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Laparoscopic inguinal hernia repair: a prospective evaluation at Eastern Nepal
Vikal Chandra Shakya1, Shasank Sood1, Bal Krishna Bhattarai2
1Department of Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
The Pan African Medical Journal
|August 30, 2014
Summary
Laparoscopic inguinal hernia repair is a safe and effective minimal access surgery option. This study shows good outcomes with low recurrence and no neuralgia in a developing country setting.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Gastrointestinal Surgery
Background:
- Traditional open inguinal hernia repair methods include herniorrhaphy and hernioplasty.
- Minimal access surgery has become a growing trend in hernia repair over the past decade.
Purpose of the Study:
- To evaluate the safety and efficacy of laparoscopic inguinal hernia repair.
- To assess outcomes of laparoscopic repair in a developing country setting.
Main Methods:
- Prospective descriptive study of 50 patients with reducible inguinal hernias.
- Patients aged >18 years were offered a choice between laparoscopic or open repair.
- Laparoscopic repairs included totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) approaches.
Main Results:
- 50 patients underwent laparoscopic inguinal hernia repair.
- Conversion rates to open repair were low (4% TEP, 0% TAPP).
- Low recurrence rate (2%), no postoperative neuralgias, and short hospital stays were observed.
Conclusions:
- Laparoscopic inguinal hernia repair is a safe and viable option in developing countries.
- Both TEP and TAPP approaches can be successfully implemented with modifications.
- Minimal access surgery offers favorable outcomes for inguinal hernia treatment.

