Gallo KJG

Language: Spanish
References: 10
Page: 59-62
PDF size: 227.16 Kb.

ABSTRACT

Introduction: Since the first published laparoscopic surgery of a hernia by Dr. Ralph Ger in 1982, endoscopic inguinal hernia surgery has had more interest and development in recent years. There are two techniques for inguinal hernias repair: The transabdominal preperitoneal or TAPP and the total extraperitoneal or TEP. In 2012, Daes published a modification to the TEP technique, which obtained a complete view of the surgical field and provides flexibility when placing trocars that was called totally extraperitoneal extended vision technique or eTEP. We report our initial experience with this technical novelty. Material and methods: A retrospective, descriptive, observational and cross-sectional study from July 2016 to March 2018 of patients operated with the eTEP technique without cutting the arch of Douglas in any case. The following variables were analyzed: Age, sex, surgical time, type of hernia, intraoperative and postoperative complications. Results: 20 patients were operated, 18 (90%) male and two (10%) female. The average surgical time was 45 min. None of the patients required conversion to an open procedure. The types of hernia according to the classification of the European Hernia Society were 75% direct (M) and 25% indirect (L), 90% primary (P) and 10% recurrent (R). Ten percent of patients developed postoperative seroma and none complained of inguinodynia. A recurrence occurred seven days after surgery. Conclusions: eTEP hernioplasty is reproducible and good results are obtained with few complications. More randomized studies with group controls are required to evaluate this technique.

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