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Laparoscopic Hernia Surgery - An Ideal alternative
Tue - July 17, 2007 11:58 am  |  Article Hits:3402  |  A+ | a-
The research, presented in a conference from the American College of Surgeons in Boston, will be published Thursday within the Colonial Journal of Medicine. The biggest difference, the research found, is at the number of primary hernias -- those that had not been operated on before -- that needed further repair. With laparoscopy, 10 percent needed more work, compared with 4 % who had open surgery. The only laparoscopic surgeons whose success rates matched those of open-incision operations were people who reported having performed the procedure at least 250 times. The lead researcher from the study, Dr. Leigh Neumayer of the Salt Lake City Veterans Affairs Medical Center, said she and her colleagues had expected the outcomes to balance out after the surgeons had performed laparoscopic repairs 25 or 50 times.

She said the highly experienced surgeons, who generally work in centers of expert knowledge, performed the operations on about a third from the laparoscopic patients. Patients with primary hernias who do not wish to seek surgeons in laparoscopic centers, she said, should think about setting up with a little more pain and open incisions. Laparoscopic hernia surgery may be less painful than a traditional open incision, but it carries a higher risk of recurrence, except when highly experienced surgeons perform it, said a study released on Sunday. The study, presented at a conference of the American College of Surgeons in Boston, will be published Thursday in The New England Journal of Medicine.

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