Hrishikesh P Salgaonkar, Dr, Sujith Wijerathne, Eva Clara S Lourdes, Jerry Goo T Thye, Cheah W Keat, Prof, Davide Lomanto, Prof. NATIONAL UNIVERSITY HOSPITAL SINGAPORE
Introduction: Laparoscopy today seems an attractive approach for all inguinal hernias, particularly in females due to the greater prevalence of femoral hernia. In open repair these synchronous hernias are often missed.
Methods: Between Jan 2006 and July 2016, 66 consecutive female patients underwent laparoscopic repair for groin hernia. The patient demographics, operating time, type of hernia, conversion rate, intraoperative and postoperative complications and recurrence were measured. 52 patients had inguinal hernia, 6 femoral hernia, 2 inguinal with obturator and 6 both inguinal and femoral hernia. 57 patients underwent a totally extra-peritoneal (TEP) repair and 9 patients underwent a trans-abdominal pre-peritoneal (TAPP) repair. 1 patient in TAPP and 6 patients in TEP group underwent SILS.
Results: 62 patients had primary and 4 recurrent hernia. Of these 4 patients who presented with recurrence, one patient had a femoral recurrenceimmediately after a previous open repair of an inguinal hernia suggestive of a possible missed femoral hernia. One patient with was found to have a synchronous femoral hernia and 2 with obturator hernia along with an inguinal were not detected preoperatively. An inguinal with a synchronous occult hernia was only diagnosed during the laparoscopy. The overall mean operative duration was 62 minutes (range 34-112 minutes). One patient required conversion to open due to adhesions from previous surgery. Three patients developed seroma, one bruising around 10mm port site and one hematoma postoperatively. No recurrences were recorded.
Conclusion: Laparoscopic repair offers accurate diagnosis and simultaneous treatment of both inguinal and femoral hernia with minimum morbidity and good clinical outcomes. Laparoscopic repair has become the procedure of choice for the treatment of the majority of groin hernia in women at our institution.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80160
Program Number: P026
Presentation Session: Poster (Non CME)
Presentation Type: Poster