P-053 LAPAROSCOPIC APPROACH WITH EXTRAPERITONEAL PREFERENCE AS A STANDARD INDICATION FOR PATIENTS WITH INGUINAL HERNIA. OUR FIRST RESULTS

Abstract

Abstract Aim Laparoscopic inguinal repair originated in the early 80's, but despite the time elapsed its use is not generalized, although more groups are adopting it as the technique of choice. With this wordk we seek to analyze our results after generalizing the laparoscopic approach. Material & Methods Descriptive and retrospective study of patients electively operated by Totally Extraperitoneal (TEP) or Transabdominal Preperitoneal (TAPP) repair, between January 2020 and December 2022, for primary or recurrent inguinal hernia. Results A total of 138 patients underwent surgery, 92.8% male, mean age 60.7 (SD 11.9) years. Of these, 113 had unilateral hernia and 25 bilateral. In 115 (83.3%) the hernia was primary. The mean operative duration was 61.3 (SD 24.3) minutes, and 2 complications (1 right inferior epigastric artery injury on postoperative day 10 and 1 intraoperative ligament bleeding). There were 3 TEP to TAPP conversions and 3 recurrrences (1 no surgery due to patient refusal, 1 repair by anterior approach and another reoperated by TAPP). At one month possoperatively, 87.7% reported no or mild pain, 113 patients being discharged. The average follow-up wa 83.1 (SD 129.2) days. When analyzing the specific approach, TEP was predominant: 110 (79.7%) with similar postoperative results of pain vs TAPP although with significantly shorter operative duration: 53.1 vs 68.9 minutes (p <0.001). Conclusions Inguinal laparoscopy in our setting is safe and effective in the short term for primary repair. Our results support laparoscopic repair with TEP as the first choice and TAPP as an alternative.