Andrade CJA, Córdova GL, Mayagoitia GJC

Language: Spanish
References: 15
Page: 145-149
PDF size: 145.03 Kb.

ABSTRACT

Introduction: Endoscopic approaches continue to gain ground in the field of integral repair of the abdominal wall. Despite the existence of multiple surgical techniques, the totally extraperitoneal approach of extended vision appears as the technique with the greatest advantages and safety for the patients. We present our initial experience with this technique. Material and methods: This is a prospective, observational, and descriptive study of consecutive cases, with the diagnosis of inguinal hernia that underwent totally extraperitoneal endoscopic inguinal repair of extended vision during a period of 23 months. The following variables were analyzed: Age, sex, body mass index, characteristics and location of repaired hernias, days of hospital stay, early and late complications, inguinodynia and recurrence. Results: 75 hernias were repaired in 44 patients, being bilateral in 24 cases (55%), 20 unilateral cases (45%), lateral/indirect hernias 46 cases (61.3%), 24 medials/direct (32%), three femoral (4%), one obturator (1.3%) and one hernia of Spiegel (1.3%). There were 41 primary hernias (93%), three recurrent (7%), and concurrent hernias were found in four patients (9%), these being obturators, femoral and Spiegel with an average surgical time of 127.4 minutes and 1.2 days of hospital stay. An average follow-up of six months (range of 1-16), early complications being observed in four cases; two uncomplicated seromas, one ecchymosis of the penis and scrotum and one retained hematoma that required surgical drainage. There were no late complications or recurrences. Conclusions: The eTEP hernioplasty represents a low complication rate technique and its critical vision allows a more adequate systematization of its reproducibility also its mastery and learning for the surgeon and his surgical team.

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