>Year 2005, Issue 4
Castillo GA, Maldonado VA, Cornejo LG, Cortés RP
Five-years experience in the surgical management of inguinal hernias by means of laparoscopic technique
Cir Gen 2005; 27 (4)
PDF: 4. Kb.
Objective:To report on the experience in the laparoscopic treatment of inguinal hernias.
Design:Descriptive, retrospective, and transversal study.
Statistical analysis:Percentages as summarizing measure for qualitative variables.
Methodology:A retrospective analysis was made of the inguinal hernia cases operated through laparoscopy in the last 5 years. We reviewed the clinical records of the patients operated from January 5, 2000 to April 15, 2005. The following variables were analyzed: age, gender, type of hernia, surgical technique, date of surgery, complications, recurrence, and follow-up of patients.
Results:There were 96 patients, the most frequent types of hernia were: 25 cases of right indirect inguinal and 23 cases of bilateral inguinal hernias. The most used technique was totally extraperitoneal (TEP) in 97%. Follow-up was of 4 months to 5 years. Complications occurred in nine cases and recurrence in only one patient. The average disabling time averaged 1 week.
Conclusion:Morbidity was of 9.3% and required no surgical re-intervention; recurrence had a 1.04% frequency. These data indicate that this procedure is safe and effective.
||Inguinal hernia, laparoscopic technique.
French Associations for Surgical Research. Oberlin P, Boudet MJ, et al. Recurrence after inguinal hernia repair: prognostic facts in a prospective study of 1,706 hernias. abstract. Br J Surg 1995; 82(Suppl 1): 65.
Friis E, Lindahl F. The tension-free hernioplasty in a randomized trial. Am J Surg 1996; 172: 315-9.
Cunningham J, Temple WJ, Mitchell P, Nixon JA, Preshaw RM, Hagen NA. Cooperative hernia study. Pain in the postrepair patient. Ann Surg 1996; 224: 598-602.
Kumar S, Wilson RG, Nixon SJ, Macintyre IM. Chronic pain after laparoscopic and open mesh repair of groin hernia. Br J Surg 2002; 89: 1476-9.
Rowntree CLG. National Program for Physical Fitness. Revealed and developed on the basis of 13,000,000 physical examinations of selective service registrants. JAMA 1944; 125: 821-7.
Sondenaa K, Nesvik I, Breivik K, Korner H. Long-term follow-up of 1,059 consecutive primary and recurrent inguinal hernias in a teaching hospital. Eur J Surg 2001; 167: 125-9.
Condon RE, Nyhus LM. Complications of groin hernia. In: Nyhus LM, Condon RE, ed. Hernia. 4th ed. Philadelphia: J.B. Lippincott, 1995: 269-82.
Amid PK, Shulman AG, Lichtenstein IL. Open “tension-free” repair of inguinal hernias: the Lichtenstein technique. Eur J Surg 1996; 162: 447-53.
Kark AE, Kurzer MN, Belsham PA. Three thousand one hundred seventy-five primary inguinal hernia repairs: advantages of ambulatory open mesh repair using local anesthesia. J Am Coll Surg 1998; 86: 447-55; discussion 456.
Liem MS, van der Graaf Y, van Steensel CJ, Boelhouwer RU, Clevers GJ, Meijer WS, et al. Comparison of conventional anterior surgery and laparoscopic surgery for inguinal-hernia repair. N Engl J Med 1997; 336: 1541-7.
Laparoscopic versus open repair of groin hernia: a randomized comparison. The MRC Laparoscopic Groin Hernia Trial Group. Lancet 1999; 354: 185-90.
McCormack K, Scott NW, Go PM, Ross S, Grant AM; EU Hernia Trialists Collaborations. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev 2003; (1): CD001785.
Fitzgibbons RJ Jr, Camps J, Cornet DA, Nguyen X, Litke BS, Annibali R, et al. Laparoscopic inguinal herniorrhaphy. Results of a multicenter trial. Ann Surg 1995; 221: 3-13.
Castillo A. Hernioplastía inguino-crural posterior por laparoscopia; abordaje preperitoneal con globo de distensión (T.E.P). En: Roesch F, Abascal R. Hernias de la pared abdominal. México: Manual Moderno; 2001: 185-94.
>Year 2005, Issue 4