Laparoscopic Management of Groin Hernias Our Early Experience
Introduction: Worldwide, more than 20 million patients undergo inguinal hernia repair annually. The problem of our age is to find an operation that is simple, does not require implantation of a foreign body like mesh and does not produce major complications during or after surgery. While not all hernias require repair, the overwhelming majority of patients will develop symptoms from their hernia which will lead them to seek surgical intervention. There are a variety of surgical techniques available for the repair of inguinal hernias, each with their own set of benefits and challenges. This is our experience in laparoscopic management of groin hernias.Material: Prospective study of 47 patients with clinical diagnosed as groin hernia subjected to different laparoscopic techniques for groin hernia from June 2018 to December 2021. The main outcome measurements included the following: operative time, conversion to open, hospital stay, time to return to daily activity and complication like hernia recurrence, vascular injury and mesh infection.Inclusion Criteria: All patients with Groin hernias who were managed by TEP or TAPP during the period of study. They were bilateral cases, recurrent hernias, unilateral hernia which are direct or indirect inguinal hernias or both and unilateral femoral hernias.Results: A total of 47 patients with groin hernias were corrected with different laparoscopic procedures either TEP or TAPP. They were 43 males and 5 females. The age range was variablefrom 33 to 52years (mean 42.32 – 46.46 years). Allcases were completed laparoscopically with mean operative time of 77.03 minutes withmajor intraoperative complications being bladder injury in 1 patient (2.12%) during who were among the early cases and others being Peritoneal tear occurred in 8 patient(17.02%) and injury to inferior epigastric in 2 patient(4.25%); and our major post-operative complication being mesh infection in 2 patient(4.25%) and recurrence in 1 patient(2.12%). Following laparoscopic management of groin hernia, we found out that the mean duration of hospital stay being 2.03 days and return to daily activity being ranging from 13.84 to 20.65 days.Conclusion: Our results lead us to believe that laparoscopic management of groin hernia is safe and effective with improving learning curve even though it represents a formidable surgical challenge. It enables the patient to have a better cosmetic outcome, early ambulation, return to daily activity. Hence with improving learning curve laparoscopic management of groin hernias may be a safe alternative to open hernioplasty.
How to Cite
Copyright (c) 2021 Hosni Mubarak Khan, BS Ramesh, Shashank Dev TS
This work is licensed under a Creative Commons Attribution 4.0 International License.