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KMID : 0978820070100020089
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2007 Volume.10 No. 2 p.89 ~ p.93
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Initial Experience of Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair
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Shin In-Seok
Lee Sang-Mok
Choi Jae-Young
Choi Sung-Il
Hong Sung-Wha
Oh Soo-Myung
Yang Sun-Mo
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Abstract
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Purpose: Laparoscopic herniorrhaphy (LH) has become the usual procedure for repair of inguinal hernias in North America and Europe. However, LH was not generally performed domestically due to non-coverage by medical insurance and cost-effectiveness. Since June 2006, as insurance coverage for LH was available, we have performed ten laparoscopic totally extraperitoneal (TEP) hernia repairs.
Methods: A retrospective review of the ten consecutive patients that underwent laparoscopic TEP hernia repair from November 2006 to March 2007 was performed. Patient characteristics, surgical time, hospital stay, time to return to work, and postoperative complications were evaluated.
Results: Of the ten patients, nine patients were male and one patient was female, with an average age of 52.1 years (range, 21∼73 years). The patients presented with eight unilateral hernias and two bilateral hernias. There were three patients with a history of lower abdominal surgery, including a nephrectomy, appendectomy and herniorrhaphy. In one case, the TEP procedure was converted to the transabdominal approach due to adhesions from a previous nephrectomy as well as from gas leakage. All patients were operated under general anesthesia. The mean surgical time was 110.5 minutes (range, 70∼160 minutes). The mean postoperative hospital stay was 1.9 days (range, 1∼3 days) and the mean time to return to work was 9 days (range, 3∼20 days). Only one patient had a complication of an inguinal seroma.
Conclusion: We need more experience, but laparoscopic TEP hernia repair appears as a safe and effective procedure with less pain, excellent cosmesis, and less intraabdominal organ injury.
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KEYWORD
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Laparoscopic inguinal hernia repair, Totally extraperitoneal approach
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