Publications of Faculty of Medicine:LAl'AROSCOI'lC INGUINAL HERNIA REPAIR A PRELIMINARY REPORT: Abstract

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Thirty patients (90% males and 10% females) with 34 inguinal hernias (4 had bilateral hernias) were the material of this stttdy. All patients were subjected to laparoscopic inguinal herniorrhaphies using synthetic polypropylene mesh secured with sleples for tensionless repair, following the surgical principles of preperiloneal herniorrhaphy. Postoperative pain and discomfort were minimal requiring little or no pain medication, with early ambulance. 80% of the patients were discharged after one day and returned to their preoperative activity within 3-7 days. No adhesive or mesh duplications occurred. 3 hernias recurred early at 2 to 4 months after operation and were operated upon by open hernia repair. 3 patients had sctotal seroma, one had inguinal hematoma. They were managed conservatively. 3 patients had transient testicular pain. The procedure and results were reviewed, with the conclusion that laparoscopic hernia repair is a safe and effective procedure. This repair should be considered preferential in many subsets of patients. However, laparoscopic hernia repair still has to be evaluated, regarding recurrence rate over a long period, which we did not in this study manage to achieve. Also we are hoping in the future to use much better instruments to facilitate our task in this narrow area.