Laparoscopic repair of strangulated hernias
- 251 Downloads
Although laparoscopic transabdominal preperitoneal polypropylene (TAPP) hernia repair is now a recognized procedure for groin hernia repair in patients undergoing elective surgery, there is a scarcity of data on TAPP repair in emergency situations such as those involving strangulated hernias.
Unless contraindicated, the authors’ department considers laparoscopic TAPP repair the procedure of choice for all strangulated hernias. A prospective database of 1,532 consecutive hernia repairs performed between May 1998 and April 2004 was reviewed.
A total of 28 irreducible strangulated hernias were observed and repaired through laparoscopic TAPP. There were three conversions (10.7%): one because of extensive adhesions and two because of bowel distention. Resection became necessary in 9 (36%) of the 25 cases involving effective TAPP repair of strangulated hernias. The mean operation time, with and without resection, was 103 and 55 min, respectively. The rate of postoperative morbidity was 4% because of one inguinal hematoma case. During a mean follow-up period of 340 days, there were no recurrences after TAPP repair.
For selected patients, the TAPP approach appears to be a good therapeutic option for strangulated hernias.
KeywordsEmergency Laparoscopy Strangulated inguinal hernia TAPP repair
- 1.Abramson JH, Gofin J, Hopp C, Makler A (1978) The epidemiology of inguinal hernia: a survey in Western Jerusalem. J Epidemiol Community Healt 32: 59–67Google Scholar
- 4.Dulucq JL (1991) Traitement des hernies de l’aine par mise en place d’un patch prothetique sous-peritoneal en retroperineo-scopie. Cahiers de Chir 79: 15–16Google Scholar