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Laparoscopic hernia repair

M S Kavic1

  • 1Ohio Valley General Hospital, McKees Rocks, PA 15136.

Surgical Endoscopy
|May 1, 1993
PubMed
Summary

Laparoscopic transabdominal preperitoneal hernia repair (LTPR) shows encouraging initial results for various hernia types. This single-surgeon study found no intraoperative complications, with low rates of postoperative issues and recurrences.

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Area of Science:

  • Surgical Innovation
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Hernia repair is a common surgical procedure.
  • Laparoscopic transabdominal preperitoneal hernia repair (LTPR) offers a minimally invasive approach.
  • Assessing the safety and efficacy of LTPR is crucial for patient outcomes.

Purpose of the Study:

  • To evaluate the outcomes of laparoscopic transabdominal preperitoneal hernia repair (LTPR).
  • To assess the complication rates and recurrence following LTPR.
  • To determine the feasibility of LTPR performed by a single surgeon.

Main Methods:

  • A consecutive series of 101 laparoscopic transabdominal preperitoneal hernia repairs (LTPR) in 62 patients.
  • Procedures included repairs for direct, indirect, femoral, umbilical, sliding, and incisional hernias.
  • Data collected on intraoperative and postoperative complications, and hernia recurrences.

Main Results:

  • No intraoperative complications or conversions to open surgery were reported.
  • Low rates of postoperative complications including transient testicular pain, paresthesias, and urinary retention.
  • Two hernia recurrences were observed in the series.
  • Follow-up ranged from 6 to 17 months with encouraging initial results.

Conclusions:

  • Laparoscopic transabdominal preperitoneal hernia repair (LTPR) is a safe and effective procedure.
  • The technique demonstrates a low complication and recurrence rate.
  • Initial results suggest LTPR is a viable option for a range of hernia types.

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