Bernal GR

Language: Portugués
References: 22
Page: 110-112
PDF size: 103.22 Kb.

ABSTRACT

Introduction: Twenty-two references were reviewed dealing with the laparoscopic management of the inguinal hernia. The notion that inguinal hernias must be operated when diagnosed to avoid complications, such as intestinal obstruction, incarceration or strangling of the hernia content, has been questioned recently. Many surgeries were started through the laparoscopic approach, and inguinal herniorrhaphy was no exception. Nowadays, the main indications for laparoscopic herniorrhaphy are: 1. Recurrent inguinal hernia after an open herniorrhaphy. 2. Bilateral hernias. 3. The presence of an inguinal hernia in a patient needing laparoscopy for another procedure, as for example cholecystectomy. A hard to define issue is the use of laparoscopic herniorrhaphy for a non-complicated unilateral hernia. Although the totally extraperitoneal (TEP) technique avoids many problems associated with laparoscopy, since the abdominal cavity is not penetrated, the peritoneum is kept intact and can be performed under local anesthesia, many surgeons are still skeptic regarding the benefits of laparoscopic herniorrhaphy for a non-complicated hernia.
Conclusions: There is enough clinical evidence to support the use of laparoscopic herniorrhaphy as a reasonable option to repair a non-complicated inguinal hernia. The question is whether these benefits exceed the increase in risk and cost.

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