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Laparoscopic indirect hernia repair: an evaluation of the ring closure technique
1Department of Surgery, King Khalid University Hospital, Riyadh, Saudi Arabia. kmurshid@yahoo.com
Background:
The treatment of indirect inguinal hernias offers a wide variety of surgical methods to choose from. The author has chosen the procedure combining most of the advantages and the fewest disadvantages while at the same time being simple. It entails a simple closure using laparoscopic intraperitoneal intracorporeal suturing of the defect (the internal ring) with nonabsorbable material.
Patients And Methods:
Forty-eight hernias were treated by laparoscopic intracorporeal closure of the internal ring using nonabsorbable suture. No mesh was used. The mean age of the patients was 41.9 years with a mean duration of symptoms of 44.9 months. The mean operating time was 67 minutes per hernia, and the postoperative hospitalization was 1.9 days. The mean follow-up was 32.67 months.
Results:
Only one hernia recurred (2%). None of the patients developed serious complications, and only 10 patients complained of port site discomfort.
Conclusions:
Our results indicate that the laparoscopic internal ring closure method is simple, safe, and effective in treating indirect inguinal hernias. In addition, it appears to be cost effective.