<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202017000100014</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.abril.14-17</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[ABORDAJE LAPAROSCÓPICO TAPP DE LAS HERNIAS INGUINALES. EXPERIENCIA INICIAL HOSPITAL NACIONAL]]></article-title>
<article-title xml:lang="en"><![CDATA[TAPP APPROACH FOR INGUINAL HERNIA. INITIAL EXPERIENCE AT HOSPITAL NACIONAL]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Adorno]]></surname>
<given-names><![CDATA[Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Monges]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lezcano]]></surname>
<given-names><![CDATA[María José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuenca]]></surname>
<given-names><![CDATA[Osmar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Berdejo]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional de Itaugua Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Nacional de Itaugua  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto de Previsión Social  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Nacional de Itaugua  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<volume>41</volume>
<numero>1</numero>
<fpage>14</fpage>
<lpage>17</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202017000100014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202017000100014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202017000100014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La reparación de la hernia inguinal laparoscópica se originó a principios de los 90(¹). Las hernias inguinales representan el 75% de todas las hernias de la pared abdominal y con un riesgo de por vida de 27% en hombres y 3% en mujeres. La reparación de estas hernias es uno de los procedimientos quirúrgicos más comúnmente realizados en el mundo.  Objetivo:  Describir la técnica quirúrgica y los resultados a corto plazo de la hernioplastia inguinal con la técnica TAPP.  Material y métodos:  estudio retrospectivo de corte transversalde la base de datos del departamento de estadísticas y de las historias clínicas, de pacientes tratados con hernioplastia laparoscópica TAPP en el Hospital Nacional entre los meses de junio del 2014 a agosto del 2016.El seguimiento de los pacientes se realizó en los controles post operatorios.  Resultados:  fueron realizadas 47 hernioplastias laparoscópicas de manera consecutiva, en pacientes con diagnóstico de hernia inguinal y en cinco de ellas fueron realizadas en el mismo acto operatorio la colecistectomía videolaparoscópica en pacientes con litiasis vesicular sintomática. Se registraron complicaciones en el post operatorio en 6 pacientes.  Conclusión:  En nuestra experiencia inicial la técnica Tapp presenta buenos resultados, similares a los que se describen en la literatura, y sin aumentar la comorbilidad al agregársele otros procedimientos videolaparoscópicos simultánea.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: Laparoscopic inguinal hernia repair originated in the early 1990s as laparoscopy gained a foothold in general surgery. Inguinal hernias account for 75% of all abdominal wall hernias, and with a lifetime risk of 27% in men and 3% in women. Repair of these hernias is one of the most commonly performed surgical procedures in the world.  Objectives:  To describe the surgical technique and the short-term results of inguinal hernioplasty with the TAPP technique.  Patients and Methods:  Longitudinal retrospective study. Data were obtained from the database of the statistics department and from the medical records collected from the archive of patients treated with TAPP laparoscopic hernioplasty at the National Hospital between June 2014 and August 2016. Patient follow-up was performed in the post-operative controls.  Results:  During the study period, 46 laparoscopic hernioplasties were performed consecutively in patients with inguinal hernia diagnosis and in five of them, videolaparoscopic cholecystectomy was performed in patients with inguinal hernia and symptomatic vesicular lithiasis. Complications were recorded postoperatively in 6 patients.  Conclusion:  In our initial experience, the Tapp technique has good results, similar to those described in the literature, and without increasing comorbidity by the addition of simultaneous procedures videolaparoscopic.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[inguinal]]></kwd>
<kwd lng="es"><![CDATA[trans abdominal]]></kwd>
<kwd lng="es"><![CDATA[preperitoneal]]></kwd>
<kwd lng="en"><![CDATA[Inguinal]]></kwd>
<kwd lng="en"><![CDATA[transabdominal]]></kwd>
<kwd lng="en"><![CDATA[preperitoneal hernia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="book">
<collab>Comité de Elaboración de Guías de Práctica Clínica</collab>
<source><![CDATA[Guía de práctica clínica. Tratamiento de la Hernia Inguinal en el Adulto]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Mexico ]]></publisher-loc>
<publisher-name><![CDATA[Asociación Mexicana de Cirugia General]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Resultados quirúrgicos de la hernioplastia inguinal laparoscópica con técnica transabdominal preperitoneal. Tapp]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gabrielli]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista chilena de cirugía]]></source>
<year>2015</year>
<volume>67</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>167-74</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carbonel Tatay]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[Hernia inguinocrural]]></source>
<year>2000</year>
<edition>1ra Edición</edition>
<page-range>261 - 265</page-range><publisher-loc><![CDATA[España ]]></publisher-loc>
<publisher-name><![CDATA[Edit Ethicon]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Laparoscopic mesh repair of inguinal hernia using a preperitoneal approach: a preliminary report]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arregui]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Davis]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
<name>
<surname><![CDATA[Yucel]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Nagan]]></surname>
<given-names><![CDATA[RF]]></given-names>
</name>
</person-group>
<source><![CDATA[Surg Laparosc Endosc.]]></source>
<year>1992</year>
<numero>2</numero>
<issue>2</issue>
<page-range>53-8</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Classification systems and groin hernias]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rutkow]]></surname>
<given-names><![CDATA[IR]]></given-names>
</name>
<name>
<surname><![CDATA[Robbins]]></surname>
<given-names><![CDATA[AW]]></given-names>
</name>
</person-group>
<source><![CDATA[Surg Clin North Am]]></source>
<year>1998</year>
<numero>11</numero>
<issue>11</issue>
<page-range>1-11</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="">
<source><![CDATA[Concenso de Cirugía de Pared Abdominal]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Reparación de hernia inguinal laparoscópica con uso de materiales autoexpandibles]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cortés]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez]]></surname>
<given-names><![CDATA[HS]]></given-names>
</name>
<name>
<surname><![CDATA[Marcuschamer]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[TEV Cirugia Endoscopica]]></source>
<year>2011</year>
<volume>12</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Laparoscopic versus open inguinal hernia repair]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cavazzola]]></surname>
<given-names><![CDATA[LT]]></given-names>
</name>
<name>
<surname><![CDATA[Rosen]]></surname>
<given-names><![CDATA[MJ.]]></given-names>
</name>
</person-group>
<source><![CDATA[Surg Clin North Am]]></source>
<year>2013</year>
<volume>93</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1269-79</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Laparoscopic versus open inguinl repair]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[McvCormack]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Scott]]></surname>
<given-names><![CDATA[NW]]></given-names>
</name>
<name>
<surname><![CDATA[Go]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
<name>
<surname><![CDATA[Ross]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Grant]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
</person-group>
<source><![CDATA[Surg Clin Noth EU Hernia Trialists Collaboration]]></source>
<year>2003</year>
<numero>1</numero>
<issue>1</issue>
<page-range>CD001785</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Meta-analysis of randomized controlled trials comparing lightweight and heavyweight mesh for Lichtenstein inguinal hernia repair]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Uzzaman]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Ratnasingham]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Ashraf]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Hernia]]></source>
<year>2012</year>
<numero>16</numero>
<issue>16</issue>
<page-range>505-18</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Laparoscopic inguinal hernia repair: gold standard in bilateral hernia repair? Results of more than 2800 patients in comparison to literature]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wauschkuhn]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Schwarz]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Boekeler]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Bittner]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Surg Endosc]]></source>
<year>2010</year>
<volume>24</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>3026-30</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Comparison of endoscopic procedures vs Lichtenstein and other open mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schmedt]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Sauerland]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bittner]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Surgical Endoscopy]]></source>
<year>2005</year>
<volume>19</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>188</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Plastía inguinal con abordaje laparoscópico TAPP vs TEP]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[López Corvalá]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Guzmán Cordero]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Jaramillo de la Torre]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
<name>
<surname><![CDATA[Covarrubias Hidalgo]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirujano General]]></source>
<year>2005</year>
<volume>27</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>263-8</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Hernioplasty and simultaneous laparoscopic cholecystectomy: A prospective randomized study of open tension-free versus laparoscopic inguinal hernia repair]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sarli]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Villa]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Marchesi]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<source><![CDATA[Surgery]]></source>
<year>2001</year>
<volume>129</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>530 - 536</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Simultaneous TAPP (transabdominal pre-peritoneal technique) for inguinal hernia and cholecystectomy - a feasible and safe procedur]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lehmann]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pi&#261;tkowski]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Nowak]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jackowski]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Polish Journal of Surgery]]></source>
<year></year>
<volume>86</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Inguinal repair with laparoscopic approach TAPP vs TEP]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Corvalá]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Cordero]]></surname>
<given-names><![CDATA[FG]]></given-names>
</name>
<name>
<surname><![CDATA[Jaramillo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Covarrubias]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<source><![CDATA[Cir Gen]]></source>
<year>2005</year>
<volume>27</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
