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[Prosthetic bilateral laparoscopic hernioplasty. Extra-peritoneal approach]
M Rossi1, C Castoro, G Zaninotto
1Istituto di Chirurgia Generale II, Università di Padova.
Minerva Chirurgica
|March 1, 1997
Summary
Laparoscopic totally extra-peritoneal inguinal hernia repair is feasible for surgeons skilled in laparoscopy. However, its cost-effectiveness and patient benefits require further study in controlled trials.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
Context:
- Prosthetic mesh use is growing for inguinal hernia repair.
- Laparoscopic techniques offer new approaches to hernia repair.
Purpose:
- To evaluate the initial experience with a totally extra-peritoneal laparoscopic approach for bilateral inguinal hernia repair.
Summary:
- Ten patients with bilateral primary inguinal hernias underwent laparoscopic repair using a totally extra-peritoneal approach.
- Average operative time was 141 minutes; two cases required conversion to open surgery.
- Polypropylene mesh was successfully placed in 8 cases with no major complications and quick recovery.
Impact:
- Laparoscopic totally extra-peritoneal hernia repair is technically feasible for trained surgeons.
- The procedure's cost and demonstrated patient benefits (recovery, complications, recurrence) need validation through prospective trials.