[Late results of laparoscopic surgery for inguinal hernia (TAPP)].
Late results of TAPP have been assessed in a group of 79 patients operated for inguinal hernia- in the years 1994-1996. Altogether 87 TAPP were performed in this group (8 bilateral herniorrhaphies) all of them classified according to ASA scale from I degree-III degree. Following Schumpelick hernia classification there were: M = 41, L = 35, F = 11, I degree = 31, II degree = 27, III degree = 21. 31 hernias were recurrent and 11 were irreducible. The patients have been followed up for at least 1 year (on average 16 months). TAPP was lasting in this group of patients from 40-120 min (on average 70 min) including bilateral repairs. There was 1 intraoperative bleeding which had been the cause of conversion to the open operation. No wound infection was noticed. Postoperative inguinal hematoma which resolved spontaneously was noticed in 4 cases. The patients left hospital the day after TAPP. 2 recurrences were noticed so far (2.3%), 3 patients complained of transient inguinal neuralgia. Late results of TAPP in the rest of the patients have been very good.
Starzewski
J
J
Oddziału Chirurgii Ogólnej Szpitala nr 1 w Sosnowcu.
Szczerba
K
K
Hyla
K
K
Mendrek
G
G
D000328:Adult; D016063:Blood Loss, Surgical; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome