Laparoscopic transabdominal preperitoneal herniorrhaphy using abdominal wall-lifting method under regional...

Area of Science:

• Surgical Innovation
• Minimally Invasive Surgery
• Hernia Repair

Background:

• Groin hernias are common surgical conditions.
• Laparoscopic techniques offer potential advantages over open repairs.
• Regional anesthesia presents an alternative to general anesthesia for laparoscopic procedures.

Purpose of the Study:

• To evaluate the safety and efficacy of laparoscopic transabdominal preperitoneal herniorrhaphy using an abdominal wall-lifting method under regional anesthesia.
• To compare this technique with standard laparoscopic pneumoperitoneum under general anesthesia for groin hernia repair.

Main Methods:

• A series of 20 groin hernia repairs were performed using the abdominal wall-lifting technique under regional anesthesia.
• Procedures included direct, indirect, femoral, recurrent, incarcerated, and bilateral hernias.
• Outcomes were compared with a control group using pneumoperitoneum under general anesthesia.

Main Results:

• No intraoperative complications or conversions to open surgery were reported for either group.
• Operative time and postoperative hospital stay showed no significant differences between the two methods.
• The abdominal wall-lifting group experienced only temporary inguinal pain in 2 cases, with no recurrences at 8–17 months follow-up.

Conclusions:

• Laparoscopic transabdominal preperitoneal herniorrhaphy with abdominal wall-lifting under regional anesthesia is a safe and technically feasible option.
• This method provides comparable outcomes to standard laparoscopic procedures for groin hernia repair.
• The technique is a useful alternative for managing various types of groin hernias.