are deeply embedded in the preperitoneal tissues and not readily located with a sample laparoscopic view. The authors report a case in which fluoroscopy was used to help identify tackers that could not be visualized laparoscopically. The neuralgia disappeared after successful removal of the offending tackers with no neurologic deficit. Liberal use of the fluoroscopic guidance in the laparoscopic removal of helical takers in similar cases is recommended.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 19:51:16