Primary abandon-of-the-SAC (PAS) technique: Preliminary results of a novel minimally invasive approach for inguinoscrotal hernia repair

4Citations
Citations of this article
3Readers
Mendeley users who have this article in their library.

Abstract

Background: Laparoscopic best approach of repairing inguinoscrotal hernias are still debatable. Incorrect handling of the distal sac can possibly result in damage to cord structures and negative postoperative outcomes as ischemic orquitis or inguinal neuralgia. Aim: To describe a new technique for a minimally invasive approach to inguinoscrotal hernias and to analyze the preliminary results of patients undergoing the procedure. Methods: A review of a prospectively maintained database was conducted in patients who underwent minimally invasive repair using the “primary abandon-of-the-sac” (PAS) technique for inguinoscrotal hernias. Patient´s demographics, as well as intraoperative variables and postoperative outcomes were also analyzed. Results: Twenty-six male were submitted to this modified procedure. Mean age of the case series was 53.8 years (range 34-77) and body mass index was 26.8 kg/m2 (range 20.8-34.2). There were no intraoperative complications or conversion. Average length of stay was one day. No surgical site infections, pseudo hydrocele or neuralgia were reported after the procedure and two patients presented seroma. No inguinal hernia recurrence was verified during the mean 21.4 months of follow up. Conclusion: The described technique is safe, feasible and reproducible, with good postoperative results.

Cite

CITATION STYLE

APA

Morrell, A. C., Morrell, A. L. G., Malcher, F., Morrell, A. G., & Morrell-Junior, A. C. (2020). Primary abandon-of-the-SAC (PAS) technique: Preliminary results of a novel minimally invasive approach for inguinoscrotal hernia repair. Arquivos Brasileiros de Cirurgia Digestiva, 33(2), 1–5. https://doi.org/10.1590/0102-672020200002E1519

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free