Laparoscopic total extra peritoneal hernioplasty: a retrospective study at Royal Medical Services at Queen Alia Hospital/Jordan

ABSTRACT

Aim: to evaluate the role and benefits of laporoscopic total extraperitoneal hernioplasty. Patients and methods this is a retrospective study of 25 patients who underwent laporoscopic total extra-peritoneal [I.T.E.P.] hernioplasty in Royal medical services between January 1998 and January 2000.Twenty-three patients were males and two patients were females, the age range was 20-50 years. Eight patients had right sided hernia, thirteen patients had left sided hernia and the rest four patients had bilateral hernia. Results one case converted to trans-peritoneal laporoscopic hernioplasty; another case had peritoneal puncture during surgery but the operation was continued extra peritoneally. The mean operative time was one hour and the mean post operative hospital stay was one day. Bleeding occurred in 2 patients [8%] the average of estimated blood loss during the procedure is 25 cc .One patient developed surgical emphysema which resolved spontaneously. we think that this procedure seems to be the method of choice at centers with laparoscopic experience because our results confirm the safety and the efficacy of laparoscopic extra peritoneal repair for the treatment of inguinal hernia with very low conversion and low serious complication rates