Endoscopic totally extraperitoneal repair of incarcerated inguinal hernia

摘要: Background. Incarcerated inguinal hernias have been considered a relative contraindication for endoscopic surgery, as its efficacy and safety is yet unproven. With more experience improved techniques, management of incarcerated by the approach has become possible with decreased patient discomfort acceptable results. Aim Objective. To analyze feasibility effectiveness Endoscopic Totally Extraperitoneal repair in hernias. Methods. We retrospectively analyzed 34 patients—admitted under single surgical unit chronically hernias—who underwent an elective totally extraperitoneal repair. The 6-year period studied was from May 1997 to 2003. Demographic characteristics, operative details (including modifications technique use drains) postoperative outcome including analgesic requirements, hospital stay, complications, time taken resume normal activity, were evaluated. A comparison made results 286 primary, non-incarcerated, unilateral hernia repairs done during same period. Results. help modified techniques reduction hernial sac, all patients successful TEP There no conversions. mean operating 84.4 min compared 57 non-incarcerated group. Three-fourths could be discharged within 24 h. Analgesic requirement average 5.5 days (vs 4.2 group). Time activity 7.5 5.6 Two recurrences occurred. Follow-up ranged 13 months 84 months. Conclusions. technique, feasible effective encompasses advantages procedures.