Original Article

J Minim Invasive Surg 2011; 14(2): 96-100

Published online December 15, 2011

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

서혜부 탈장 환자에 대한 전복막외접근 복강경 탈장교정술: 92예의 경험

김선국ㆍ박신희ㆍ최상용ㆍ김행수ㆍ김택현

광명성애병원 외과

Laparoscopic Totally Extraperitoneal Hernia Repair for Inguinal Hernia Patients: Results of 92 Cases

Seon Guk Kim, M.D., Sin Hui Park, M.D., Ph.D., Sang Yong Choi, M.D., Haeng Soo Kim, M.D., Taeg Hyun Kim, M.D.

Department of Surgery, Kwang-Myung Sung-Ae Hospital, Gwangmyeong, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: Laparoscopic totally extraperitoneal herniorrhaphy (TEP) was developed as an alternative treatment of inguinal hernias to open hernia repair. This study evaluated 92 cases of laparoscopic surgery to determine the effectiveness and safety of laparoscopic TEP.
Methods: Laparoscopic TEP was performed on 92 patients with inguinal hernias from January 2008 to December 2010. Through a retrospective study of these patients, information om TEP repair was collected including the patients' characteristics, operation time, hospital stay, analgesic use and related complications.
Results: Laparoscopic herniorrhaphy were performed on a total of 92 patients (85 men and 7 women, age ranging from 16 to 83 years, with a mean of 56 years). The mean operation time for a unilateral inguinal hernia and bilateral inguinal hernia was 58.7 and 84.2 min, respectively. The mean postoperative hospital stay was 4.0 days (range, 2∼9 days). Thirty nine patients were discharged without an analgesic injection, whereas 36 patients were injected with analgesic on the day of surgery. Of these 92 procedures, 10 complications were recorded; one granuloma complication, two patients with operation site discomfort, five with urinary retention issues, one patient with a scrotal seroma, and one patient with scrotal edema.
Conclusion: TEP repairs have minimal morbidity and are more effective with less pain than the open procedure. TEP repair can be considered a favorable procedure for patients who request minimally invasive procedures for inguinal hernia repairs.

Keywords Laparoscopic herniorrhaphy, Totally extraperitoneal approach, Inguinal hernia

Article

Original Article

J Minim Invasive Surg 2011; 14(2): 96-100

Published online December 15, 2011

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

서혜부 탈장 환자에 대한 전복막외접근 복강경 탈장교정술: 92예의 경험

김선국ㆍ박신희ㆍ최상용ㆍ김행수ㆍ김택현

광명성애병원 외과

Laparoscopic Totally Extraperitoneal Hernia Repair for Inguinal Hernia Patients: Results of 92 Cases

Seon Guk Kim, M.D., Sin Hui Park, M.D., Ph.D., Sang Yong Choi, M.D., Haeng Soo Kim, M.D., Taeg Hyun Kim, M.D.

Department of Surgery, Kwang-Myung Sung-Ae Hospital, Gwangmyeong, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: Laparoscopic totally extraperitoneal herniorrhaphy (TEP) was developed as an alternative treatment of inguinal hernias to open hernia repair. This study evaluated 92 cases of laparoscopic surgery to determine the effectiveness and safety of laparoscopic TEP.
Methods: Laparoscopic TEP was performed on 92 patients with inguinal hernias from January 2008 to December 2010. Through a retrospective study of these patients, information om TEP repair was collected including the patients' characteristics, operation time, hospital stay, analgesic use and related complications.
Results: Laparoscopic herniorrhaphy were performed on a total of 92 patients (85 men and 7 women, age ranging from 16 to 83 years, with a mean of 56 years). The mean operation time for a unilateral inguinal hernia and bilateral inguinal hernia was 58.7 and 84.2 min, respectively. The mean postoperative hospital stay was 4.0 days (range, 2∼9 days). Thirty nine patients were discharged without an analgesic injection, whereas 36 patients were injected with analgesic on the day of surgery. Of these 92 procedures, 10 complications were recorded; one granuloma complication, two patients with operation site discomfort, five with urinary retention issues, one patient with a scrotal seroma, and one patient with scrotal edema.
Conclusion: TEP repairs have minimal morbidity and are more effective with less pain than the open procedure. TEP repair can be considered a favorable procedure for patients who request minimally invasive procedures for inguinal hernia repairs.

Keywords: Laparoscopic herniorrhaphy, Totally extraperitoneal approach, Inguinal hernia

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