caa a22 4500 475780191 CHVBK 20180406123642.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1007/s004640000045 doi (NATIONALLICENCE)springer-10.1007/s004640000045 Scrotal hernias: a contraindication for an endoscopic procedure? [Elektronische Daten] Results of a single-institution experience in transabdominal preperitoneal repair [B. J. Leibl, C.-G. Schmedt, K. Kraft, M. Ulrich, R. Bittner] Introduction: Endoscopic repair was introduced for use with inguinal hernia therapy more than 10 years ago. The technique as well as the indications for this method are debated, however. As a borderline inguinal hernia situation, the scrotal hernia in particular evokes vehement objections to an endoscopic procedure because of the anticipated problems and complications in dissecting the extended hernia sac. The efficiency of the laparoscopic transabdominal preperitoneal (TAPP) technique in the treatment of scrotal hernia therefore is discussed in this article. methods: Laparoscopic hernia repair (TAPP) has been performed in our department since 1993. Data are collected by a prospective documentation of operative and follow-up results. For evaluation, a comparison of scrotal and normal hernia repair was performed. Results: Between April 1993 and June 1998 the TAPP technique was used to treat 191 scrotal hernias, 42 (22%) of which were recurrent hernias. The median operating time for a nomal inguinal hernia repair was 45 min, whereas scrotal hernias required a median of 65 min and irreducible scrotral hernias a median of 68.5 min. Major complications were observed in 1.6% of scrotal and 0.6% of normal inguinal hernia repairs. The most frequent scrotal hernia repair problem was the formation of a seroma, 10.5% of which had to be avacuated. During a follow-up period of 30 months, we found a total of two recurrences (1.05%). Conclusion: In scrotal hernia repair, TAPP is not associated with higher complication rates and can be performed with efficiency comparable with that in normal inguinal hernia repair. Springer-Verlag New York Inc., 2000 Key words: Scrotal hernias — TAPP — Technique and results nationallicence Leibl B. J. Department of General and Visceral Surgery, Marienhospital, Böheimstrasse 37, D-70199, Stuttgart, Germany, Germany aut Schmedt C.-G Department of General and Visceral Surgery, Marienhospital, Böheimstrasse 37, D-70199, Stuttgart, Germany, Germany aut Kraft K. Department of General and Visceral Surgery, Marienhospital, Böheimstrasse 37, D-70199, Stuttgart, Germany, Germany aut Ulrich M. Department of General and Visceral Surgery, Marienhospital, Böheimstrasse 37, D-70199, Stuttgart, Germany, Germany aut Bittner R. Department of General and Visceral Surgery, Marienhospital, Böheimstrasse 37, D-70199, Stuttgart, Germany, Germany aut Surgical Endoscopy Springer-Verlag 14/3(2000-03-01), 289-292 0930-2794 14:3<289 2000 14 464 https://doi.org/10.1007/s004640000045 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000045 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Leibl B. J. Department of General and Visceral Surgery, Marienhospital, Böheimstrasse 37, D-70199, Stuttgart, Germany, Germany aut NATIONALLICENCE 700 1- Schmedt C.-G Department of General and Visceral Surgery, Marienhospital, Böheimstrasse 37, D-70199, Stuttgart, Germany, Germany aut NATIONALLICENCE 700 1- Kraft K. Department of General and Visceral Surgery, Marienhospital, Böheimstrasse 37, D-70199, Stuttgart, Germany, Germany aut NATIONALLICENCE 700 1- Ulrich M. Department of General and Visceral Surgery, Marienhospital, Böheimstrasse 37, D-70199, Stuttgart, Germany, Germany aut NATIONALLICENCE 700 1- Bittner R. Department of General and Visceral Surgery, Marienhospital, Böheimstrasse 37, D-70199, Stuttgart, Germany, Germany aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/3(2000-03-01), 289-292 0930-2794 14:3<289 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer