Stoppas Procedure: Place in present era

Abstract

Background: Inguinal hernias are frequently encountered disease. When not treated may lead to their complications like obstruction and strangulation. Though there has been extensive search but no one has been able to find the ideal way to repair inguinal hernia. Aim: To evaluate and analyze the effectivity of Stoppa procedure in the management of bilateral inguinal hernia. Patients and methods: study was carried out between October 2011 and January 2013. Hundred patients of bilateral inguinal hernia were operated using Stoppa Technique. Of these 12 were cases of recurrent hernia. The parameters evaluated were operative time, length of hospitalization, minor complications, recurrence and chronic groin pain. Results: The outcome at the end of 1 yr follow-up was good. Average duration of surgery was 38.5 min. In the early post operative period 3 patients had seroma, 3 patients had spinal headache, and a single case of urinary retention. 93 patients were discharged on the day after operation. At the end of 2 year follow-up none had recurrence or chronic groin pain. Conclusions: Stoppa procedure is an operation devised to cure hernias and also prevented other types of hernia occurring through myopecteneal orifice. Its low complication and recurrence rates have made it an attractive option for hernia therapy.