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Laparoscopic inguinal herniorrhaphy with mesh: an 18-month experience
1Central Plains Clinic, Sioux Falls, SD.
Journal of Laparoendoscopic Surgery
|August 1, 1993
Summary
Laparoscopic inguinal hernia repair using a large stapled patch technique demonstrated excellent outcomes. This method resulted in minimal pain, short disability periods, and no recurrence in follow-up, making it a safe and effective surgical option.
Area of Science:
- Laparoscopic surgery
- Hernia repair
Background:
- Inguinal hernias are common surgical conditions.
- Laparoscopic techniques offer potential advantages over open repairs.
Purpose of the Study:
- To evaluate the outcomes of laparoscopic inguinal hernia repair using a large stapled patch technique.
- To assess recurrence rates, postoperative pain, disability, and complications.
Main Methods:
- A retrospective review of 135 laparoscopic inguinal hernia repairs in 110 patients over 18 months.
- Procedures included repairs for indirect, direct, bilateral, scrotal, and recurrent hernias.
- Repair types varied: plug only, plug and patch, and large stapled patch.
Main Results:
- No recurrences were observed at 6 and 12 months postoperatively.
- 96% of unilateral repairs had 4-10 days of disability, with patients returning to unrestricted duties.
- 53% of patients required minimal or no analgesics; only four significant complications occurred.
Conclusions:
- The large stapled patch technique for laparoscopic inguinal hernia repair is associated with minimal pain and disability.
- This approach offers a safe and effective alternative for various types of inguinal hernias, including recurrent cases.