Complicated Inguinoscrotal Hernia Management by Endoscopic Totally Extraperitoneal Mesh Repair

ABSTRACT

Introduction: The purpose of this study is to assess the safety and effectiveness of endoscopic totally extraperitoneal (TEP) mesh repair in the management of complicated inguinal hernia. Materials and Methods: This is 18-month retrospective observational study done in our department of minimal access surgery between January 2017 and June 2018. Patients demographic data, operative and post-operative course, and outpatient follow-up were studied. Results: A total of thirty patients with complicated inguinoscrotal hernia underwent TEP repair were studied, for a period of 18 months, with a follow-up period of 6 months. Out of the thirty operated cases, 28 were elective surgery and 2 were emergency. Demographic characteristics are shown in Table 1. All male patients , the mean age was 49.7 years. Chief complaint was irreducible swelling and pain in groin region. Diabetes mellitus was the major comorbidity. Conclusion: In an expert hand with few additional maneuvers complicated inguinal hernia can be successfully managed by TEP approach.