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SM ISO690:2012 GRATI, Serghei. Indicaţii şi contraindicaţii în tratamentul herniilor inghinale prin metoda laparoscopică total extraperitoneală (TEP)
. In: Analele Ştiinţifice ale USMF „N. Testemiţanu”, 2010, nr. 4(11), pp. 92-94. ISSN 1857-1719. |
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Analele Ştiinţifice ale USMF „N. Testemiţanu” | ||||||
Numărul 4(11) / 2010 / ISSN 1857-1719 | ||||||
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Pag. 92-94 | ||||||
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Indication and contraindications in inguinal hernia treatment with laparoscopic total extraperitoneal approach
The ideal method in addition should achieve these with the least invasion, pain or
disturbance of normal anatomy. Laparoscopic repair in expert hands is now quite safe and
effective, and is an excellent alternative for patients with inguinal hernias. It is more complex
and is not widely available. The public needs to be educated as to its advantages. All surgeons agree that for bilateral or recurrent inguinal hernias, laparoscopic repair is unquestionably the method of choice. Anterior repair of a recurrent hernia is a technically demanding operation and is associated with a much higher risk of regional nerve injury and testicular ischemia. The argument against its use for unilateral or primary inguinal hernias is unfounded if it is the best for bilateral hernias. |
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