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ISSN 1561-2945 (Print)

2015, Number 3

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Revista Cubana de Cirugía 2015; 54 (3)

Results of the use of preperitoneal transabdominal laparoscopic herniorrhaphy in Gramma province

Fernández GA, López AY, Rosales AY, Pujol LP

Language: Spanish
References: 19
Page: 213-221
PDF size: 101.03 Kb.


ABSTRACT

Introduction: repairing hernias of the inguinocrural region is one of the most common procedures performed by general surgeons in Cuba. The laparoscopic surgery represents an effective alternative to conventional surgery, being especially indicated in bilateral, primary and relapsed hernias.
Objective: to make an initial assessment of the first patients operated on by the preperitoneal transabdominal laparoscopic surgery method in our hospital.
Method: a prospective study of case series was conducted, where patients who underwent preperitoneal transabdominal laparoscopic hernia repair were assessed. These were the first patients operated on with this type of hernia repair in "Carlos Manuel de Cespedes" university hospital of Bayamo, Gramma province. The study variables were age, sex, and body mass index, anatomic classification of hernias, postoperative length of stay, surgical time, and current complications.
Results: the average age was 56.8 years, and men had more frequent occurrence (22 patients-84.6%).The body mass index was 24.9 on average. The most common inguinal hernias were indirect (classification NyhusIIIb) with 61.5%. The average surgical time was 109.4 minutes, with a rough postoperative stay of 16 hours. The most frequent complications were cord hematoma and paresthesias. Conclusions: laparoscopic repair in patients with hernias of the inguinocrural region is an effective method associated with earlier recovery of patients, lower frequency of complications and higher aesthetic results than the conventional surgery.


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