Abstract

CRUZ ALONSO, Juan Ramón et al. Laparoscopic repair of inguinal hernias. Rev Cubana Cir [online]. 2012, vol.51, n.2, pp. 152-159. ISSN 0034-7493.

Introduction: a series of 53 laparoscopic hernioplasties was presented in this study, which were performed at "Enrique Cabrera" general teaching hospital. Objective: to determine the perioperative events, the surgical complications and the pain assessment of surgical patients. Methods: fifty three laparoscopic hernioplasties were performed in 35 patients from June 2009 to June 2011, of whom 17 suffered bilateral inguinal hernias. The following variables were considered: age, sex, type of hernia, perioperative events and complications; additionally, a pain evaluation scale was applied. A database was developed and the data was processed by using statistical methods. Results: males prevailed in a ratio of 5:1; the average surgical time was 53.5 minutes for unilateral and 71.3 minutes for bilateral hernias. The most frequent complication in transoperative period was slight bleeding in 28.3 % of cases and in the postoperative period, the hematoma was present in 15.1 % of patients, one hernia patient showed relapse (1.9 %). Fifteen day after the surgery, 91.4 % of the operated patients did not feel pain, but just 34 % of all the patients managed to go back to normal social and working activities. Conclusions: laparoscopic inguinal hernioplasty is another therapeutic option, mainly aimed at patients with bilateral and reproduced hernias.

Keywords : laparoscopic hernioplasty; inguinal hernia; herniary relapse.

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