Official websites use. Share sensitive information only on official, secure websites. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. Objective: Earlier reports from the Veterans Affairs medical centers, showed worse outcomes following laparoscopic inguinal hernia repair, with higher recurrence The aim of this study is to explore outcomes and long-term follow-up of laparoscopic inguinal hernia repair at the VA hospital based in Detroit, Michigan.
Methods: The John D Dingell VAMC surgical database was queried for all laparoscopic inguinal hernia repairs performed between — by a single surgeon using a standard method. Data collection included demographics, operative details, postoperative outcomes, and follow-up visits. Patient phone calls were completed to obtain patient reported data. Results: A total of patients were identified [ Mean operative time was 1. Complications occurred in 91 Patients were followed up 0—85 months, with a mean of Phone calls follow-up was performed for Overall, there were 43 Conclusion: Long-term follow-up for veterans who underwent laparoscopic inguinal hernia repair showed low recurrence rate, and low major complications rate.
We advocate to use laparoscopic approach as the standard of care for inguinal hernias repair. A year-old multiparous woman presented to a rural emergency department with acute on chronic right groin pain and an associated lump lateral to her pfannensteil incision. The pain had been intermittent for one year but had become constant a week prior to presentation. This was associated with nausea, poor urinary flow and constipation.
She had a past history of three caesarian sections, hysterectomy and appendicectomy. There was no history of genital anomalies or infertility. She had presented three days prior with pain, in the absence of a lump. A pelvic ultrasound at that time revealed a mildly tender right inguinal hernia containing freely mobile multiloculated cystic structure.
The differentials included ovarian inguinal hernia or round ligament cyst Fig. Doppler imaging was not performed at this time. Her laboratory investigations were unremarkable. However, a repeat pelvic ultrasound demonstrated inflammation and oedema of the right ovary with mild venous flow and no arterial flow Fig. A computerised tomography CT scan of the pelvis revealed an enlarged right ovary, adjacent fat stranding and engorged ovarian vessels. No inguinal hernia was visualized Fig.
