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ISSN 1665-2576 (Print)

2004, Number 2

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Rev Mex Cir Endoscop 2004; 5 (2)

Technical and anatomic details of the inguinal laparoscopic repair. Ten years experience

Rojas DO, González AJM, Cervera SJA, Farrera GJ, Romero MR, Rodríguez DM, Rodríguez LA, Morales QJH, CarlosHurtado Reyes

Language: Spanish
References: 30
Page: 71-77
PDF size: 205.63 Kb.


ABSTRACT

Objective: To report technical and anatomic details and results of a 10 year follow-up of laparoscopic transabdominal preperitoneal (TAPP) method for repairing inguinal hernia. Design: It was performed a multicentric, prospective, longitudinal and observational, no randomized and non comparative study. Setting: Third level health care private hospitals. Material and methods: Between May 1993 to October 2003, 574 consecutive and non selective patients who were submitted to 722 laparoscopic transabdominal preperitoneal repairs of inguinal hernia. Results: There were 241 females and 333 males with a mean age of 44 years. We found 277 indirect hernias, 161 directs, 102 mixed and 37 crural; 145 were bilateral. The complications were divided in transoperatory and postoperatory. There were (3.7%) 19 with hypercapnia and 1 hemorrhage. And there were 8 postoperative complications (1.3%), five recurrences (0.8%), one conversion (0.1%). There was not mortality. Conclusions: The results of the median follow-up show that the laparoscopic transabdominal preperitoneal repairs of inguinal hernia using the surgical technique described is a safe and effective method.


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