Laparoscopic Inguinal Hernia Repair with Closure of Hernial Defect and Central Mesh Fixation Using Glubran 2
- 1 General Surgery Department, Faculty of Medicine, Zagazig University, Egypt and National Hospital, Riyadh, Saudi Arabia
- 2 General Surgery Department, Faculty of Medicine, Zagazig University, Egypt and National Hospital, Riyadh, Saudi Arabia
- 3 General Surgery Department, Faculty of Medicine, Zagazig University, Egypt and National Hospital, Riyadh, Saudi Arabia
- 4 General Surgery Department, Faculty of Medicine, Zagazig University, Egypt and National Hospital, Riyadh, Saudi Arabia
- 5 General Surgery Department, Faculty of Medicine, Zagazig University, Egypt and National Hospital, Riyadh, Saudi Arabia
Abstract
Background: Laparoscopic tension-free repair of inguinal hernia was presented in 1990s, promising less pain and short recovery period, but carrying the risk mesh bulging and migration. Objective: We have presented our technique in which central zone of mesh is fixed only after closure of hernial defect. Patients and Methods: This study included 27 males patients (14 indirect inguinal hernias, 9 direct inguinal hernias, 4 both direct and indirect inguinal hernias on the same side). These cases are undergoing tension-free mesh repair after closure of hernial defect, and the mesh is fixed only at its central zone using Gulbran 2, between April 2011 and March 2013. The follow-up period ranged from 6 to 30 months. The intra and postoperative complications were recorded. Results: Mean hospital stay was 1 day. The age of this group of patients ranged from 23 to 63 years (mean, 47 years). The operative time ranged from 30 to 100 minutes (mean, 45 minutes). The intraoperative complications were in form of mild bleeding in 7 patients (25.9%) during hernial sac dissection. Postoperative complications were mild inguinal pain in 4 patients (14.8%) for three weeks. Mild hydrocele in 3 patients (11%) was recorded. No recurrence or bulging at hernia site was noticed during the period of follow-up. Conclusion: Laparoscopic inguinal hernia repair with central mesh fixation after closure of hernial defect is effective, easy and free of complications.
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