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Laparoscopic Transabdominal Preperitoneal Approach with Abandon Sac Technique in Management of Large Inguinoscrotal Hernia; Randomized Clinical Trial
Faculty
Medicine
Year:
2022
Type of Publication:
ZU Hosted
Pages:
Page 5458- 5463
Authors:
Aladdin Ramadan Aly Shaaban
Staff Zu Site
Abstract In Staff Site
Journal:
The Egyptian Journal of Hospital Medicine The Egyptian Journal of Hospital Medicine
Volume:
Keywords :
Laparoscopic Transabdominal Preperitoneal Approach with Abandon
Abstract:
ABSTRACT Background: Inguinoscrotal hernia is the commonest type of all hernias. Although, Lichtenstein tension-free technique was the main procedure for its repair, laparoscopic transabdominal preperitoneal (TAPP) approach has been widely used, but with a great challenge for large size hernia. In this article, we described a modified laparoscopic trial in order to overcome this obstacle by transecting the large hernia sac, vice complete intra-abdominal inversion. Objective: This study aimed to evaluate the initial results of a modified TAPP technique (abandon sac trial), in laparoscopic management of large inguinoscrotal hernia type I. Patients and methods: Our study was conducted at Zagazig University Hospitals, on 50 cases of large inguinoscrotal hernia type I through the period from January 2021 and June 2022. Results: As regards surgical results, both scrotal edema and hematoma were reported in 6% and seroma in 12%. While there was no detected cases of either infection, funiculitis, chronic groin pain or recurrence. Postoperative pain was mild to moderate, and the hospital stay was 1-2 days only. Conclusion: A large inguinoscrotal hernia type I, can be managed safely with introduction of a slight modification on the TAPP laparoscopic method (abandon sac technique). With this modification, big size hernias will have a chance to be managed laparoscopically and obtained its advantages as small wound size and marked reduction of both postoperative pain, and recurrence.
Author Related Publications
Aladdin Ramadan Aly Shaaban, "RECRUITMENT OF ALVARADO AND MODIFIED RIPASA SCORES IN DIAGNOSIS OF ACUTE APPENDICITIS.", International Journal of Advanced Research, 2018
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Aladdin Ramadan Aly Shaaban, "How to manage a dilated cystic duct during laparoscopic cholecystectomy?", The Egyptian Journal of Surgery, 2020
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Aladdin Ramadan Aly Shaaban, "The Commonest Medical, Surgical, and Oncological Causes of Acute Abdomen in Adults with COVID-19. A prospective Observational Study", Surg. Gastroenterol. Oncol., 2022
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Aladdin Ramadan Aly Shaaban, "Outcomes of Surgical Resection of Pancreatic Cystic Neoplasms Based on the European Expert Consensus Statement: A Prospective Observational Study", Surgery, Gastroenterology and Oncology,, 2022
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Aladdin Ramadan Aly Shaaban, "The Role of Laparoscopy in Upper Abdominal Surgical Emergencies in Adults: A Retrospective Observational Study", Surg. Gastroenterol. Oncol., 2023
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Department Related Publications
Fady Mehaney Habib Salamh, "Mesh or not in the repair of complicated umbilical hernia in cirrhotic patients with decompensated liver cell failure", Wolters Kluwer - Medknow, 2018
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Mohamed Ibrahim Ahmed Mansour, "Outcomes of side-to-end versus end-to-end colorectal anastomosis in non-emergent sigmoid and rectal cancers: randomized controlled clinical trial", pISSN 2287-9714 eISSN 2287-9722 www.coloproctol.org, 2022
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Mohamed Ibrahim Ahmed Mansour, "Post-Cholecystectomy Gallbladder Remnant and Cystic Duct Stump Stone: Surgical Pitfalls, Causes of Occurrence and Completion Cholecystectomy (Open versus Laparoscopic) as a Safe Surgical Option of Treatment: Short and Long Term Outcome. Randomized Controlled Clinical Trial", Department of surgery, Zagazig University hospitals, 2021
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Mohamed Mahmoud Mokhtar, "laparoscopy versus laparotomy in evaluation of penetrating abdominal injuries.", internatinal journal of advanced research, 2018
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Mohamed Mahmoud Mokhtar, "Comparison Of Onlay Versus Sublay Mesh Repair For Management of Paraumbilical Hernia", Zagazig University Medical Journal, 2020
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