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  • Title: Laparoscopic repair of inguinal hernia using two layers of mesh with reinforcement of the inner mesh by 2 sutures.
    Author: Luangchna V.
    Journal: J Med Assoc Thai; 2004 Dec; 87(12):1425-30. PubMed ID: 15822535.
    Abstract:
    PURPOSE: To determine the effectiveness of the laparoscopic repair of inguinal hernia using two layers of mesh with reinforcement of the inner mesh by 2 sutures. PATIENTS AND METHOD: The hernias included primary, direct, indirect, bilateral inguinal hernias and 5 recurrent inguinal hernias. The present report described laparoscopic repair by the total extraperitoneal mesh placement (TEP) technique using two layers of polypropylene mesh with the inner mesh reinforced by 2 sutures in 20 adult patients with 22 hernias. RESULTS: The operations were successfully performed on all the patients with 1 complication (5.00%) which was treated by surgical procedure. There was no recurrence with a follow-up of 10.27+/-5.96 months (range1.10-20.00 months). CONCLUSIONS: The report has shown that this operation can be used to treat primary, recurrent, direct, indirect, and bilateral inguinal hernias in adults with no recurrence in a short term follow-up.
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