Laparoscopic repair of inguinal hernias
DOI:
https://doi.org/10.24144/2415-8127.2018.58.70-72Keywords:
inguinal hernia, laparoscopic hernia repair, TAPP, long-term results.Abstract
Introduction. Modern methods of surgical treatment of inguinal hernias are associated with the wide introduction of non-persistent alloplastic, open, and laparoscopic methods, which greatly improved long-term results, significantly reducing the percentage of herniated recurrence and the occurrence of chronic post-operative inguinal pain syndrome. The aim of the study. Analyze the direct and long-term results of laparoscopic inguinal hernias repair using TAPP. Results and discussion. Among intraoperative complications in two cases there was a bleeding from the lower epigastric vein, which was successfully eliminated by fringing and dressing the latter. Postoperative complications (hematoma and postoperative wound infiltration) occurred in 8 (5.4%) cases. Long-term results were observed in 92 (68.1%) patients, including chronic inguinal pain in 3 (3.2%) cases and recurrence of hernia was observed in five (5.4%) patients. Conclusions. Laparoscopic inguinal hernias repair with appropriate logistical support and specialist training of surgeons may be an alternative to open-ended mesh techniques, surpassing them with better direct and long-term results.
References
Sajid MS, Kalra L, Parampalli U, et al. A systematic review and meta-analysis evaluating the effectiveness of lightweight mesh against heavyweight mesh in influencing the incidence of chronic groin pain following laparoscopic inguinal hernia repair. Am J Surg 2013; 205:726.
Bilianskyi LS, Perekhrestenko OV, Svisenko OV, Davydenko NH. Porivnialnyi analiz metodiv vidkrytoi ta laparoskopichnoi aloplastyky pakhvynnoho kanalu. Khirurhiia Ukrainy. 2011;3:7-9. [In Ukrainian]
Bansal VK, Misra MC, Babu D, Victor J, Kumar S, Sagar R, Rajeshwari S, Krishna A, Rewari V. A prospective, randomized comparison of long-term outcomes: chronic groin pain and quality of life following totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) laparoscopic inguinal hernia repair. Surg Endosc. 2013;27(7):2373-82.
Feleshtynskyi YaP, Svyrydovskyi SA. Otsinka efektyvnosti riznykh sposobiv aloplastyky pry pakhvynnykh hryzhakh. Khirurhiia Ukrainy. 2011;3:111-3. [In Ukrainian]
Rosenberg J, Bisgaard T, Kehlet H, Wara P, Asmussen T, Juul P et al. Danish hernia database recommendations for the management of inguinal and femoral hernia in adults. Dan Med Bull. 2011;58:C4243.
Salma U, Ahmed I, Ishtiaq S. A comparison of post-operative pain and hospital stay between Lichtenstein’s repair and Laparoscopic Transabdominal Preperitoneal (TAPP) repair of inguinal hernia: A randomized controlled trial. Pak J Med Sci. 2015;31(5):1062-6.
Nichitajlo ME, Bulik II. Sovremennye aspekty jendovideohirurgicheskogo lechenija slozhnyh i recidivnyh pahovyh gryzh. Klіn. hіrurgіja. 2010;3:10-6. [In Russian]
