Rangel OG, García MCJN, Alanís RB, Rivera GR, Valladares IS

Language: Spanish
References: 16
Page: 21-25
PDF size: 219.5 Kb.

ABSTRACT

Despite the studies that show a low incidence of complications, relapses and the benefits of minimally invasive surgery, laparoscopic inguinal plasty (LIP) is rarely performed in our country. The objective of the study is to describe the experience of the LIPs carried out in two teaching hospitals of the Mexico City Ministry of Health (MCMH). A descriptive and retrospective study of the elective LIPs carried out in this mentioned hospitals over over six years was conducted, describing the demographic and surgical variables and complications; with a one-year follow-up. 105 patients were included; 26 (24.76%) female and 79 (75.24%) male; with an mean age of 47.16 (SD 13.76, 17-73) years; 26 (24.76%) patients presented bilateral hernia and 79 (75.24%) unilateral hernias. There were 63 (60%) unilateral TAPPLIP (transabdominal preperitoneal LIP), 6 (5.72%) single port TAPPLIP, 10 (9.52%) total extraperitoneal LIP (TEPLIP), 21 (20%) bilateral TAPPLIP and 4 (3.8%) bilateral TEPLIP, one patient had a right LIPTAPP and left Lichtenstein open plasty. Peritoneal flap closure in 41 (39.05%) was performed with tackers and 50 (47.61%) with endoscopic suture. The mean surgical time was 87.85 (SD ± 36.18, 40-210) and the mean estimated blood loss was 53.09 (SD ± 37.19, 5-200). Of all patients, three (2.85%) presented recurrence and 10 (9.52%) formed seroma; no other major complications (vascular or intra-abdominal organ injuries) or other minor ones (hematoma, surgical site infection or inguinodynia during followup) were recorded. The present study shows the feasibility of this approach in our teaching hospitals with results comparable to the literature; with low incidence of complications, recurrences and with the benefits of the laparoscopic approach.

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