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KMID : 0365719960120010016
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Journal of Pusan Surgical Society
1996 Volume.12 No. 1 p.16 ~ p.22
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Preliminary Report of Totally Extraperitoneal Laparoscopic Herniorrhaphy
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Abstract
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The evolution of a technique for laparoscopic inguinal hernia repair has been occuring over the past several years. With the development of Preperitoneal Distension Ballon (PDB) cannula, it is easy to obtain direct inguinal access without
transgressing
the peritoneal cavity and to perform tension-free inguinal hernia repair with minimal tissue injury.
To compare laparoscopic inguinal hernia repair with conventional surgery, fifty three adult patients with inguinal hernia who had been treated in Department of Surgery, Inje University College of Medicine, Pusan Paik Hospital for July 1993 to
December
1995 were evaluated retrospectively.
8 patients were repaired by Totally Extraperitoneal Laparoscopic Herniorrhaphy (Group 1). 11 patients by Laparoscopic Transabdominal Preperitoneal Herniorrhahy (Group 2), and 34 patients by conventional operative herniorrhaphy (Group 3).
In Group 1 and 2 all patients were repaired under the general anesthesia and in Group 3 one third patients were repaired under the regional anesthesia. Mean operation time was 102.5±25.5 minutes in Group 1,997±17.7 minutes in Group 2, and
65±23.7
minutes in Group 3, respectively (p=0.004). Mean postoperative hospital stay was 1.87±0.35 days in Group 1,225±0.7 days in Group 2, and 7.32±3.07 days in Group 3, respectively (p=0.001).
There was one conversion from laparoscopic to open surgery in Group 1. Most patients in Group 1 and 2 returned to normal activity within 1 week. There was no recurrence in each group.
Totally Extraperitoneal Laparoscopic Herniorrhaphy may have some advantages over the conventional. operative herniorrhaphy and Laparoscopic Transabdominal Preperitoneal Herniorrhaphy, and further investigation with long term follow-up is needed
to
assess the safety and efficacy of this technique.
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KEYWORD
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