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Laparoscopic total extra-peritoneal inguinal hernia repairs by a surgeon experienced at laparoscopic cholecystectomy
Mirza Hatif Shirazi1, Petra Marsh, Margerate Geraldine Keane
1Kent and Canterbury Hospital, East Kent University Hospital, NHS Foundation Trust. hathifshirazi@hotmail.com
Objective:
To measure standards achieved at total extra peritoneal hernia repair by a surgeon experienced in laparoscopic cholecystectomy, and to compare the results with standards identified by the National Institute for Clinical Excellence.
Methods:
The outcomes of the first 100 consecutive total extra-peritoneal hernia repair cases by the surgeon were retrieved retrospectively. The surgeries were conducted between January 2006 and July 2007. Data was collected 14 to 17 months post-surgery.
Results:
All patients were men with a median age of 58 years, ranging from 20 to 91 years. The maximum operating time was 75 minutes, while the minimum was 30 minutes. The conversion rate was 3% (n = 3) and the recurrence rate 4% (n = 4). Complications experienced included a chronic groin pain and one umbilical port-site haematoma.
Conclusion:
Though related to a single-surgeon experience, the study highlighted reduced preceptorship due to previous laparoscopic skills that were transferable. Patients should have a choice to opt for either open or laparoscopic inguinal hernia repair.