Laparoscopic repair of inguinal hernias

[摘要] Introduction: a series of 53 laparoscopic hernioplasties was presented in this study, which were performed at "Enrique Cabrera" general teaching hospital.Objective: to determine the perioperative events, the surgical complications and the pain assessment of surgical patients.Methods: fifty three laparoscopic hernioplasties were performed in 35 patients from June 2009 to June 2011, of whom 17 suffered bilateral inguinal hernias. The following variables were considered: age, sex, type of hernia, perioperative events and complications; additionally, a pain evaluation scale was applied. A database was developed and the data was processed by using statistical methods.Results: males prevailed in a ratio of 5:1; the average surgical time was 53.5 minutes for unilateral and 71.3 minutes for bilateral hernias. The most frequent complication in transoperative period was slight bleeding in 28.3 % of cases and in the postoperative period, the hematoma was present in 15.1 % of patients, one hernia patient showed relapse (1.9 %). Fifteen day after the surgery, 91.4 % of the operated patients did not feel pain, but just 34 % of all the patients managed to go back to normal social and working activities.Conclusions: laparoscopic inguinal hernioplasty is another therapeutic option, mainly aimed at patients with bilateral and reproduced hernias.

[学科分类] 外科医学

[关键词] laparoscopic hernioplasty;inguinal hernia;herniary relapse.