scholarly journals Nylon-Darn herniorrhaphy: The method of choice in treatment of primary inguinal hernia

2008 ◽  
Vol 61 (11-12) ◽  
pp. 566-570
Author(s):  
Dejan Ivanov ◽  
Sinisa Babovic ◽  
Mirjana Ivanov
Keyword(s):  
Inguinal Hernia ◽  
Intraoperative Complications ◽  
Operative Procedure ◽  
Endocrine Surgery ◽  
Perioperative Mortality ◽  
Advantages And Disadvantages ◽  
Primary Inguinal Hernia ◽  
Clinical Center ◽  
The Mean ◽  
Novi Sad

Introduction Nylon-Darn herniorrhaphy is a classic, open technique, simple to perform with a low recurrence rate. It is a 'tension-free' method of herniorrhaphy. The aim of study was to analyze the results of Nylon-Darn herniorrhaphy at our clinic and point out advantages and disadvantages of the technique. Material and Methods This study, dating back to May 1999 and up to May 2005, included 116 patients who underwent Nylon-Darn herniorrhaphy for primary inguinal hernia. Patients were operated at the Clinic for abdominal and endocrine surgery, Institute of surgery, Clinical center Novi Sad and if without complications, left on the first postoperative day. Two patients had cholelithiasis and laparoscopic cholecystectomy was performed simultaneously. Intra- and postoperative complications were analyzed. Results The overall complication rate in our study was 22.4%. There was no perioperative mortality and intraoperative complications. The mean age of 112 males and 4 females was 51 years. An average duration of the operative procedure was 49.2 min, and the patients left hospital after 2.17 days. General endotracheal anestesia was performed in 69 cases and spinal in 47. Conclusion Based on the results of Nylon-Darn herniorrhaphy in our study and on the results in the literature, this technique could be the method of choice for primary inguinal hernia repair. It is suitable for registrars and young surgeons working in clinics not specialized in this pathology.

The Outcome Comparison of two Groups of total Extraperitoneal and Mesh Repair of Inguinal Hernia

2021 ◽  
Vol 15 (10) ◽  
pp. 2712-2714
Author(s):  
Muhammad Aamir Jamil ◽  
Muhammad Asif ◽  
Imran Yousaf ◽  
Muhammad Faheem Anwer ◽  
Muhammad Waseem Anwar
Keyword(s):  
Inguinal Hernia ◽  
Hospital Stay ◽  
Recovery Time ◽  
Mesh Repair ◽  
Operative Procedure ◽  
Total Extraperitoneal ◽  
Outcome Comparison ◽  
Group A ◽  
The Mean ◽  
Group B

Aim: The outcome comparison of total extraperitoneal versus mesh repair for inguinal hernia. Study design: Quasi experimental study. Place and duration of study: Department of Surgery, M. Islam Teaching Hospital, Gujranwala from March 2018 to March 2019. Methodology: After the approval of hospital ethical committee, a total of 50 patients were included and randomly divided into two groups equally. Group A (Total extraperitoneal), Group B (Mesh repair). An informed consent was taken from every patient about operative procedure and the outcome. A detailed history of the patient i.e. clinical examination, routine investigations (CBC, Urine R/E, urea, creatinine) and some specific investigations (chest X-ray, ECG and ultrasound abdomen and prostate) was done for surgery. All data of patients was collected on proforma and was analyzed with the help of a computer SPSS programme 20. Results: The mean age of patients was 34.22±11.54 years in group A and 35.63±11.25 years in group B. All male and female patients included in this study in both groups. Twelve (48%) of patients were direct inguinal hernia in group A 13(22%) were in group B and 14(56%) patients were in group A and 11(44%) patients were in group B. The mean±SD postoperative hospital stay was 24.48±4.62 in group A and 34.65±12.26 hours in group B (p 0.001). The mean±SD postoperative recovery time in weeks was 2.18±0.43 in group A and 2.90±0.46 weeks in group B (p 0.001). Only 2 (4%) patient had postoperative infection on first week and 4 (8%) patients had infection respectively. No recurrence was seen in group A and only 3% recurrence was in group B. Conclusion: It is concluded that group A had shorter hospital stay, recovery time, postoperative time and less infection rate as compared to group B. In group A 13% patients had severe pain and in group B 25% patients. Keywords: Inguinal Hernia, Total extraperitoneal, Mesh repair.

scholarly journals Effect of diode laser cyclophotocoagulation in treatment of patients with refractory glaucoma

2015 ◽  
Vol 72 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Vladimir Canadanovic ◽  
Ljiljana Tusek-Ljesevic ◽  
Aleksandar Miljkovic ◽  
Sava Barisic ◽  
Tatjana Bedov ◽  
...  
Keyword(s):  
Diode Laser ◽  
Panretinal Photocoagulation ◽  
Safe Procedure ◽  
Refractory Glaucoma ◽  
Group I ◽  
Clinical Center ◽  
The Mean ◽  
Group Ii ◽  
Novi Sad ◽  
Diode Laser Cyclophotocoagulation

Background/Aim. Refractory glaucoma is glaucoma resistant to conventional management (maximally tolerated medical therapy, one or more glaucoma surgeries) and glaucoma in cases of neovascularisation after panretinal photocoagulation or cryoablation. The aim of the study was to determine the intraocular pressure (IOP) lowering efficacy of transscleral diode laser cyclophotocoagulation (DCPC) treatment in the management of pain and IOP in patients with refractory glaucoma. Methods. This nonrandomized, retrospective study, included 95 patients (95 eyes) with refractory glaucoma treated at the University Eye Clinic, Clinical Center of Vojvodina, Novi Sad, Serbia, between November 2007 and November 2012 in accordance with the established protocols (16-18 spots, 270?, up to 5J of energy). All the eyes were treated with transscleral DCPC (Iris Medical OcuLight SLx, Iridex Co, Mountain View, USA). Patient's symptoms, bests corrected visual acuity and IOP were recorded 7 days, and 1, 3 and 6 months after the DCPC treatment. Results. Out of 95 patients (95 eyes) enrolled in this study 24 (25.2%) were with primary (the group I), and 71 (74.5%) with secondary (the group II) glaucoma. The mean baseline IOP in these two groups was similar: 36.08 ? 8.39 mmHg for the first group and 37.36 ? 8.19 mmHg in the second group. Measurement of the mean IOP in the group I showed the following results: on the day 7 it was 13.96 ? 8.30 mmHg (62.1% decrease of the baseline value), on the day 30 it was 18.44 ? 8.85 mmHg (48.9% decrease regarding the baseline value), after 3 months it was 22.44 ? 7.36 mmHg (37.8% decrease regarding the baseline value), and after 6 months it was 25.92 ? 7.65 mmHg (28.2% decrease regarding the baseline value). Measurement of IOP in the group II showed the following results: on the day 7 it was 15.77 ? 9.73 mmHg (57.8% decrease of the baseline value), on the day 30 it was 20.14 ? 10.20 mmHg (46.1% decrease regarding the baseline value), after 3 months it was 23.46 ? 9.83 mmHg (37.2% decrease regarding the baseline value) and after 6 months it was 27.23 ? 9.87 mmHg (27.2% decrease regarding the baseline value). Pain was the main symptom in 70 (73.6%) patients before the treatment and it persisted in only 4 (4.2%) of our patients. Other complaints (burning, stinging, foreign body sensation) were experienced by 39 (41%) of the patients, postoperatively. A total of 52 (54.7%) patients had no complaints after the treatment. Conclusion. Our study confirmed that transscleral DCPC is a useful, effective and safe procedure with predictable amount of IOP decrease, which makes it the treatment of choice for refractory glaucoma.

scholarly journals Perinatal follow up and neonatal outcomes of pregnancies with obstetric cholestasis

2021 ◽  
Vol 74 (1-2) ◽  
pp. 11-14
Author(s):  
Anita Krsman ◽  
Branislava Baturan ◽  
Ana Lazarevic ◽  
Zorica Grujic ◽  
Djordje Petrovic ◽  
...  
Keyword(s):  
Maternal Age ◽  
Acid Level ◽  
Distress Syndrome ◽  
Maternal Deaths ◽  
Bile Acid Level ◽  
Clinical Center ◽  
Fetal Complications ◽  
The Mean ◽  
Novi Sad

Introduction. Obstetric cholestasis is the most common liver disease during pregnancy, which is predominantly associated with fetal complications. Material and Methods. This retrospective study included a total of 44 pregnant women with obstetric cholestasis who gave birth at the Clinic of Obstetrics and Gynecology, Clinical Center of Vojvodina, Novi Sad, from January 1, 2014 to December 31, 2018. Results. The average maternal age was 34 years. The mean gestational age at diagnosis of obstetric cholestasis was 31 weeks, and at the time of delivery 35 weeks of gestation. Abdominal pruritus was the main symptom of the disease affecting 72.72% of patients. The mean bile acid level in the blood at the time of diagnosis was 25.26 ?mol/L. Twenty nine patients (65.90%) gave birth vaginally, while 15 (34.09%) underwent cesarean section. The main maternal complication was postpartum hemorrhage. The average blood loss was 567 ml. There were no maternal deaths or stillbirths. The average newborn birth weight was 2830 g. Respiratory distress syndrome was diagnosed in 8 newborns (15.09%). The mean Apgar score at 1minute was 7, while at 5 minutes it was 9. Conclusion. Individual approach, continuous clinical and laboratory monitoring with adequate therapeutic treatment are necessary in patients with obstetric cholestasis.

scholarly journals Shouldice, Lichtensteino ir laparoskopinių transabdominalinių preperitoninių kirkšninių išvaržų operacijų ankstyvieji rezultatai

2006 ◽  
Vol 4 (4) ◽  
pp. 0-0 ◽  
Author(s):  
Vytautas Lipnickas ◽  
Mindaugas Kiudelis ◽  
Andrius Gradauskas ◽  
Nerijus Kaselis ◽  
Kęstutis Strupas
Keyword(s):  
Clinical Trial ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Hospital Stay ◽  
Inguinal Hernia Repair ◽  
Operative Time ◽  
Intraoperative Complications ◽  
University Hospital ◽  
Early Results ◽  
The Mean

Vytautas Lipnickas1, Mindaugas Kiudelis2, Andrius Gradauskas3, Nerijus Kaselis4, Kęstutis Strupas11 Vilniaus universiteto ligoninės Santariškių klinikų Pilvo chirurgijos centras,Santariškių g. 2, LT-08661 Vilnius;2 Kauno medicinos universiteto klinikų Chirurgijos klinika;3 Vilniaus miesto universitetinė ligoninė;4 Klaipėdos miesto ligoninėEl paštas: [email protected] Įvadas / tikslas Kirkšninių išvaržų chirurginio gydymo būdų yra daug. Kuris geriausias – nėra aišku. Lietuvoje atlikta pirmoji daugiacentrė perspektyvioji atsitiktinių imčių klinikinė studija. Šio straipsnio tikslas – pateikti minėtos studijos, kurioje palygintos Shouldice, Lichtensteino ir laparoskopinės TAPP kirkšninių išvaržų operacijos, ankstyvuosius rezultatus. Ligoniai ir metodai 2003 metų sausio–gruodžio mėnesiais keturiose Lietuvos ligoninėse pagal Lietuvos bioetikos komiteto patvirtintą daugiacentrės perspektyviosios atsitiktinių imčių klinikinės studijos protokolą buvo operuoti 248 ligoniai. Operacijos atliktos pagal standartizuotus Shouldice, Lichtensteino ir laparoskopinės TAPP kirkšninių išvaržų operacijų protokolus. Rezultatai Ankstyvieji studijos rezultatai parodė, kad visos operacijos yra saugios. Statistiškai reikšmingas skirtumas gautas vertinant operacijos trukmę bei hospitalizacijos laiką – laparoskopinės TAPP operacijos trunka statistiškai reikšmingai ilgiau nei atvirosios, tačiau po laparoskopinių operacijų hospitalizacijos laikas yra statistiškai reikšmingai trumpesnis (p = 0,026 lyginant laparoskopines ir Lichtensteino operacijas). Ankstyvas pooperacinis skausmas statistiškai reikšmingai mažesnis (p < 0,05 po 8 val., p < 0,01 po 24 val.) buvo po laparoskopinių operacijų. Praėjus dviem savaitėms skausmą operacijos vietoje nurodė 36 (42,3%) pacientai po Shouldice operacijos, 23 (28,4%) – po Lichtensteino ir tik 2 (2,4%) – po laparoskopinės TAPP operacijos, o jokių skundų neturėjo atitinkamai 38 (44,7%), 45 (55,6%) ir 63 (76,8%) ligoniai. Išvados Laparoskopinė TAPP operacija yra mažiausią skausmą sukelianti ir labiausiai ligoniui patogi operacija; be to, po šios operacijos hospitalizacijos laikas yra trumpiausias. Tačiau operacija trunka statistiškai reikšmingai ilgiau ir jai atlikti reikia bendrinės nejautros. Reikšminiai žodžiai: kirkšninė išvarža, transabdominalinė preperitoninė (TAPP) hernioplastika, ankstyvieji rezultatai Early results of Shouldice vs Lichtenstein vs laparoscopic transabdominal preperitoneal inguinal hernia repair: multicenter randomized clinical trial Vytautas Lipnickas1, Mindaugas Kiudelis2, Andrius Gradauskas3, Nerijus Kaselis4, Kęstutis Strupas11 Vilnius University Hospital Santariškių Klinikos, Centre of Abdominal Surgery,Santariškių 2, LT-08661 Vilnius, Lithuania;2 Kaunas University of Medicine, Clinic of Surgery;3 Vilnius City University Hospital;4 Klaipėda City HospitalE-mail: [email protected] Background / objective Open anterior inguinal hernia repair is a time-tested, safe and well-understood operation with a high success rate, while laparoscopic techniques are fairly recent; their short- and long-term outcomes are still being evaluated, but the best method of inguinal hernia repair is still unclear. Methods A prospective randomized multicenter clinical trial was performed in four surgical centers of Lithuania. Patients were operated on from January to December, 2003. Intraoperative, early and late postoperative complications, time of operation, hospital stay, postoperative pain evaluation, frequency of recurrence and changes of quality of life of laparoscopic TAPP (n = 82), Lichtenstein (n = 81) and Shouldice (n = 85) hernia repair were compared. Results The mean operative time in the laparoscopic TAPP group was significantly longer than the mean operative time in Lichtenstein and Shouldice hernia repair group. There were no major intraoperative complications and only two postoperative wound infections in the Shouldice and Lichtenstein group. There was no difference in the frequency of minor intraoperative and early postoperative complications in the groups. The mean pain scores in the laparoscopic TAPP group were significantly lower than the corresponding scores in the Lichtenstein and Shouldice group (p < 0.05 at 8 h after operation and p < 0.01 at 24 h after operation). Statistically significant differences were found in hospital stay, the shortest stay being recorded in the laparoscopic TAPP group (p = 0.026 comparing laparoscopic TAPP and Lichtenstein hernia repair). 36 (42.3%) patients in the Shouldice and 23 (28.4%) in the Lichtenstein group felt a moderate or mild pain 2 weeks postoperatively, while there were only 2 (2.4%) patients with a mild pain in the laparoscopic TAPP group. There were 38 (44.7%) patients in the Shouldice group, 45 (55.6%) in Lichtenstein group and 63 (76.8%) patients in laparoscopic TAPP group without any complaint after 2 weeks. There were no recurrences at 2 weeks postoperatively. Conclusions The laparoscopic TAPP, Lichtenstein and Shouldice hernia repair are equally safe and have no major intraoperative complications. The laparoscopic TAPP inguinal hernia repair is associated with less postoperative pain and sensitivity disorders, shortest hospital stay, but it requires general anaesthesia and a longer operating time. Keywords: groin hernia, transabdominal preperitoneal (TAPP) hernioplasty, early results

scholarly journals The outcomes of triplet pregnancies

2020 ◽  
Vol 73 (5-6) ◽  
pp. 153-157
Author(s):  
Anita Krsman ◽  
Branislava Baturan ◽  
Djordje Petrovic ◽  
Djordje Ilic ◽  
Bojana Gutic ◽  
...  
Keyword(s):  
Average Birth Weight ◽  
Clinical Center ◽  
Prophylactic Cerclage ◽  
Average Body Mass ◽  
The Mean ◽  
Novi Sad ◽  
Gestational Age At Birth ◽  
Age At Birth ◽  
Average Body ◽  
Postpartum Hysterectomy

Introduction. Extensive use of assisted reproduction has resulted in an increased incidence of triplet pregnancies, which are associated with higher risk of complications in mothers and newborns. Material and Methods. A retrospective study reviewed a total of 85 triplet pregnancies delivered at the Department of Obstetrics and Gynecology, Clinical Center of Vojvodina, Novi Sad, from January 1, 2010 to December 31, 2017. Results. The average maternal age was 32 years and the average body mass index was 30.56 kg/m2. The average gestational age at birth was 32 weeks. One patient (1.18%) had vaginal delivery, while 84 (98.82%) pregnancies were completed by cesarean section. The average blood loss was 1294 ml and there was one postpartum hysterectomy. The most common maternal pregnancy-induced complications were sideropenic anemia (70.58%), hypertensive syndrome (40%) and obstetric cholestasis (35.29%). Preterm premature rupture of membranes was observed in 17 (20%) patients. Prophylactic cerclage was performed in 57 patients (67.05%) and 12 patients (14.11%) received tocolytic therapy. The average birth weight of the first newborn was 1838 g, 1755 g of the second, and 1695 g of the third. Body weight ? 1500 g was observed in 61 newborns (24.01%). The mean Apgar score in the first minute was 7, while in the fifth minute it was 8. Respiratory distress syndrome was found in 64 newborns (25.19%). Conclusion. Monitoring and treatment of triplet pregnancies remains a complex task for obstetricians due to the increased incidence of prematurity and perinatal morbidity.

scholarly journals Comparison of conventional balloon method and Dulucq method for extraperitoneal access for laparoscopic total extraperitoneal repair of inguinal hernia

2017 ◽  
Vol 4 (8) ◽  
pp. 2791
Author(s):  
Chirag B. Kakadiya ◽  
Dilip B. Choksi ◽  
Amul Bhedi ◽  
Sushil Damor
Keyword(s):  
Inguinal Hernia ◽  
Veress Needle ◽  
Tep Repair ◽  
Advantages And Disadvantages ◽  
Total Extraperitoneal ◽  
Peritoneal Space ◽  
The Mean ◽  
Time Required ◽  
Mean Time ◽  
Laparoscopic Tep

Background: Laparoscopic inguinal hernia repair has been shown to be slightly superior to open approaches. The aim of study is to compare advantages and disadvantages between two methods of extra peritoneal access for TEP repair of inguinal hernia using conventional balloon device method and using Dulucq method.Methods: This is a prospective study. It was conducted from June 2014 to November 2016 at SSG Hospital Vadodara. Total 50 patients of inguinal hernia taken for laparoscopic TEP repair among them patients were divided in two groups by envelop method of randomization, in 25 patients extra peritoneal space was created by balloon method and in 25 patients extra peritoneal space was created by veress needle or Dulucq method.Results: The mean time taken for extra peritoneal space creation by balloon method was 13.12 minutes and the mean time taken for extra peritoneal space creation by veress needle method was 9.32 minutes. The mean total operative time required for TEP by balloon method was 66.7 minutes and that for, TEP with veress needle method was 53 minutes.Conclusions: Total time for extraperitoneal space creation by Dulucq method is less as compared to balloon method of extraperitoneal space creation in laparoscopic TEP repair of inguinal hernia.

scholarly journals Laparoscopic totally extraperitoneal repair of inguinal hernia using three-dimensional mesh: a 5 years experience at a tertiary care hospital in Kashmir, India

2018 ◽  
Vol 5 (3) ◽  
pp. 1016
Author(s):  
Iqbal Saleem Mir ◽  
Tajamul Rashid ◽  
Irfan Nazir Mir ◽  
Suhail Nazir ◽  
Imtiyaz Ali ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Intraoperative Complications ◽  
Three Dimensional ◽  
Care Hospital ◽  
3D Mesh ◽  
The Mean

Background: Inguinal hernia repair by laparoscopy is gaining acceptance worldwide. A flat mesh used in laparoscopic inguinal hernia repair is associated with more complications especially early and late postoperative pain owing to the need of mechanical fixation of this mesh. A three-dimensional mesh in this context is an emerging alternative which needs no or minimal fixation.Methods: A retrospective study of 123 patients was carried out from July 2012 to August 2017. All patients who underwent TEP by a single surgical team using three-dimensional mesh were included in the study. Data collected was analysed retrospectively.Results: Out of a total of 123 patients, 114 patients had unilateral hernia and 9 had bilateral hernia. A total of 132 laparoscopic hernia repairs were done using three-dimensional mesh. All the patients were male aged 29 to 75 years with a mean age of 51.5 years. Indirect hernias were more common comprising of 87.7%. The mean operative time was 46.9 minutes. The average mesh fixation time was 12.6 minutes. No major intraoperative complications were noted in any of the patients. Three patients (2.45%) experienced severe postoperative pain. Most of the patients 117 (95.12%) were discharged within 24 hours of surgery. Mean hospital stay in our study was 1 day. The mean length of follow-up was 12 months. Mild persistent groin pain was found in four patients (3.25%). Seroma was noted in five patients (4.06%). Hematoma and wound infection was noted in none. One patient (0.81%) had recurrence after completion of follow up. We found use of 3D mesh costly.Conclusions: Laparoscopic inguinal mesh hernioplasty using 3D mesh is a viable alternative of hernioplasty with minimal post-operative pain and recurrence and using 3D mesh has a technical advantage of easy insertion in an anatomically correct position with minimal fixation.

Advantages and limitations of the endoscopic tympanoscopy a prospective study

2020 ◽  
Vol 1 (1) ◽  
pp. 012-017
Author(s):  
Najib Zouhair ◽  
Anass Chaouki ◽  
Amine M’khatri ◽  
Youssef Oukessou ◽  
Sami Rouadi ◽  
...  
Keyword(s):  
Middle Ear ◽  
Operating Time ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Invasive Approach ◽  
Intraoperative Bleeding ◽  
Advantages And Disadvantages ◽  
Early Return ◽  
The Mean ◽  
Endoscopic Tympanoplasty

Tympanoplasty is one of the most performed procedures in ENT. The aggressiveness of its microscopic approach has led otologists to adopt the endoscopic approach as a less invasive alternative. The purpose of this work is to appreciate the advantages and disadvantages of this surgical technique. We conducted a prospective descriptive cross-sectional study on 20 interventions within the ENT department of August the 20th 1953 Hospital of Casablanca from April 2019 to June 2019. The average age of operated patients was 36.3 years. Perforations were unilateral in (71%) of the cases with a predominance of the anterior (29%) and subtotal (36%) locations. The tympanoplasties were performed by 3 different senior otologic surgeons, and were left in (57%). The mean operating time was (59.5 min) and the mean anesthesia duration was 75.1 min. Intraoperative vision allowed us to fully visualize the margins of all perforations (100%) and anatomical structures of the middle ear in almost all interventions. The first procedures carried out were filled with difficulties whose management of intraoperative bleeding was the main one in (42.8%) of the cases. (57%) procedures were described as easy. No complication was detected intraoperatively or immediately postoperatively. Endoscopic tympanoplasty has several advantages, including: Minimally invasive approach to the middle ear; panoramic perioperative vision; Gain of operating time; decrease in the duration of anesthesia; Valuable educational tool; postoperative comfort; Decrease in hospital stay and early return to daily activities; Better aesthetic rendering; cost and transportability. However, we also note a number of disadvantages of endoscopic tympanoplasty, particularly: performing the procedure with one hand; difficulty passing through the EAC; 2D vision that alters the perception of depth; management of intraoperative bleeding; fogging; learning curve.

LAPAROSCOPIC TRANS-ABDOMINAL PRE-PERITONEAL (TAPP) REPAIR FOR TREATMENT INGUINAL HERNIA DISEASE

2018 ◽  
Vol 8 (4) ◽  
pp. 76-80
Author(s):  
Thao Nguyen Minh ◽  
Vu Pham Anh ◽  
Tri Nguyen Huu ◽  
Phu Nguyen Doan Van ◽  
Phuc Nguyen Thanh ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Operative Time ◽  
Bilateral Hernia ◽  
Repair Method ◽  
Tapp Repair ◽  
Post Operation ◽  
Average Operative Time ◽  
The Mean

Background: Inguinal hernia is one of the commonest surgical diseases and there are many different techniques applied. The laparoscopic trans-abdominal pre-peritoneal (TAPP) repair allows a better view of the inguinal anatomy, evaluation of opposite side and resolve combined peritoneal diseases as well. Patient and method: The study included 60 cases with inguinal hernia that have been treated by laparoscopic transabdominal pre-peritoneal (TAPP) repair. Method: Description, prospective follow-up. Result: The mean age was 58±18.2. 96.7% were males. The average operative time was 45.6±15.1 minutes for one side hernia, 73±25.2 minutes for bilateral hernia. 02 cases have been post-operation inguinal seroma complication (3.3%), 02 cases with hydrocele (3.3%), 01 case with abdominal seroma (1.7%). 04 cases (6.7%) opposite inguinal hernia were detected and 05 cases (8.3%) with combined diseases were resolved. Duration of post-operative stay was 3.9±1.1 days. Conclusion: TAPP is a safe and feasible procedure, allows evaluation of opposite side and resolve combined peritoneal diseases.

Sign in / Sign up

Export Citation Format

Share Document