Díaz MJ, Ramírez CG

Language: Spanish
References: 14
Page: 73-77
PDF size: 252.19 Kb.

ABSTRACT

Background: The endoscopic approach for inguinal hernia repair, is an effective and safe procedure according to worldwide literature reports. In spite of this, it is not a well-accepted method in our time. The goal of this study is to analyze the results of the total extraperitoneal endoscopic inguinal hernia approach in a second level hospital population. Material and methods: This is a retrospective, observational and descriptive study from January 2010 to March 2017 at the Tacuba General Hospital. All patients that underwent a total extraperitoneal endoscopic inguinal hernia repair were included. Demographic variables analyzed (age, sex, weight, comorbidities), surgical variables (hernia type according to Nyhus classification, surgical time, bleeding and conversion) and post-op variables (hospital stay, disability, post-op complications and follow-up). The follow-up was searched through the outpatient medical files in the General Surgery Service. Results: 100 patients were approached with this technique. 92% had indirect hernias, 8% direct, 98% were primary hernias and 2% recurrent. According to Nyhus classification; 85% were type II, 8% type I, 5% type IIIa and 2% type IV. The surgical time average was 81 minutes. Only 2 cases were converted to open; one of them due to difficulties in content reduction and the other for multiple adherences to the hernia sac. Hospital stay with an average of 24.9 hours and surgical complications of 2%, being wound hematoma the most frequent. Follow-up average was 27 months with no recurrences found so far. Conclusions: According to those results in this series, we found that total extraperitoneal endoscopic inguinal hernia repair (TEP) is a method that was feasible to reproduce in our institution with encouraging results. Therefore this procedure could be considered as an alternative for inguinal hernia repair in our midst.

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