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Revista Cubana de Cirugía

Print version ISSN 0034-7493On-line version ISSN 1561-2945

Abstract

HERNANDEZ GUTIERREZ, José Manuel; BARRERAS GONZALEZ, Javier Ernesto; LOPEZ MILHET, Ana Bertha  and  OLIVE GONZALEZ, Juan Bautista. Laparoscopic hernioplasty without specific fixers. Rev Cubana Cir [online]. 2009, vol.48, n.4. ISSN 0034-7493.

INTRODUCTION: The aim of present research was to show the preliminary results of laparoscopic hernioplasty use without specific fixers in patients presenting with type II inguinal hernia according the Nyhus classification in our practice. METHODS: Authors confirmed the preliminary results in patients operated on between May, 2006 and February, 2007 and a 2-3 years follow-up until present days. Sample included 11 patients operated on using the minimal access technique. All patients underwent a reconstruction with polypropylene prosthesis: mesh was placed in four of them but not in the remainder seven independently of the type of approach used. None of the specific fixers available in marked was used. RESULTS: Surgical time was of 55 minutes and at one year follow-up and the cure was of 100%. Complications included transoperative period, transient hypercapnia in one of the seven patients operated on via totally extraperitoneal, and in the postoperative period there was a hematoma in one of the surgical portals in the same patient. In two patients antibiotics were used and mortality was null. CONCLUSIONS: Laparoscopic hernioplasty for this type of hernia is effective even without specific fixers for surgical mesh. No mesh fixation saves the surgical time, the postoperative pain, and no affect the technique effectiveness. Prophylactic antibiotic therapy was not necessary if surgical time is more than 2 hours. Laparoscopic hernioplasty saves 19 993 € by patient operated on using surgical mesh.

Keywords : Hernioplasty; inguinal laparoscopic; without fixation; surgical mesh.

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