LAPAROSCOPIC AND ENDOSCOPIC EXTRAPERITONEAL INGUINAL HERNIA REPAIR
METİN ERTEM, NİHAT YAVUZ, TAYFUN KARAHASANOĞLU
İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Genel Cerrahi ABD, İSTANBUL
Objective: Laparoscopic hernia repair is the second most common laparoscopic operation following cholecystectomy. We present our technique and results in laparoscopic hernia repair.
Methods: Between 1993-1999,318 patients underwent 350 laparoscopic hernia repairs. All operations were performed by the same team and under general anesthesia The first 50 patients were treated using TAPP (transabdominal preperitoneal) technique and the remaining group using TEP(Total extraperitoneal) technique. All patients were repaired using keyhole prosthetic mesh and preparing the spermatic cord.
Results: Mean operating time was 43 minutes, mean following time was 38 months. The most common complication was seroma The overall complication rate was 7.2 %. Recurrence occurred in 0.6 % and was found to be due to technical insufficiency in two patients.
Conclusion: In conclusion, laparoscopic hernia repair gains its popularity showing all advantages of laparoscopic surgery and low recurrence rate though its financial disadvantage for our country.
Keywords: LAPAROSCOPY, EXTRAPERITONEAL, INGUINAL HERNIA REPAIR