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Hernia
Published in: Hernia 2/2010

01-04-2010 | Letter to the Editor

Decompression of a pneumoperitoneum during an extraperitoneal inguinal hernia repair (TEP) by incision of the umbilical sac under direct vision

Authors: T. Sinnett, N. Karanjia

Published in: Hernia | Issue 2/2010

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Excerpt

Peritoneal tears are a recognised complication of extraperitoneal inguinal hernia repair (TEP) [1] and can necessitate conversion to transabdominal pre-peritoneal (TAPP) repair due to loss of the extraperitoneal space. To avoid this conversion, which carries with it risks of further complications [2], it is possible to decompress the pneumoperitoneum and complete the TEP repair. This decompression can be performed with a Verres needle at Palmer’s point; however, this decompression is slow, rarely provides a complete decompression and carries the risk of further complications [3]. …
Literature
1.
Lau H, Patil NG, Yuen WK, Lee F (2002) Management of peritoneal tear during endoscopic extraperitoneal inguinal hernioplasty [see comment]. Surg Endosc 16(10):1474–1477CrossRefPubMed
2.
Lovisetto F, Zonta S, Rota E, Bottero L, Faillace G, Turra G, Fantini A, Longoni M (2007) Laparoscopic Transabdominal Preperitoneal (TAPP) hernia repair: surgical phases and complications. Surg Endosc 21(4):646–652CrossRefPubMed
3.
Byron JW, Markenson G, Miyazawa K (1993) A randomized comparison of Verres needle and direct trocar insertion for laparoscopy. Surg Gynecol Obstet 177(3):259–262PubMed
Metadata
Title
Decompression of a pneumoperitoneum during an extraperitoneal inguinal hernia repair (TEP) by incision of the umbilical sac under direct vision
Authors
T. Sinnett
N. Karanjia
Publication date
01-04-2010
Publisher
Springer-Verlag
Published in
Hernia / Issue 2/2010
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-009-0605-z

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