Experience and results of laparoscopic inguinal herniorrhaphy

Héctor René Hazbón,David Felipe López-Atehortua

doi:10.15446/revfacmed.v65n3.56429

Héctor René Hazbón, David Felipe López-Atehortua

Open Access

https://doi.org/10.15446/revfacmed.v65n3.56429

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Abstract

Introducción. Con la invención de la cirugía poco invasiva, la herniorrafia inguinal por laparoscopia se ha convertido en un procedimiento de realización frecuente. En el presente artículo se publican los resultados de 92 herniorrafias inguinales por laparoscopia realizadas con técnica transabdominal preperitoneal (TAPP) entre agosto de 2001 y enero de 2014.Objetivo. Presentar resultados en cuanto a tasa de recurrencia, dolor post-operatorio y necesidad de conversión en las herniorrafias inguinales por laparoscopia analizadas.Materiales y métodos. Se analizaron de manera retrospectiva los resultados del procedimiento realizando técnica TAPP con seguimiento promedio de 8 años.Resultados. Se presentaron tres (3.2%) casos que requirieron conversión, tres (3.2%) de recurrencia y seis (6.4%) de dolor crónico.Conclusión. La herniorrafia por laparoscopia con técnica TAPP es un procedimiento seguro; esta tiene tasas similares de efectividad y complicaciones a la técnica abierta y totalmente extraperitoneal TEP.

Highlights

Due to the invention of minimally invasive surgery, inguinal hernia repair by laparoscopy has become a common procedure
Other techniques were developed with excellent results, including the totally extraperitoneal repair (TEP), transabdominal preperitoneal repair (TAPP), internal ring closure, mesh plugs and onlay mesh techniques
This study reports the experience gained by the authors while managing 92 cases of inguinal herniorrhaphy by laparoscopy using the TAPP technique from August 2001 to January 2014

Summary

Introduction

Due to the invention of minimally invasive surgery, inguinal hernia repair by laparoscopy has become a common procedure. This paper presents the results of 92 inguinal hernia repairs by laparoscopy performed using the transabdominal pre-peritoneal technique (TAPP) between August 2001 and January 2014. The history of studies and treatment attempts dates back to the fourth century BC with Hippocrates. In this period, anatomical descriptions were obtained through multiple studies in cadavers, as well as hundreds of fruitless procedures that included skin and herniary sac cuts —despite of not knowing its content—, which could lead to death. Other techniques were developed with excellent results, including the totally extraperitoneal repair (TEP), transabdominal preperitoneal repair (TAPP), internal ring closure, mesh plugs and onlay mesh techniques. The first two techniques use the principle described by Stoppa [10], which states that the mesh is placed in the preperitoneal space

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