BACKGROUND Aim of this study was to compare the result of open and laparoscopic repair of perforated peptic ulcers in terms of operation time, postoperative pain, hospital stay, and wound infection. METHODS Clinical notes of 152 patients who underwent the operative closure of perforated peptic ulcers from 1996 to 2006 were available for study. All patients were offered laparoscopic approach f...

OBJECTIVE Vesicovaginal fistula (VVF) causes detrimental psychosomatic effects on a woman. It is repaired using open abdominal as well as laparoscopic approach. Here we compare a series of open versus laparoscopic VVF repairs done at a single centre. METHODS Retrospectively data of patients undergoing VVF repair in our department between January 2011 to December 2014 was analyzed. Patients wh...

PURPOSE The purpose of this study was to compare the total hospital costs associated with elective laparoscopic and open inguinal herniorrhaphy. METHODS A prospectively maintained database was used to identify patients who underwent elective inguinal herniorrhaphy from April 2009 to March 2011. A retrospective review of electronic patient records was performed along with a standardized case-c...

BACKGROUND AND OBJECTIVES Open ventral hernia repair is associated with significant morbidity and high recurrence rates. Recently, the laparoscopic approach has evolved as an attractive alternative. Our objective was to compare open with laparoscopic ventral hernia repairs. METHODS Fifty laparoscopic and 22 open ventral hernia repairs were included in the study. All patients underwent a tensi...

INTRODUCTION The optimal repair of inguinal hernias remains controversial. It is recommended that an inguinal hernia be repaired using a mesh, either with a laparoscopic or an open approach. In Denmark, the laparoscopic approach is used in an increasing number of cases. The laparoscopic repair has a learning curve of about 50-100 cases and decreases chronic pain, but slightly increases the risk...

Editor—In Wellwood et al’s trial of laparoscopic hernia repair versus open mesh repair only patients fit for general anaesthesia were preselected. We do not know if the rejected patients were suitable for local anaesthesia, which is usually ideal for frail and elderly patients and those with high American Society of Anesthesiologists grades. The type of anaesthesia used greatly affects morbidit...

A spigelian hernia is a protrusion through an anterior abdominal wall defect along the linea semilunaris. The traditional method of repair consists of an open surgical technique requiring a lengthy abdominal incision to allow visualization of the defect. However, with the emergence and availability of laparoscopic techniques, a minimally invasive approach is feasible. Only eight prior case repo...

Laparoscopic repair is indeed a very useful method of dealing with this common complication of peptic ulcer disease, which forms a large bulk of patients presenting to surgery emergency with acute abdomen. Laparoscopic approach overcomes the disadvantages of a conventional open repair which includes large upper abdominal incision, wound infection and dehiscence, prolonged ileus and pulmonary co...

OBJECTIVE To compare tension-free open mesh hernioplasty under local anaesthetic with transabdominal preperitoneal laparoscopic hernia repair under general anaesthetic. DESIGN A randomised controlled trial of 403 patients with inguinal hernias. SETTING Two acute general hospitals in London between May 1995 and December 1996. SUBJECTS 400 patients with a diagnosis of groin hernia, 200 in e...

Background: Laparoscopic or robotic TEP hernia repair represents a minimally invasive surgical technique used in treatment of inguinal femoral male female patients.