Laparoscopic simultaneous operations in patients with hernias of various location and comorbid pathology
DOI:
https://doi.org/10.12775/JEHS.2020.10.04.038Keywords
simultaneous operations, comorbid pathology, laparoscopic surgery, hernioplastyAbstract
Aim. The study of the frequency of concomitant surgical pathology and simultaneous operations during videolaparoscopic treatment of hernias of different localization and evaluate of the results of surgical treatment of patients with comorbid pathology.
Materials and methods. A prospective study was conducted on 222 patients with comorbid pathology. All patients were divided into two groups. The main group included 120 patients with hernias, who in addition to videolaparoscopic hernioplasty, performed simultaneous operations. The comparison group included 102 patients who performed only videolaparoscopic hernioplasty. In the course of this study, the following parameters were evaluated: frequency and structure of simultaneous operations, duration of operations, intraoperative and early postoperative complications.
Results. Comorbid pathology was diagnosed in 146 patients (52.3%). These patients underwent 194 simultaneous operations: cholecystectomy – 91 (46.9%); adnexectomy – 14 (7.2%); hysterectomy – 12 (6.1%); varicocelectomy – 8 (4.1%); adhesiolysis – 49 (25.2 %); appendectomies – 13 (6.7%); fenestration of cysts of the liver or mesentery – 7 (3.8%).
Conclusion. The effectiveness of simultaneous operations is not limited to purely economic indicators, it is projected to affect during the postoperative period.
References
Akinci M., Yilmaz K., Kulah B. Association of ventral incisional hernias with comorbid diseases. Chirurgia. 2013. – 108(6). – P. 807-811.
Arafat S., Alsabek M. Simultaneous laparoscopic cholecystectomy and transabdominal preperitoneal hernioplasty: two cases reports evaluate the safety and surgical complicated. Clin Case Rep. – 2017. – 5(12). – P. 2093-2096.
Lehmann A., Piatcowski J., Nowak M. Simultaneous TAPP (transabdominal pre-peritoneal technique) for inguinal hernia and cholecystectomy – a feasible and safe procedure. Pol Przegl Chir. – 2014. – 86(2). – P. 73-76.
Orr N.T., Davenport D.L., Roth S.S. Outcomes of simultaneous laparoscopic cholecystectomy and ventral hernia repair compared to that of laparoscopic cholecystectomy alone. Surg Endosc. – 2013. – 27(1). – P. 67-73.
Kamer E. Laparoscopic cholecystectomy accompanied by simultaneous umbilical hernia repair: a retrospective study. JPGM. – 2013. – 53(3). – P. 176-180.
Plymale M.A., Ragulojan R., Davenport D.L., Roth J.S. Ventral and incisional hernia: the cost of comorbidities and complications. Surg Endosc. 2017 Jan;31(1):341-351. doi: 10.1007/s00464-016-4977-8.
Holihan J.L., Alawadi Z., Martindale R.G., et al. Adverse events after ventral hernia repair: the vicious cycle of complications. J Am Coll Surg. 2015. - Aug; 221(2):478-85. doi: 10.1016/j.jamcollsurg.2015.04.026.
Le Gall H., Reibel N., De Runz A., et al. Abdominoplasty and simultaneous laparoscopic ventral hernia repair. Clinical study about 45 patients. Ann Chir Plast Esthet. 2017 Apr; 62(2):115-121. doi:10.1016/j.anplas.2016.06.005.
Filho J.M., Maciel S., Belerique M. Abdominoplasty combined with intraabdominal gynecologic surgery. Rev. Soe. Bras. CiroPlást. 2004; 19(2): 41-52.
Cheesborough J.E., Dumanian G.A. Simultaneous prosthetic mesh abdominal wall reconstruction with abdominoplasty for ventral hernia and severe rectus diastasis repairs. Plast. Reconstr. Surg. 2015; 135: 268-276. DOI: 10.1097/PRS.0000000000000840.
Koolen P.G., Ibrahim A.M., Kim K., et al. Patient selection optimization following combined abdominal procedures: analysis of 4925 patients undergoing panniculectomy/abdominoplasty with or without concurrent hernia repair. Plast Reconstr Surg. 2014 Oct; 134(4):539e-50e. doi: 10.1097/PRS.0000000000000519.
Ortega J., Navarro V., Cassinello N., Lledo S. Requirement and postoperative outcomes of abdominal panniculectomy alone or in combination with other procedures in a bariatric surgery unit. Am J Surg. 2010; 200:235–240. https ://doi.org/10.1016/j.amjsurg.2009.07.043.
Warren J.A., Epps M., Debrux C., et al. Surgical site occurrences of simultaneous panniculectomy and incisional hernia repair. Am Surg. 2015 Aug; 81(8):764-9.
Zemlyak A.Y., Colavita P.D., El Djouzi S., et al. Comparative study of wound complications: isolated panniculectomy versus panniculectomy combined with ventral hernia repair. J Surg Res. 2012 Oct;177(2):387-91. doi: 10.1016/j.jss.2012.06.029.
Wadhwa A., Chowbey P.K., Sharma A., et al. Combined procedures in laparoscopic surgery. 2003 Dec;13(6):382-6. doi: 10.1097/00129689-200312000-00007.
Kim G., Lomanto D., Lawenko M.M., et al. Single-port endo-laparoscopic surgery in combined abdominal procedures. Asian J End Surg. 2013; 6(3): 209-213.
Hayakawa S., Hayakawa T., Inukai K., et al. Simultaneous transabdominal preperitoneal hernia repair and laparoscopic cholecystectomy: A report of 17 cases. Asian J Endosc Surg. 2018 Nov 8. doi: 10.1111/ases.12667.
Quezada N., Maturana G., Pimentel E., et al. Simultaneous TAPP inguinal repair and laparoscopic cholecystectomy: results of a case series. Hernia. 2019 Feb;23(1):119-123. doi: 10.1007/s10029-018-1824-y.
Schulster M.L., Cohn M.R., Najari B.B., Goldstein M. Microsurgically assisted inguinal hernia repair and simultaneous male fertility procedures: rationale, technique and outcomes. J Urol. 2017 Nov;198(5):1168-1174. doi: 10.1016/j.juro.2017.06.072.
Benlice C., Gorgun E., Aytac E., et al. Mesh herniorrhaphy with simultaneous colorectal surgery: a case-matched study from the American College of Surgeons National Surgical Quality Improvement Program. Am J Surg. 2015 Oct; 210(4):766-71. doi: 10.1016/j.amjsurg.2015.04.018.
Downloads
Published
How to Cite
Issue
Section
License
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 454
Number of citations: 0
