Surgical Results of Total Extraperitoneal Hernia Repair in 115 Inguinal Hernia Patients

Objective: Inguinal hernia is one of the most commonly encountered pathologies in general surgery. There are 2 main types of repair procedure: open and laparoscopic inguinal hernia repair. This study is an analysis of the results of perioperative and postoperative surgical results of patients who underwent a laparoscopic total extraperitoneal hernia (TEP) hernia procedure. All of the procedures were performed by a single surgeon. Methods: The data of 115 patients with an inguinal hernia who underwent a laparoscopic TEP repair at a single general surgery outpatient clinic between March 2012 and June 2018 were evaluated retrospectively. Results: Of 115 patients, 30 had bilateral inguinal hernias and 85 had unilateral inguinal hernias. All of these patients were operated on laparoscopically by the same surgeon. A low rate of recurrence and surgical complications was found, which is consistent with the literature. Conclusion: Repair of an inguinal hernia with the laparoscopic TEP technique is a safe and practical method with appropriate patient selection and adequate surgical experience. The advantages include decreased postoperative pain, earlier return to daily activities, and better cosmetic results

nguinal Hernisi olan 115 Hastanın Total Ekstraperitoneal (TEP) Fıtık Tamirinin Cerrahi Sonuçları

Amaç: Kasık fıtığı genel cerrahide karşılaşılan en sık cerrahi patolojilerin başında gelmektedir. Kasık fıtığının açık ya da laparoskopik olmak üzere başlıca iki tip tamir yöntemi bulunmaktadır. Biz bu çalışmamızda aynı cerrah tarafından laparoskopik total ekstraperitoneal (TEP) tekniğiyle yapılan hastaların ameliyatta ve ameliyat sonrası cerrahi sonuçlarını paylaşmayı amaçladık. Gereç ve Yöntem: Bu çalışmada genel cerrahi polikliniğinde Mart 2012 ile Haziran 2018 tarihleri arasında kasık fıtığı tanısı almış ve laparoskopik TEP tekniği ile fıtık tamiri endikasyonuna uygun olan 115 hastanın verileri geriye dönük olarak değerlendirildi. Bulgular: Yüz on beş hastanın 30’unda iki taraflı, 85’inde tek taraflı kasık fıtığı mevcut olup hastaların hepsine aynı cerrah tarafından TEP tekniğiyle laparoskopik kasık fıtığı onarımı yapılmıştır. Literatür ile uyumlu olarak nüks oranı ve cerrahi komplikasyon düşük olarak bulunmuştur. Sonuç: Laparoskopik TEP tekniğiyle kasık fıtığı tamiri uygun hasta seçimi ve yeterli cerrahi tecrübe ile güvenli bir şekilde uygulanabilir bir yöntemdir. Avantajları ise daha az ameliyat sonrası ağrı, günlük aktivitelere daha erken dönüş ve daha iyi kozmetik sonuçlardır.

Kaynakça

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Kaynak Göster

Southern Clinics of Istanbul Eurasia
  • ISSN: 2587-0998
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2017

1b367

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