Assessment of laparoscopic hernia repair in bubonocele

Abstract

Back ground Inguinal hernias are one of the most common surgeries performed by a general surgeon. Repair of an inguinal hernia via surgery is the only treatment for inguinal hernias and can prevent incarceration and strangulation. Laparoscopic inguinal hernia repair has gained popularity with good results in terms of early return to work, reduced postoperative pain, decline in mesh infection and minimal recurrence. However, the routine use of laparoscopic inguinal hernia repair for the unilateral, uncomplicated hernia is a more controversial issue. Objective Assess the laparoscopic hernia repair in bubonocele in terms of risks, ease of technique, advantages and postoperative outcome including recovery time, postoperative complications, and short-term recurrence rate. Patients and methods This is a prospective cohort study was conducted from June 2022 till September 2022 and performed on a total of 20 patients who had inguinal hernia in bubonocele and were candidates for laparoscopic hernia repair. Results In the current study 20% of cases had bilateral inguinal hernia. As regards operative characteristics, our study results showed that the operative time ranged between 50 and 80 min in 75% of cases. There were no significant intraoperative complications, however, a mild bleeding was recorded only in one (5.0%) case and was easily managed intraoperatively, operating surgeons reported satisfaction and operation ease in 55% of cases. As regards postoperative characteristics, our study results revealed that almost all cases (100.0%) had stayed in the hospital 1 day only, majority of cases (85.0%) had resumed their daily activity and work within 2–4 days after the discharge date with no significant postoperative complications. mild seroma was reported in one (5.0%) case only, mild port site wound infection in one (5.0%) case only, pain was reported in one (5.0%) case only, and all these complications were managed conservatively and completely resolved during the follow up period. Ultimately, laparoscopic transabdominal preperitoneal repair showed good cosmetic outcome with good patient satisfaction in 80% of cases with no short-term recurrence. Conclusion We concluded that transabdominal preperitoneal repair of inguinal hernia was a safe, effective, feasible, and successful with the advantages of less hospital stay and less operative time. Moreover, it is associated with minimal intraoperative and postoperative complications.