Surgical Outcome of Laparoscopic Transabdominal Preperitoneal Inguinal Hernioplasty in Zagazig University Hospitals

Ali, Hesham Abdel Azim Mohammed; Asaad, Fady Fayek; Gharib, Osama Hassan; Abdel Moneim, Hatem Mohamad

doi:10.21608/zumj.2020.42659.1940

Surgical Outcome of Laparoscopic Transabdominal Preperitoneal Inguinal Hernioplasty in Zagazig University Hospitals

Document Type : Original Article

Authors

¹ General surgery department, Faculty of medicine, Zagazig University, Zagazig, Egypt.

² General surgery department, Faculty of medicine, Zagazig university, Zagazig, Egypt.

³ General surgery department, faculty of medicine, Zagazig university, Zagazig, Egypt.

⁴ Department of General Surgery, Faculty of medicine, Zagazig University, Zagazig, Egypt

10.21608/zumj.2020.42659.1940

Abstract

Background: Inguinal hernia is a common condition that can be managed only via surgery. The results support the view that laparoscopic transabdominal pre-peritoneal hernioplasty is a safe and satisfying technique. As the surgeons become more experienced in this procedure, The complication rate reduces in comparison with that of open hernioplasty. Laparoscopic transabdominal preperitoneal hernioplasty is safe with less post-operative complications and associated with faster recovery and satisfaction as documented by less post-operative pain, earlier ambulation and discharge from hospital, and also early return to work.
Aim: To treat inguinal hernia more effectively with a minimally invasive approach and improve the quality life of patients and reduce complications and recurrence .
Methods: This study was conducted on 18 adult male patients presenting with inguinal hernias. These patients were admitted from those attending the surgical outpatient clinics of Zagazig university hospitals. Patients were subjected to inguinal hernioplasty using laparoscopic trans-abdominal preperitoneal approach.
Results: Out of 18 cases included; 7 cases had direct inguinal hernia while 11 cases were indirect. The operation time improved significantly with repeated training. There was early postoperative severe pain in one patient, 6 patients developed moderate pain, and 11 patients had mild pain on visual analogue score (VAS).
Conclusion: The present study supports the view that laparoscopic transabdominal pre-peritoneal hernioplasty of inguinal hernia is safe and efficient and has remarkable advantages over open hernioplasty and should be a viable option for all patients requiring elective hernia repair.

Keywords

Main Subjects