OC-028 LAPAROSCOPIC INGUINAL HERNIA REPAIR AS A DAY SURGERY PRACTICE

Abstract

Abstract Aim Up to 300 hernia operations are performed each year in Iatros Medical Center. In our clinic the standard TAPP laparoscopic technique as a day surgery is performed. Since May 2020, we have been actively collaborating with the Herniamed registry to follow up results of hernia repair. Methods and patients Between Sept 2020 and Feb 2022, 72 male patients were operated, using the TAPP technique. 21 to 86 years old underwent 100 hernioplasty (44 unilateral inguinal hernias and 27 bilateral), 35 hernias were direct (medial), and 65 hernias were indirect (lateral), 92 primary and 8 recurrent hernias. Prophylactic antibiotics were given as a single preoperative dose. All the patients were operated on under general anesthesia as day surgery cases. A Strict clinical protocol is followed for day surgery practice. Results The median age of patients was 53 years old, ASA 1–3. Participants were followed-up at 7 days and 12 mounts. There was no recurrence during follow- up of 2 to 17 months. One patient was diagnosed with postoperative dysesthesia in the right leg- dermatome L3, managed conservatively. Seven patients was diagnosed with acute pain (VAS 1–3) 7 days after surgery, two patients had a postoperative seroma and five patients had a hematoma around the ports, managed conservatively. Conclusion Day-surgery is as safe as an overnight stay in laparoscopic hernia repair under a strict clinical protocol of a day surgery practice. Low postoperative complications rates were found in our series.