Ramírez CFJ, Sánchez FNJ, Estrada GR, Guevara SGA, León CMR

Language: English
References: 15
Page: 150-154
PDF size: 191.63 Kb.

ABSTRACT

Introduction: The laparoscopic transabdominal preperitoneal approach (TAPP) for hernias of the inguino-femoral region is increasingly used for having first, a fast recovery and reincorporation to daily activities. The use of a self-fixating mesh could reduce the risk of chronic postoperative pain. We present a series of cases with the placement of this mesh and assess its results. Material and methods: We included patients operated with a preperitoneal transabdominal laparoscopic inguinal hernioplasty in a period of three years, with the same standardized technique using the self-fixating mesh. The following variables were analyzed: Sex, age, type of hernia, concomitant diseases, surgical time, postoperative complications, recurrences, length of hospital stay, and onset of oral intake. The postoperative follow-up was given at one week, one month and three months after surgery. Results: 101 patients were analyzed, 81 men (80.2%) and 20 women (19.8%), with an average age of 54 years. 136 plasties were operated on, since in 35 patients bilateral plasty was performed, 75 right and 61 left. The average surgical time was 57 minutes. Of the 101 patients, seven had recurrent inguinal hernia, operated with a Lichtenstein technique. As complications, eight patients (7.9%) presented seroma, one patient (0.9%) recurrence, one patient (0.9%) had pain in the testicular region that disappeared one month after surgery. Conclusions: We observed in this study that laparoscopic inguinal plasty TAPP using self-fixating mesh presents after a period of 18 months, a low rates of recurrence and seromas.

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