This journal only 2017, Number 2 Rev Mex Cir Endoscop 2017; 18 (2) Total extraperitoneal endoscopic inguinal hernia repair (TEP). Our experience with the first 100 cases in a second level hospital Díaz MJ, Ramírez CG Full text How to cite this article Language: Spanish References: 14 Page: 73-77 PDF size: 252.19 Kb. Key words: Hernia, inguinal hernia, endoscopic surgery, total extraperitoneal hernia repair. 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. REFERENCES Awad SS, Fagan SP. Current approaches to inguinal hernia repair. Am J Surg. 2004; 188: 9S-16S. Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am. 2003; 83: 1045-1051, v-vi. Dulucq JL, Wintringer P, Mahajna A. Laparoscopic totally extraperitoneal inguinal hernia repair: lessons learned from 3,100 hernia repairs over 15 years. Surg Endosc. 2009; 23: 482-486. Mayagoitia JC. Hernias de la pared abdominal, tratamiento actual. 3a ed. Cd. de México: Editorial Alfil; 2015. Tamme C, Scheidbach H, Hampe C, Schneider C, Köckerling F. Totally extraperitoneal endoscopic inguinal hernia repair (TEP). Surg Endosc. 2003; 17: 190-195. Gass M, Rosella L, Banz V, Candinas D, Güller U. Bilateral total extraperitoneal inguinal hernia repair (TEP) has outcomes similar to those for unilateral TEP: population-based analysis of prospective data of 6,505 patients. Surg Endosc. 2012; 26: 1364-1368. Daes J. The extended-view totally extraperitoneal (eTEP) technique for inguinal hernia repair. Hernia. Springer International Publishing; 2016. pp. 467-472. Ferzli GS, Massad A, Albert P. Extraperitoneal endoscopic inguinal hernia repair. J Laparoendosc Surg. 1992; 2: 281-286. McKernan JB1, Laws HL. Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach. Surg Endosc. 1993; 7: 26-28. Ali SM, Zendejas B, Yadav S, Hernandez-Irizarry RC, Lohse CM, Farley DR. Predictors of chronic groin discomfort after laparoscopic totally extraperitoneal inguinal hernia repair. J Am Coll Surg. 2013; 217: 72-78; discussion 78-80. Zamora-Amorós C, Calado-Leal C, Riquelme AL, Lozano JC, Martín RR, Esteve MD. Cirugía endoscópica totalmente extraperitoneal de la hernia inguinal: resultados de 250 hernioplastias. Cir Esp. 2012; 90:501-505. Rutkow IM. Epidemiologic, economic, and sociologic aspects of hernia surgery in the United States in the 1990s. Surg Clin North Am. 1998; 78: 941-951, v-vi. Liem MS, van Steensel CJ, Boelhouwer RU, Weidema WF, Clevers GJ, Meijer WS et al. The learning curve for totally extraperitoneal laparoscopic inguinal hernia repair. Am J Surg. 1996; 171: 281-285. Zhu X, Cao H, Ma Y, Yuan A, Wu X, Miao Y et al. Totally extraperitoneal laparoscopic hernioplasty versus open extraperitoneal approach for inguinal hernia repair: a meta-analysis of outcomes of our current knowledge. Surgeon. 2014; 12: 94-105.