Laparoscopic totalextraperitoneal inguinal hernia repair 72 cases report

Objective To study the successful experience and clinical effectiveness of laparoscopic total laparoscopic extraperitoneal repair (TEP) for inguinal hernia. Methods The clinical data of 72 cases (84 sides) of inguinal hernia treated by Laparoscopic total extraperitoneal hernia repair (TEP) ,from March 2005 to February 2011 in our hospital were retrospectively analyzed. Among the 72 patients,42 patients were with unilateral indirect hernia,18 patients with unilateral direct hernia,and 12 patients with bilateral inguinal hernia operations including 8 recurrent hernia. Results Of the 84 patients with TEP,3 cases were converted from TEP to transabdominal preper- itoneal hernia repair( TAPP) . The operation lasted for 35 to 155minutes with a mean of 73 minutes,and postoperative hospital stay of 3 to 8 days with a mean of 5. 5 days. The common complications were hematom or serom in inguinal area and scrotum,which was observed in 5 cases (6. 9% ) . All the patients were followed up for 3 to 65 months. No recurrence was observed. Conclusions The procedure of Laparoscopic total extraperitoneal hernia repair( TEP) is safe and effective with less pain,faster postoperative recovery,lower recurrence rate and less cost,therefore it is more easily acceptable by patients with inguinal hernia. TEP should be the main laparoscopic procedure for inguinal hernia repair.