Abstract
Objective To investigate the clinical value of laparoscopic totally extraperitioneal inguinal hernia repair. Methods One hundred and eight patients who suffered from inguinal hcmia were treated with laparoscopic totally extraperitioneal inguinal hernia repair. The operation time, wound pain, postoperative recovery of independent function, complications and recurrence rate were studied. Results One hundred and five cases of inguinal hernia were performed the operation successfully, while three cases were converted to open surgery. The operating time was 55～110 minutes for unilateral hemioplasty, and 90～140 minutes for bilateral hemioplasty. Losing blood volume was 15～60 ml. Postoperative complications include 5 cases of hematoma of scrotum and 4 cases of seroma of scrotum. The average postoperative stay was 3～5 days. The follow-up period ranged from 2 to 50 months and no recurrence was observed. None of the follow-up patients complained long-term discomfort. Conclusions Laparoscopic totally extraperitioneal inguinal hernia repair is safe with less complications, low recurrence rate and excellent therapeutic effect. Key words: Inguinal hernia; Laparoscopy; TEP
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