Laparoscopic inguinal herniorrhapphy:a report of 56 cases

Objective: To investigate the effect and advantages of laparoscopic hernioplasty for inguinal hernia.Methods: From August 2001 to August 2004, 56 patients with inguinal hernia were treated with transabdominal preperitoneal laparoscopic mesh repair of hernia (TAPP) or totally extraperitoneal laparoscopic mesh repair of hernia (TEP). Of the 56 cases, 45 cases were indirect inguinal hernia, 8 cases were direct inguinal hernia and 3 cases were indirect and direct inguinal hernia.Results: All cases were operated successfully. TAPP was performed in 48 patients, TEP was performed in 8 cases. The mean operation time was 61.3±26.5(40180) minutes. The average postoperative stay was 4.3(27)days. The hydrops of remnant hernia cyst was found in 3 patients(5.4%) after operation. During followup of 136 months, 1 patient(1.8%) relapsed. Conclusions: Laparoscopic herniorrhapphy is safe and effective for inguinal hernia with advantages of low complication rate,quick recovery and low recurrence.