ABSTRACT
In the hands of an experienced surgeon, laparoscopic appendectomy is by no means a time-consuming procedure that might put the patient at risk. In particular it enables an all round inspection of the abdominal cavity, thus enabling both the detection of diverticular disease and tumors or processes within the true pelvis. The complication-free operation leaves behind only tiny scars, so that, in the event of abdominal complaints at some later date, a mistaken diagnosis of appendicitis might easily be established elsewhere. To help prevent this, the patient must be given the relevant information about the procedure. In addition, provision of the patient with a medical ID card is proposed.
Subject(s)
Appendectomy/methods , Appendicitis/surgery , Laparoscopy/methods , Acute Disease , Appendicitis/diagnosis , Chronic Disease , Contraindications , Diagnosis, Differential , Endometritis/diagnosis , Endometritis/surgery , Female , Humans , Recurrence , Referral and ConsultationABSTRACT
For the repair of inguinal hernias the conventional Bassini, Shouldice and Lichtenstein procedures, plug repair and laparoscopic procedures are available. The latter may be a totally endoscopic preperitoneal repair (TEP) or a transabdominal preperitoneal meshplasty (TAPP), usually applying polypropylene meshes. In general, alloplastic material should not be used in patients younger than 45, so as to prevent possible groin or testicular complaints, or avoid difficulties with a scar plate in the event of subsequent surgery. Exceptions are, for example, large recurrences or an expressed preference on the part of the patient.
Subject(s)
Hernia, Inguinal/surgery , Laparoscopy/methods , Adult , Aged , Humans , Infertility, Male/etiology , Male , Middle Aged , Postoperative Complications/etiology , Prosthesis Implantation , Recurrence , Reoperation , Risk Factors , Surgical Mesh , Surgical StaplersABSTRACT
Irrespective of the exact procedure employed, laparoscopic fundoplication--in the hands of the expert--is a rapidly performed operation with a low complication rate. Over the long-term, young patients with severe reflux complaints (GERD) in particular should benefit from this operation.
