caa a22 4500 47578085X CHVBK 20180406123643.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s004640000108 doi (NATIONALLICENCE)springer-10.1007/s004640000108 The femoral hernia [Elektronische Daten] An ideal approach for the transabdominal preperitoneal technique (TAPP) [T. Hernandez-Richter, H. Schardey, H. Rau, F. Schildberg, G. Meyer] Background: We designed a study to determine the rate of intra- and postoperative complications as well as the rate of recurrences in elective operated femoral hernias treated via the laparoscopic technique. Methods: Between 1993 and 1998, we performed 1,097 operations in our department using the laparoscopic transabdominal preperitoneal (TAPP) technique. Femoral hernias amounted to only 4.6% (51 cases) of these patients. The male/female ratio was 1:2. The data concerning the operations and pre- and postoperative treatment were recorded prospectively. The patients were followed up at 2 weeks and 1 year after the operation. Results: We encountered one intraoperative bladder lesion, one subcutaneous port site infection, two postoperative hematomas that required reoperation, and two nerve irritation syndromes, which disappeared spontaneously after 6 months. Two patients developed an ileus; one required laparoscopic reintervention, and the other was treated with conventional open reoperation and intestinal resection. There were no recurrences. Conclusions: The application of the laparoscopic approach to the treatment of femoral hernias using the TAPP technique in nonemergency situations is highly effective. To date, we have seen no recurrences. Although the rate of major complications is low, current surgical techniques need to be perfected to avoid the type of complication recognized in this study. Springer-Verlag, 2000 Coexisting hernia nationallicence Femoral hernia nationallicence Laparoscopic hernioplasty nationallicence Recurrence nationallicence Transabdominal preperitoneal technique (TAPP) nationallicence Hernandez-Richter T. Department of Surgery, University Hospital Grosshadern, Ludwig Maximilians University, Marchioninistrasse 15, D-81377, Munich, Germany aut Schardey H. Department of Surgery, University Hospital Grosshadern, Ludwig Maximilians University, Marchioninistrasse 15, D-81377, Munich, Germany aut Rau H. Department of Surgery, University Hospital Grosshadern, Ludwig Maximilians University, Marchioninistrasse 15, D-81377, Munich, Germany aut Schildberg F. Department of Surgery, University Hospital Grosshadern, Ludwig Maximilians University, Marchioninistrasse 15, D-81377, Munich, Germany aut Meyer G. Department of Surgery, University Hospital Grosshadern, Ludwig Maximilians University, Marchioninistrasse 15, D-81377, Munich, Germany aut Surgical Endoscopy Springer-Verlag 14/8(2000-08-01), 736-740 0930-2794 14:8<736 2000 14 464 https://doi.org/10.1007/s004640000108 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000108 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hernandez-Richter T. Department of Surgery, University Hospital Grosshadern, Ludwig Maximilians University, Marchioninistrasse 15, D-81377, Munich, Germany aut NATIONALLICENCE 700 1- Schardey H. Department of Surgery, University Hospital Grosshadern, Ludwig Maximilians University, Marchioninistrasse 15, D-81377, Munich, Germany aut NATIONALLICENCE 700 1- Rau H. Department of Surgery, University Hospital Grosshadern, Ludwig Maximilians University, Marchioninistrasse 15, D-81377, Munich, Germany aut NATIONALLICENCE 700 1- Schildberg F. Department of Surgery, University Hospital Grosshadern, Ludwig Maximilians University, Marchioninistrasse 15, D-81377, Munich, Germany aut NATIONALLICENCE 700 1- Meyer G. Department of Surgery, University Hospital Grosshadern, Ludwig Maximilians University, Marchioninistrasse 15, D-81377, Munich, Germany aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/8(2000-08-01), 736-740 0930-2794 14:8<736 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer