Ricardo Manuel Nassar Bechara, Andres Mauricio Garcia Sierra, Ernesto Pinto, Felipe Giron Arango, Juan David Linares, Juan David Hernandez Restrepo. Fundacion Santa Fe
Introduction: Hernias are a very common pathology, which can cause severe complications associated with the defect per se to the surgical treatment. The estimated risk of developing inguinal hernias throughout life is about 27% in men and 3% in women. One of the surgical techniques used for its management is the total extra peritoneal (TEP) technique with self fixation meshes. The main purpose of making a tension-free repair, through the implantation of a mesh in the preperitoneal space is to exclude the defect and to reinforce the inguinal abdominal wall. However, the factors related to this surgical technique and the presentation of complications are unknown
Objective: Identify related factors to the presentation of complications in patients that underwent laparoscopic total extra peritoneal (TEP) hernia repair with self-fixation mesh in “Fundación Santa fe de Bogotá” from 2012 to 2017.
Methods: A cross-sectional study was performed with secondary analysis of the database of patients with inguinal hernias who underwent an inguinal hernia repair procedure with TEP technique and self-fixation mesh. A descriptive and bivariate analysis of the patients characteristics was performed relating to the presentation of complications through a chi square for Pearson correlation.
Results: A sample of 77 operated patients was obtained, with a male/female ratio of 1:1. On average, the patients were 30 years old, with no significant difference between the sex. The surgical complication that showed statistical significance was postoperative pain associated with an increased hospital stay (p <0.005). The conditions that showed a positive relationship with this complication were the hernia classification, bilaterality, grade II obesity and a surgical time greater than 40 minutes (p <0.005).
Conclusion: Inguinal hernia repair with TEP technique and self-fixation mesh for this population showed only one complication. Patients who have a bilateral NYHUS IV hernia and have grade II obesity may present an increased risk of postoperative pain with this technique. More studies are needed to increase the external validity of these results.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88451
Program Number: P010
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster
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