Small Incision preperitoneal repair for inguinal hernias - A study of 300 cases
Journal Title: International Journal Of Research In Medicine - Year 2014, Vol 3, Issue 1
Abstract
BACKGROUND: I nguinal hernia was repaired by putting a polypropylene mesh in preperitoneal space formed using an inflatable simple rubber balloon tied on the rubber tube of simple sphygmomanometer (mercury) we found it better in terms of smaller incision, faster dissection, better hemostasis and less post - operative pain and morbidity. MATERIALS AND METHODS: Three hundreds patients with inguinal hernia (unilateral or bilateral) were operated under spinal anesthesia putting a small incision (5cm) above the pubic symphysis in midline and polypropylene mesh was kept in the space following the prin ciple s same as that of laparoscopic TEP . RESULTS: Operative time was less as compared to Lichtenstein's repair and Laparoscopic TEP but technique is having long learning curve. There were very less incidence of hematoma , seroma, and recurrence . CONCLUSION : It is an efficient inguinal hernia repair method having all the advantages of Stoppas GPRVS and the laparoscopic TEP with good cosmoses and better patient compliance and less cost.
Authors and Affiliations
Adeesh P. Jain 1 * , Atul K. Saxena 2
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