Assessment
Adult groin hernia remains a frequent condition in digestive surgery. Many repair techniques have been described to date including laparoscopic procedures. Two methods were quickly adopted by different practitioners for the surgical treatment of groin hernias by laparoscopy: the totally extra peritoneal laparoscopic method (PET) and the transperitoneal laparoscopic method (TAPP).
For minimally invasive surgery technique many of them have not received practical training with simulators resembling Lap Trainer Box.
The aim was to study the feasibility of laparoscopic groin hernia repair and to describe its results from the point of view of hernia recurrence and postoperative pain. This work was a retrospective, uni-centric, cross-sectional study of patients operated on by surgeons from the surgical department for laparoscopic groin hernia, over a period of 8 years from January 2006 to December 2013. The main outcome measure was hernial recurrence.
Postoperative pain and complications were secondary outcomes. We collected 104 hernias in 92 patients meeting the inclusion criteria of our study. The average age of our patients was 48 years (19-83). The TAPP approach was the most widely used: 94 cases (90%) TAPP versus 10 PET cases. No intraoperative complications were reported. The conversion rate for our series was zero. Operative mortality was also zero. Postoperative morbidity was 5% (5 patients). It had a hematoma type in 3 cases and serum in 2 cases. The mean hospital stay was 1.2 days (1-4 days). The postoperative stay had not exceeded 2 days in 94% of patients. Only 2 patients had presented a recurrence. Chronic postoperative pain was noted in only 3 patients.
Our study has shown that laparoscopic groin hernia treatment has brought considerable comfort to our patients with regard to painful phenomena, length of hospitalization and sick leave. The results obtained in this series are good and in line with the results already published in the literature. This encourages us to continue using these techniques and to monitor our results in the longer term. groin by laparoscopy has brought considerable comfort to our patients with regard to painful phenomena, length of hospitalization and sick leave.
The results obtained in this series are good and in line with the results already published in the literature. This encourages us to continue using these techniques and to monitor our results in the longer term. groin by laparoscopy has brought considerable comfort to our patients with regard to painful phenomena, length of hospitalization and sick leave. The results obtained in this series are good and in line with the results already published in the literature. This encourages us to continue using these techniques and to monitor our results in the longer term.
Cure of Hernias
The cure of hernias in the groin occupies an important place in the activity of a general surgery department. It is the additional most common intervention, coming in 2 nd place later appendectomies. It is estimated that 20 million inguinal hernias are operated on worldwide each year. Several repair techniques have been described. Two methods are currently in use: the totally extraperitoneal laparoscopic method (PET) and the transperitoneal laparoscopic method (TAPP).
Laparoscopic treatment of groin hernias has proven advantages over conventional methods: less aesthetic damage, less postoperative pain, faster resumption of physical, professional and sporting activity. The aim was to study the feasibility of laparoscopic groin hernia repair and to describe its results from the point of view of hernia recurrence.
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