Özgür ÖZDAMAR, Eşref Oğuz ÖZGÜR, Erdal Onur Ali ÇAY, Ali Galip DENEÇLİ

LAPAROSKOPİK İNGUİNAL HERNİ ONARIM TEKNİĞİ VE KLİNİK SONUÇLARIMIZ

Laparoskopik inguinal herni onarımı ilk kez 1982 yılında Ger tarafından uygulanmıştır. 1990’da Popp tıkaç ve yama tekniğini, Fitzgibbons da IPOM Intraperitoneal Onlay Mesh tekniğini tarif etmiştir. Bugün için en popüler teknikler ise TAPP Transabdominal preperitoneal onarım ve TEP Total ekstraperitoneal onarım teknikleridir. Bu çalışmada Nisan 2002 / Temmuz 2003 tarihleri arasında laparoskopik inguinal herni onarımı yaptığımız 26 hastanın klinik sonuçlarını değerlendirdik. Tekniği elektif hasta grubuna uyguladık. Acil ve nüks olgulara bu tekniği uygulamadık. 24 olguya total ekstraperitoneal TEP , 2 olguya ise transabdominal preperitoneal onarımı TAPP uyguladık. Mortalite veya major peroperatif komplikasyon gözlemedik. 1 olguda %4 erken dönemde yetersiz fıtık kesesi diseksiyonuna bağlı olarak nüks gözledik

Anahtar Kelimeler:

İnguinal herni, laparoskopi, preperitoneal onarım, transabdominal yaklaşım

LAPAROSCOPİC INGUİNAL HERNİA REPAİR TECHNİQUE AND OUR CLİNİCAL RESULTS

Laparoscopic inguinal hernia repair has been first performed by Ger in 1982. In 1990 Popp has described plug and patch technique, and Fitzgibbons has described IPOM Intraperitoneal Onlay Mesh technique. But the most popular techniques for today are TAPP Transabdominal preperitoneal repair and TEP Total extraperitoneal repair . In thıs study, we evaluated clinical results of 26 patients that we performed laparoscopic inguinal hernia repair between April 2002 and July 2003. We performed this technique to a group of elective patients. We did not perform this technique to urgent or recurrent patients. We performed totally extraperitoneal repair TEP to 24 patients and transabdominal preperitoneal repair TAPP to 2 patients. We did not observe any mortality or major peroperative complication. We observed recurrence at 1 patient %4 in early period because of inadequate hernia sac dissection

Keywords:

Inguinal hernia, laparoscopy, preperitoneal repair, transabdominal approach,

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