Laparoscopic inguinal hernia repair: a new approach.
OBJECTIVE
Over a 5-year period, patients, who underwent laparoscopic total peritoneum intraperitoneal onlay mesh (TPIPOM) hernioplasty were retrospectively examined. The investigation focused on technique feasibility and complication incidence, in particular complication related to this novel hernia therapy.


METHODS
Between January 2002 and March 2003, 54 patients were treated with TPIPOM hernioplasty.


RESULTS
Mean overall surgery time was 25.45 +/- 5.2 minutes, and hospital stay was 3.8 +/- 1.3 days. Mean follow-up time was 72.4 +/- 3.1 (range, 69-84) months. The overall recurrence rate was 1.8% (1/54). Complications, in the form of persistent neuralgia, osteitis pubis, subcutaneous hematoma, numbness, or vascular injury, did not occur. All patients returned to usual activities of social life, hobbies, looking after the house, and work by 1 month after surgery.


CONCLUSIONS
On the basis of our initial experience, laparoscopic TPIPOM hernioplasty is feasible, effective, and easy to perform by experienced surgeons, with good results.
Department of General Surgery, The Second People's Hospital of Guangdong Province, Guangzhou, China. chky3213300@126.com
Kaiyun
K
Chen
Guoan
G
Xiang
Hanning
H
Wang
Fanglian
F
Xiao
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012008:Recurrence; D012189:Retrospective Studies; D013526:Surgical Mesh