Laparoscopic Transabdominal Preperitoneal Hernioplasty with Polypropylene Mesh
Keywords:
inguinal hernia; hernioplasty; laparoscopic surgery; inguinal herniorrhaphy using the transabdominal preperitoneal techniqueAbstract
Introduction: Laparoscopic inguinal hernia repair has become increasingly widespread worldwide, given the advantages of this minimally invasive method and its favorable outcomes.
Objective: To present the results of inguinal hernia repair using the transabdominal preperitoneal technique.
Methods: A descriptive, longitudinal, and retrospective study was conducted on a series of 250 patients diagnosed with inguinal hernias who were treated at the National Center for Minimally Invasive Surgery (January 2011 to December 2020) and underwent 286 hernioplasties using the transabdominal preperitoneal technique. The variables studied were age, sex, hernia type according to the Nyhus classification, type and method of mesh fixation, associated procedures, and intraoperative and postoperative complications.
Results: Males predominated (79.2%). In 46 patients (18.4%), the hernias were bilateral, and in three patients (1%), the hernias were recurrent. There were no major intraoperative complications. There was a low incidence of inguinodynia in two patients (0.6%). The most common postoperative complications were mild hematomas at the surgical ports and inguino-scrotal seromas. All patients underwent surgery on an outpatient basis with a short hospital stay.
Conclusion: Transabdominal preperitoneal hernioplasty is a safe and effective technique for the treatment of inguino-scrotal hernias, including bilateral and recurrent cases.
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