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ISSN 1665-2576 (Print)

2001, Number 2

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Rev Mex Cir Endoscop 2001; 2 (2)

Laparoscopic approach. Current status and perspectives

López CJA, Guzmán CF, Ortiz LA

Language: Spanish
References: 23
Page: 71-74
PDF size: 35.93 Kb.


ABSTRACT

Two events have come together to transform the traditional hernioplasty, mesh placement and tension free repair. These new techniques gained popularity in the early 90’s as they are safe, effective and reproducible and recurrence rates less than 1%. With the advent of Laparoscopy the posterior repairs were now approached endoscopically thus giving birth to the Transabdominal Preperitoneal and Totally extraperitoneal techniques. It is calculated that 17% of the endoscopic surgeons in the United States are performing the endoscopic approach for hernia repair and less than 1% in Latin American. The learning curve in this approach is steep and is further prolonged by misinformation about cost and safety issues. It is now known the laparoscopic approach competes adequately with the open repair. It has distinct advantages over the latter because of the benefits of minimal access. It is superior in bilateral inguinal pathology, recurrent and non-diagnosed hernias. When cost benefit and quality of life are included in the analysis, the Laparoscopic approach is the better option. We have restructured the teaching method in our training center to beat the learning curve and convert the laparoscopic approach into an easier and reproducible technique, all for the benefit of the patient.


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