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. |
