Introduction:

Inguinal hernia are the 75% of the abdominal wall hernia, with a risk during all life of 27% in male gender and 3% in female. The treatment of this disease is one of the most common procedures in the world. At 90´s, the evolution of the minimal invasive approach ends with the laparoscopic surgery appearance.

Objective

: to describe our initial experience in the laparoscopic approach of inguinal hernia

Patients and method:

An observational, retrospective study of 25 patients who underwent TAPP or TEP approach for hernia disease.

Results:

All of 25 patients were male gender. The average of disease evolution until surgery was 20 moths. Pre-ops diagnosis were: left inguinal hernia in 8 cases, right inguinal hernia in 12 cases and bilateral hernia in 5 cases. We performed TEP approach in 5 patients and 20 TAPP approach in 20 patients. The fixation was with titanium tackers in all cases. Average of discharge from hospital was 1,8 days. The surgical time average was 83 minutes. 3 patients had some morbidity, included: seroma, inguinodynia and surgical site infection.

Conclusion:

Actually, the laparoscopic approach for the inguinal hernia treatment have very good results comparing to open approach, but we need more patients follow up to establish the efficacy of the technique.

        · resumen en Español     · texto en Español     · Español ( pdf )