Laparoscopic totally extraperitoneal prosthesis:a report of 54 cases

Objective To examine the use of totally extraperitoneal endoscopic hernioplastry(TEP) and its postoperative complications,in order to obtain better and more stable experience in treatments.Methods A total of 54 patients with inguinal hernia underwent laparoscopic extraperitoneal inguinal hernia repair in our hospital.The types of hernias were 41 indirect inguinal hernias(including 5 bilateral hernia) and 13 direct inguinal hernias(including 4 bilateral hernia).Results Among 54 cases of TEP,2 cases was converted to transabdominal preperitoneal prothesis(TAPP).The operations lasted for 62(40 to 130) minutes.The patients stayed in hospital for 3.6(3 to 7) days.The patients were given analgesics for 0.8(0 to 4) times.There were 2 chronic slight pain in inguinal region(3.17%).The most common complication was seroma,which appeared in 15 cases(23.8%).No recurrent cases happened in the follow-up period of 2 to 14 months.Conclusion TEP technique is safe with low recurrence,less postoperative pain,better postoperative functional status,and shorter sick leave time.