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Cirugía paraguaya

versión On-line ISSN 2307-0420


VERA, Oscar Iglesias; DUARTE, Dahyana  y  FERREIRA, Miguel. Efficiency of the pre-peritoneal transabdominal videolaparoscopic hernioplasty and Lichtenstein-type open hernioplasty at the National Hospital of Itauguá. Cir. parag. [online]. 2019, vol.43, n.2, pp.7-11. ISSN 2307-0420.


Hernia is one of the most frequent pathologies in general surgery. There are many surgical techniques to repair it. Since the advent of laparoscopic surgery, inguinal hernia repair presents challenges and results comparable to the open technique.


To describe the efficiency of the preperitoneal transabdomino technique (TAPP) and open Lichtenstein-type in the treatment of inguinal hernia in the general surgery service of the Hospital Nacional de Itaugua in the period from August 2017 to August 2018.


Observational, descriptive, retrospective cross-sectional study; a direct systematic review of medical records with diagnosis of inguinal hernia was performed; the follow-up of the patients was carried out in the post-operative controls by office.


92 patients underwent surgery, of which 51 (55%) had Lichtenstein-type hernioplasties and 41 (44.5%) laparoscopic video hernioplasty, TAPP technique. 95% of the total patients had a hospital stay of 2 days. 96% of the Lichtenstein repairs and 80% of the TAPP lasted from 31 to 90 minutes. There was no intraoperative complication. The main postoperative complication of Lichtenstein-type repair was the hematoma of the operative wound (15%); in the repair by TAPP was the chronic inguinal pain (5%) and the hematoma of the operative wound (5%). The return to productive activities was 53% in the third week for the Lichtenstein technique and 78% in the first week for the TAPP technique. Conclusion: The hospital stay was 2 days in 95% of the cases; the operative time was 31 to 90 minutes. Only post-operative complications, with very low percentage in both and the return to daily activities were faster with the TAPP technique.

Palabras clave : Open hernioplasty: laparoscopic hernioplasty; inguinal hernia..

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