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Surgical Endoscopy
Published in: Surgical Endoscopy 11/2010

01-11-2010

A pilot study for one-stop endoscopic total extraperitoneal inguinal hernia repair

Authors: Ewoud H. Jutte, Huib A. Cense, Alphons H. M. Dur, Michiel A. J. M. Hunfeld, Biron Cramer, Roelf S. Breederveld

Published in: Surgical Endoscopy | Issue 11/2010

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Abstract

Background

One-stop surgery was developed for patients to undergo surgical evaluation, anesthesia, surgery, and discharge all within 1 day. This study aimed to assess the feasibility, patient satisfaction, and potential of one-stop endoscopic total extraperitoneal (TEP) inguinal hernia surgery.

Methods

After general practitioners had been informed, prospectively selected patients with unilateral or bilateral inguinal hernia underwent one-stop surgery by TEP. Pre- and postoperative questionnaires were used to evaluate patient satisfaction.

Results

During 12 months, 52 patients were referred for one-stop surgery. There were no “no shows”. The general practitioner correctly diagnosed inguinal hernia in 51 patients. On the scheduled date, 50 patients successfully underwent surgery using TEP, and 49 of these patients were satisfied with the procedure and would repeat one-stop surgery when indicated.

Conclusion

One-stop endoscopic TEP inguinal hernia surgery is feasible and safe. The majority of patients would give preference to a repeated procedure if necessary. This clinical pathway reduces the number of patient visits to the hospital for inguinal hernia repair and also suggests cost efficiency.
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Metadata
Title
A pilot study for one-stop endoscopic total extraperitoneal inguinal hernia repair
Authors
Ewoud H. Jutte
Huib A. Cense
Alphons H. M. Dur
Michiel A. J. M. Hunfeld
Biron Cramer
Roelf S. Breederveld
Publication date
01-11-2010
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 11/2010
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-010-1035-9

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