Low Pressure is Necessary to View and to Protect Corona Mortis During Totally Extraperitoneal Hernia Repair

Basit Öğe Kaydı
dc.authoridAtes, Mustafa/0000-0003-2821-453X
dc.authoridÖzgör, Dinçer/0000-0001-8519-8869
dc.authoridKınacı, Erdem/0000-0002-0380-7585
dc.authorwosidAtes, Mustafa/ABI-5100-2020
dc.authorwosidÖzgör, Dinçer/AAB-3523-2021
dc.authorwosidKınacı, Erdem/HTR-1780-2023
dc.contributor.authorKinaci, Erdem
dc.contributor.authorAtes, Mustafa
dc.contributor.authorDirican, Abuzer
dc.contributor.authorOzgor, Dincer
dc.date.accessioned2024-08-04T20:42:51Z
dc.date.available2024-08-04T20:42:51Z
dc.date.issued2016
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: The identification of retropubic vasculature is not easy under the pressure of insufflated gas during totally extraperitoneal (TEP) inguinal hernioplasty. We aimed to present the usefulness of a maneuver that allows the clear identification of retropubic vasculature. Methods: Vascular anatomy on the retropubic surface in 364 patients who underwent the TEP procedure from January 2005 to September 2015 was evaluated. In patients after July 2014, the pressure in the workspace was decreased from 14 to 8mmHg before fixation of the mesh to clearly identify the veins. The results before and after July 2014 were compared. Results: Demographic features were not significantly different between two periods. The number of hemipelvises in the first and second periods was 398 and 77, respectively. The rate of identification of venous corona mortis was 31% in the second period, whereas it was 1.0% in the first period (P=.000). The identification of thick (5.5% versus 10.3%; P=.123) and thin (22.8% versus 36.3%; P=.014) arterial structures and their sum were increased in the second period (28.4% versus 46.7%; P=.002). The rate of retropubic bleeding was zero in the second period, while it was 1.5% in the first period. Conclusions: During TEP hernioplasty, the pressure of insufflated gas more than 10mmHg in the preperitoneal space hinders the correct identification of vessels on the retropubic surface. The proposed maneuver, to decrease the pressure in the workspace to 8mmHg, can provide clear identification of all vessels, which decreases the potential risk of vascular injury.en_US
dc.identifier.doi10.1089/lap.2016.0080
dc.identifier.endpage984en_US
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue12en_US
dc.identifier.pmid27611721en_US
dc.identifier.scopus2-s2.0-85003475021en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage978en_US
dc.identifier.urihttps://doi.org/10.1089/lap.2016.0080
dc.identifier.urihttps://hdl.handle.net/11616/97621
dc.identifier.volume26en_US
dc.identifier.wosWOS:000390353700007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcorona mortisen_US
dc.subjectherniaen_US
dc.subjectpressureen_US
dc.subjecttotally extraperitoneal hernia repairen_US
dc.titleLow Pressure is Necessary to View and to Protect Corona Mortis During Totally Extraperitoneal Hernia Repairen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu