Shogo Ohta, Mitsuo Shimada, Kozo Yoshikawa, Jun Higashijima, Takuya Tokunaga, Masaaki Nishi, Hideya Kashihara, Chie Takasu, Daichi Ishikawa. Department of surgery, University of Tokushima
Introduction: The recurrence during laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair has been reported to occur in 3.0%. To prevent the recurrence, adequate dissection of preperitoneal space was important. In this report, a novel technique for TAPP inguinal hernia repair using liquid injection and gauze dissection was described.
Methods: Before initial peritoneal incision, 10ml of normal saline solution with 2mg ropivacaine and 0.01mg epinephrine was injected percutaneously into the preperitoneal space at three points. This liquid-injected space was effectively dissected by using the gauze, especially at the lateral and ventral side of the inguinal canal. The surgical outcome of this technique was assessed.
Results: Twenty-five cases (unilateral cases, except for recurrence) underwent TAPP with liquid-injection and gauze dissection. In the comparison of the cases without liquid-injection and gauze dissection (n=59), the cases who underwent TAPP with liquid-injection and gauze dissection showed shorter operation time (117min. vs 89min., p<0.05), no complication and recurrence.
Conclusions: TAPP with liquid-injection and gauze dissection assists preperitoneal dissection and contributes to better surgical outcomes. This novel technique appears to be safe and feasible.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86943
Program Number: P037
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster