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Related Experiment Videos

Day-case laparoscopic hernia repair in a single unit.

J M McCloud1, D S Evans

  • 1Department of General Surgery, The Royal Shrewsbury Hospital NHS Trust, Mytton Oak Road, Shrewsbury, Shropshire SY3 8XQ, United Kingdom.

Surgical Endoscopy
|November 5, 2002
PubMed
Summary

Transabdominal preperitoneal (TAPP) laparoscopic hernia repair is a safe day-case procedure for unilateral, bilateral, and recurrent groin hernias. This method allows for contralateral groin inspection and repair, demonstrating suitability for outpatient surgery.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Oncology
  • Gastroenterology

Background:

  • Laparoscopic groin hernia repair is established as safe and well-tolerated.
  • This study focuses on transabdominal preperitoneal (TAPP) mesh repair performed as day-case surgery.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of laparoscopic transabdominal preperitoneal (TAPP) mesh repair for groin hernias in a day-case setting.
  • To assess the suitability of TAPP repair for unilateral, bilateral, and recurrent hernias as outpatient procedures.

Main Methods:

  • Retrospective analysis of 984 TAPP mesh repairs performed on 769 patients.
  • Data collection included operating time, conversion rates, admissions, readmissions, reoperations, analgesia requirements, and recurrence rates.

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Main Results:

  • Mean operating times were 25 minutes for unilateral and 38 minutes for bilateral repairs.
  • Low rates of conversion (3), admission (39), and reoperation (3) were observed.
  • A low recurrence rate of 8 hernias was reported, with minimal postoperative analgesia required.

Conclusions:

  • Laparoscopic TAPP hernia repair is suitable for day-case surgery across unilateral, bilateral, and recurrent hernia types.
  • The TAPP technique facilitates contralateral groin inspection and simultaneous repair of occult defects.
  • Outpatient laparoscopic hernia repair offers a safe and effective treatment option with good patient outcomes.