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Clinical Trial
. 1998 Jan-Mar;2(1):35-40.

Laparoscopic hernia repair--complications

P R Miguel  1 , M Reusch, A L daRosa, J R Carlos
Affiliations
Clinical Trial

Laparoscopic hernia repair--complications

P R Miguel et al. JSLS. 1998 Jan-Mar.

Abstract

Laparoscopic hernioplasty is a technique which can present a number of specific complications. This paper reviews the complications that can occur during laparoscopic hernia repair and ways to avoid them; it also describes the surgical technique used successfully in over 1000 cases. Initial experience suggests that complications can be avoided with adequate knowledge, attention to surgical anatomy and the proper technique of laparoscopic hernioplasty. Early recurrences are rare and invariably result from inadequate surgical technique. Inadequate fixation of the mesh, inadequate mesh size, and failure to cover unidentified wall defects (hernias which have never been repaired), are the main causes of early recurrence of hernia. Experience, knowledge of complications and how to avoid them, adequate training and attention to the anatomy of the inguinal region are the most important factors in correcting inguinal hernia successfully by laparoscopy.

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Figures

Figure 1.
Figure 1.
Laparoscopic anatomy: Inferior Epigastric Vessels (I.E.V.),IliopubicTract (I.T.).
Figure 2.
Figure 2.
Trocar Position.
Figure 3.
Figure 3.
Position of the surgical team.
See this image and copyright information in PMC

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