Occult @entity547 detected by laparoscopic totally extra-peritoneal XXXX : a prospective study.

@entity1 @entity548 @entity18659 @entity86 @entity547 @entity169 @entity3816
BACKGROUND: One distinct advantage of laparoscopic @entity169 is the opportunity for clear visualization of the direct, indirect, femoral, obturator and other groin spaces. The aim of this study was to examine/assess the potential of the laparoscopic totally extraperitoneal (TEP) @entity169 method in detecting unexpected additional @entity547 . METHODS: @entity1 who underwent an elective @entity169 , in the department of abdominal surgery at the institute of laparoscopic surgery (ILS, Bordeaux, France) between September 2003 and July 2005 were enrolled prospectively in the study. The @entity1 ' demographic data, operative, postoperative course and outpatient follow-up were studied. RESULTS: A total of 337 laparoscopic @entity169 repairs were performed in 263 @entity1 . Of these, 189 @entity1 had unilateral hernia (109 right and 80 left) and 74 @entity1 had @entity547 . Indirect @entity547 were the most common, followed by direct and then @entity18659 . There were 218 male @entity1 and 45 female @entity1 with a mean age of 60    15 years. There were 44 unexpected @entity547 : 6 spegilian @entity547 , 19 @entity18659 . Two @entity1 were converted to transabdominal preperitoneal (TAPP) due to surgical difficulties. There were no major @entity3816 in all @entity1 except for three cases of @entity548 arising from the inferior epigastric artery. Only one @entity1 had @entity86 and was re-operated on several hours after the hernia repair. No recurrence occurred in the present series. CONCLUSIONS: The laparoscopic @entity169 approach allows viewing of the entire myopectineal orifice, facilitating repair of any unexpected @entity547 and thereby reducing the chance of recurrence.
