Ocádiz CJ, Obregón MJG, González AJ, Rivera RJA, Arias GA, Vega JM, Decanini TCÓ

Language: Spanish
References: 15
Page: 190-194
PDF size: 521.43 Kb.

ABSTRACT

Introduction: There are few studies evaluating the utility of laparoscopic transabdominal preperitoneal approach (TAPP). The aim of this study was to determine the incidence of occult inguinal hernia during unilateral repair and its risk factors. Material and methods: Retrospective analysis of patients undergoing inguinal hernia repair by TAPP approach during the period from March 2005 to March 2012 by the same surgical team. Patients with previous inguinal repair or insufficient information were excluded. Results: The incidence of occult inguinal hernia was 33.3% in patients with preoperative diagnosis of unilateral hernia, the sensitivity of the physical examination was 69.7%, specificity of 94.2% and negative predictive value of 66.6%. Indirect hernia was found in most cases (59%). Risk factors identified were age less than 50 years (OR: 3.17, CI: 95% p = 0.01) and male gender (OR: 2.94, CI 95% p = 0.01). Conclusions: Knowledge of the incidence of occult inguinal hernia can influence the approach and preoperative patient information. The TAPP approach allows the simultaneous repair of hidden inguinal hernia and avoids a second operation.

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