title: [Modified laparoscopic transabdominal preperitoneal repair of groin hernias].
abstract: OBJECTIVE
  To assess the clinical value of modified transabdominal preperitoneal (TAPP) repair of groin hernias in adult patients.
  
  
  METHODS
  From May 2006 to April 2008, modified TAPP repair for hernia was performed in 403 adult patients with groin hernia and 22 with femoral hernia. Indirect hernia sac was treated by high ligation of the hernia sac in similar fashion with the management in children, while direct or femoral hernia was treated by dissecting the hernia sac. An incision was made on the lateral umbilical ligament, and the mesh was stapled and covered completely by the peritoneum of the lateral umbilical ligament, followed by fixation of the mesh with stapling and absorbable sutures.
  
  
  RESULTS
  All the operations were accomplished successfully with the operating time from 20 to 30 min for unilateral hemioplasty and the blood loss volume was 4-5 ml. Two patients developed scrotal edema and three showed scrotal seroma. No hernia recurrence was found in follow-up for 2-22 months. The patients complained of no intestinal obstruction symptoms including traction pain, abdominal pain, or nausea or urinary bladder stimulation symptoms.
  
  
  CONCLUSIONS
  Modified TAPP repair of groin hernias requires simple operation and produces reliable effect, and is therefore of clinical values for wide application.
authors.affiliation: Hernia Treatment Center, Foshan First People's Hospital, Foshan 528000, China. ygan@fsyyy.com
authors.forename: Gan
authors.initials: G
authors.lastname: Yao
authors.forename: Qing-tang
authors.initials: QT
authors.lastname: Yang
authors.forename: Qing-feng
authors.initials: QF
authors.lastname: Zhang
authors.forename: Jian-sheng
authors.initials: JS
authors.lastname: Liang
authors.forename: Yu-zhou
authors.initials: YZ
authors.lastname: Li
authors.forename: Jian-tong
authors.initials: JT
authors.lastname: Guo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010537:Peritoneum / Q000601:surgery*; D013526:Surgical Mesh; D013514:Surgical Procedures, Operative / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult