P-045 LAPAROSCOPIC TAPP APPROACH FOR INGUINO-SCROTAL HERNIAS: IS IT A GOOD OPTION?

Abstract

Abstract Aim Hernial defects of the inguinal area have a high incidence, and of them inguino-scrotal defects are less frequent.The classic and most frequently used treatment is the open approach, however, during the last years the endoscopic management of this type of hernias is increasing, obtaining the advantages of MIS. Material and Method Retrospective study where we analyzed our database of patients diagnosed with inguino-scrotal hernia undergoing laparoscopic surgery using the TAPP-approach. Results 8patients with inguino-scrotal hernias were surgically operated on by laparoscopic TAPP approach.Age: 67(RIQ: 39–72.5years)).LOS: 1. In 75% of patients the duration of surgery was longer than 60minutes.Postoperative complications: scrotal seroma(37.5%), scrotal hematoma(62.5%), Clavien-Dindo≥III: 0%, SSI(0%). Hernia recurrence: 0%. Conversion:0%.Both patients who presented seromas and hematomas in the scrotal region resolved spontaneously after the first and second months. We performed a comparative analysis between the group of patients operated on for inguino-scrotal hernias versus patients without this type of hernia, both treated by laparoscopic TAPP approach, and observed that patients with inguino-scrotal hernias presented a higher incidence of global complications(50%vs. 4.3% p<0.05),scrotal seroma(37.5% vs.7.2% p=0.008) and hematomas inguino-scrotal(62.5% vs.4.3% p<0.05), all of them with statistically significant differences, however, no differences were found in terms of LOS, serious complications or hernia recurrences. Conclusions The laparoscopic TAPP approach to inguino-scrotal hernias is a valid, safe and effective option, and although it presents a high incidence of postoperative scrotal seroma, these are usually resolved conservatively without the need for reoperation.