Author(s): Litwin DE, Pham QN, Oleniuk FH, Kluftinger AM, Rossi L
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Abstract OBJECTIVE: To describe the technique and results of laparoscopic transabdominal preperitoneal (TAPP) hernia repair. DESIGN: A case series, with a detailed description of the operative technique. SETTING: A university affiliated hospital. PATIENTS: A consecutive series of 554 patients (494 male, 60 female) who underwent laparoscopic hernia repair in a single institution. The mean follow-up was 14 months. INTERVENTIONS: Laparoscopic TAPP hernia repair was performed in almost all patients. Simple closure was performed in a patient with a strangulated hernia, and a mesh-based repair was used in a patient with bilateral obturator hernias. MAIN OUTCOME MEASURES: Complications and recurrence. RESULTS: The laparoscopic TAPP repair was successful in 550 of the 554 patients who underwent 632 hernia repairs. conversion was necessary in 4 patients. Complications were infrequent and there were no recurrences. Only 3.4\% of patients were lost to follow-up. The most frequent complications were urinary retention (27) and hematoma and seroma (38) in the early postoperative period. Neuralgia (11) and hydrocele (10) also occurred. Mesh infection occurred in only 1 patient and port-site hernias in 3 patients. there was 1 death from an acute myocardial infarction. CONCLUSION: Laparoscopic TAPP hernia repair is associated with an exceedingly low recurrence rate and an acceptable complication rate.
This article was published in Can J Surg
and referenced in Journal of Surgery