• Users Online: 111
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2018  |  Volume : 46  |  Issue : 2  |  Page : 108-113

Evaluation of short-term outcomes of totally extraperitoneal laparoscopic inguinal hernia repair using a polyester anatomical mesh


Gastrointestinal and Laparoscopic Surgery Unit, Department of General Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt

Correspondence Address:
Ahmed W Elzayady
33 Elnagar Street, Mahallet Elborg, El Mahalla Elkobra, Gharbia, 13911
Egypt
Login to access the Email id


DOI: 10.4103/tmj.tmj_66_17

Rights and Permissions

Background Laparoscopic hernia repairs have been gaining worldwide popularity, especially totally extraperitoneal (TEP) repair. The choice of prosthesis became a very important factor as a determinant of the outcome. Polyester anatomical mesh provides enough coverage of hernia defect with many benefits of its polyester-based chemistry. Aim The aim of the study was to assess the short-term outcomes of laparoscopic TEP repair using a polyester anatomical mesh regarding its safety, efficacy, and impact on patient’s quality of life (QOL). Patients and methods A prospective assessment of 20 adult patients with uncomplicated inguinal hernia, who underwent laparoscopic TEP repair using polyester anatomical mesh between June 2015 and May 2016 at Tanta University Hospitals. The patient’s QOL was checked preoperatively, at 3 and 6 months postoperatively (PO) using the visual analog scale. The follow-up period was 6 months. Results The mean age of the patients was 46.18±18.35 years. The mean operative time was 69.7±25.1 min. There were no conversions to other procedures or major complications. The most common operative complication was peritoneal tears in seven (33.3%) hernias. Most common PO complication was small hematoma at the umbilical port in two (10%) patients, which resolved spontaneously. The mean time to return to daily activities was 4.1±0.54 days. There were no recurrences or mesh-related complications. The patient’s QOL significantly improved 6 months PO. Conclusion Laparoscopic TEP inguinal hernia repair using polyester anatomical mesh without fixation is feasible and safe. It is associated with no chronic pain, no recurrence, minor complications, and better QOL.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed50    
    Printed0    
    Emailed0    
    PDF Downloaded14    
    Comments [Add]    

Recommend this journal