Surgical outcome of laparoscopic inguinal hernia repair performed by a single surgeon and an evaluation of difficult cases Hiroyuki KUGE 1 , Takashi YOKOO 1 , Kentaro YAMAOKA 1 , Hideki UCHIDA 1 , Shusaku YOSHIKAWA 1 1Department of Coloproctology, Kenseikai Nara Coloproctology Center Keyword: 腹腔鏡下ヘルニア修復術 , TAPP法 pp.487-493
Published Date 2017/7/15
DOI https://doi.org/10.11477/mf.4426200429
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[Background]We started to perform laparoscopic transabdominal preperitoneal repair(TAPP) for an initial groin hernia from April 2012. We have so far experienced 121 cases(130 lesions). [Objective and Method] We analyzed the surgical outcomes of all cases, and the results of the total operation time of 100 consecutive cases(105 lesions) that were repaired by TAPP procedures performed by a single surgeon. [Results] The total operative time of 100 consecutive patients performed by a single surgeon was 87.9±22.2 minutes. The operative time was significantly prolonged in male cases, however, there was no significant difference regarding either the location or the JHS category. We examined cases in which the total operative time was prolonged by 30% or more from the average, while excluding 20 cases at the initial stage of introduction. The cases with an extended operative time were seen in JHS I type hernia and scrotal hernia, especially in a case of sigmoid colon adhesion to the hernia sac. No postoperative complications corresponding to the Clavien-Dindo classification and no cases of recurrence were encountered. [Conclusion] At our institute, laparoscopic herniarrhaphy(TAPP) for the repair of an initial inguinal hernia was performed safely and effectively.

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