Córdova GL

Language: Spanish
References: 11
Page: 63-67
PDF size: 166.90 Kb.

ABSTRACT

Introduction: In the last decades there have been changes in hernia surgery, the traditional techniques were displaced by the techniques without tension, reducing the rates of recurrence. Advances in endoscopic surgery have allowed the development of minimum access approaches applied to the inguinal hernia treatment. Two techniques are the most accepted, the transabdominal preperitoneal approach or TAPP and the totally extraperitoneal approach or TEP and its extended vision variant eTEP. Material and methods: A prospective, observational and descriptive study was conducted, which included patients who underwent endoscopic inguinal hernia repair with the total extraperitoneal extended vision approach (eTEP), between April 2017 and May 2018. They included patients of both genders, older than 18 years, with diagnosis of inguinal hernia. The following variables were analyzed: Age, sex, days of hospital stay, early and late complications, inguinodynia and recurrence. Results: Out of 20 patients operated, 85% were male, with an age average of 54 years and an average BMI of 27. The average surgical time was 145.9 minutes. Twelve patients (60%) underwent bilateral inguinal hernia repair and 8 (40%) were unilateral. The average hospital stay was 1.3 days. In the follow-up period from 1 to 13 months, two patients presented seroma as early complication, which were resolved conservatively. There were no infections, chronic inguinodinias or recurrences. Conclusions: In this initial report, we found that the eTEP technique, after good training has proved to be a reproducible technique with good final results.

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