title: Preperitoneal hernioplasty performed with needlescopic instruments (microlaparoscopy).
abstract: We treated a series of 30 patients who had a Nyhus type II, III, or IV inguinal hernia without associated pathology by laparoscopic surgery using 2-mm surgical instruments and a modified preperitoneal Dulucq technique. A 30 degrees optic was used, and the repair was reinforced by an accordion-folded, polypropylene mesh introduced through a 10-mm optic needleport. There were no postoperative complications, and all patients were discharged 24 hours after operation. At 6 months there has been no recurrence of hernia. It was evident that the 2-mm procedure produced less surgical trauma.
authors.affiliation: Servicio de Cirugía B, Hospital Clínico Universitario, Colonia de Santa Inés, Málaga, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Vara-Thorbeck
authors.forename: R
authors.initials: R
authors.lastname: Toscano
authors.forename: M
authors.initials: M
authors.lastname: Felices
mesh_terms: D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D013525:Surgical Instruments; D013526:Surgical Mesh; D013997:Time Factors