Laparoscopic inguinal hernia operations in a small hospital

Česká verzia

Authors: T. Slezáková ¹; P. Mašek ¹; K. Chrz ²; K. Šafr ³
Authors place of work: Mulačova nemocnice s. r. o., Plzeň, Chirurgické oddělení, Primář: MUDr. Zdeněk Anděl ¹; Všeobecná fakultní nemocnice, Praha, I. chirurgická klinika – hrudní, břišní a úrazové chirurgie ²; Český statistický úřad, Praha ³
Published in the journal: Prakt. Lék. 2020; 100(6): 294-300
Category: Of different specialties

Summary

Introduction: Mulac Hospital in Pilsen has a long tradition of laparoscopic inguinal hernia operations. The aim was to assess the own group of patients with monitoring of perioperative and postoperative complications, especially the incidence of recurrence of inguinal hernia.

Methods: Retrospective unicentric study, 449 patients operated by TAPP were included. The follow-up period was at least 3 years. Parameters of age at the time of operation, sex, hernia-type surgical findings and possibly the development of complications were monitored.

Results: The average age of the operated patients was 57.1 years, significantly dominated by men. Indirect hernias predominated over other types of inguinal hernias in surgical findings. We found bleeding complications in 21 patients, inflammatory in 2 patients and recurrence in 16 patients. Other parameters were also monitored.

Conclusion: The indications for laparoscopic surgery of the inguinal hernia are constantly expanding. Its performance by an experienced surgeon is a safe method even in a small workplace with a low percentage of complications, including recurrences.

Keywords:

inguinal hernia – TAPP – recurrence

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