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Abstract
LAPAROSCOPIC INGUINAL HERNIA REPAIR: CLINICAL AND POST-OPERATIVE OUTCOMES
*Alaa Salim Dawood Alberta’s
ABSTRACT
Background: Inguinal hernia, is the most frequent kind of hernia in both men and women, but more prevalent in men. There are two forms of inguinal hernias: direct and indirect, which differ in anatomy, cause, and complications. Laparoscopic inguinal hernia treatment is gaining popularity due to its therapeutic benefits, including less postoperative discomfort and quicker recovery time compared to open hernia repair. Objectives: Is to assess the clinical and post-operative ootcome of laparoscopic surgical repair of the inguinal hernia. Methods: A cross-sectional study of recorded data from the department of general surgery at Hamdanyia General Hospital, from March 2021 to the end of May 2025. The study included 50 subjects initially diagnosed with inguinal hernia (either unilateral or bilateral). Patients with inguinal hernias that were strangulated, obstructed, incarcerated, or had bleeding tendencies were excluded from the study. The questionnaire form consisted from four parts. Part one for demographic information of the study participants. Part two for patients’ preoperative information, while part three and part four for patients’ operative and postoperative details respectively. Results: The mean age ± standard deviation of the study participants 32.27 ± 6.58 years. Moreover; female: male ratio was 1:15.6. Furthermore; only 17 (34%) patients were active smokers. The majority of patients (54%) reported history of lifting heave objects, had right (60%) inguinal hernia, presented due to inguinal pain (74%) and had European Hernia Society (EHS) groin hernia classification of lateral 1 (78%). The operation last for 61.78 ± 15.35 minutes in average and the patients stayed in hospital for 36.04 ± 9.21 hours in average. Only two patients (4%) had hemorrhagic during operation. Lastly; mild and moderate pain were prevalent in 31 (62%) and 7 (14%) patients respectively. Early seroma was prevalent in 6 (12%) patients. Early and late hematoma was prevalent in 2 (4%) and 4 (8%) patients respectively. Conclusion: Transabdominal preperitoneal (TAPP) laparoscopic inguinal hernia repair was found to improve both operational and postoperative outcomes. More studies are needed to compare the effectiveness of TAPP and TEP in managing inguinal hernias.
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