Repair of laparoscopic inguinal and femoral hernia

Özet

Introduction: Inguinofemoral hernia is one of diseases which are the most frequently treated in generalsurgery clinics. In order to decrease the risk of possible complications and the ratio of morbidity, an increasing number of centers now prefer laparoscopic hernia repairs. The aim of this study was to evaluatethe results of patients operated on with the laparoscopic total extraperitoneal (TEP) and transabdominalpreperitoneal (TAPP) techniques in the repair of inguinal and femoral hernia.Materials and Methods: The fies of 56 patients who were diagnosed with inguinofemoral hernia at the poly-clinic of general surgery between January 2000 and May 2002 with the complaints of pain and swelling inthe inguinal and femoral area and for whom TEP and TAPP repairs were performed in elective circumstanceswere reviewed retrospectively. The patients were evaluated in terms of age, gender, type of hernia, comorbidfactors, duration of the operation, duration of hospitalization, duration of active labor, postoperative earlyand late complications, and recurrence.Results: The median age of the patients included in this study was 45.5 years (range: 17–73 years) and themale/female ratio was 4.6. The TEP technique was used in 53 of the 56 patients with inguinofemoral herniaand TAPP was used in 3 cases. Eight patients had a bilateral inguinal hernia. The average duration of followup of the patients was 12 months (range: 2–24 months) and there was no instance of recurrence observedin this period. An early complication was seen in 5 of the 53 TEP patients and 2 of the 3 TAPP patients. Asuperfiial skin infection was seen in 1 patient in each group. A subcutaneous hematoma was observed inthe early period in 1 TAPP patient.Conclusion: In our study, minor complications occurred in the early postoperative period in patients whowere operated on with both the TEP and TAPP techniques, but no major complication was seen in any patient. The early complications were treated medically. Although the follow-up duration was short, no recurrence was determined.