Experience with 300 laparoscopic inguinal hernia repairs with up to 3 years follow-up |
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Authors: | NM Davies DC Dunn B Appleton E Bevington |
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Affiliation: | Department of General Surgery, Addenbrooke's Hospital, Cambridge. |
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Abstract: | The long-term results of 300 laparoscopic inguinal hernia repairs are reported with 11 cases followed up more than 3 years, 104 cases more than 2 years, and 225 cases more than 1 year. There were five early failures owing to the use of too small a piece of mesh. There have been no long-term recurrences. The results indicate that transabdominal preperitoneal laparoscopic mesh repair of hernias is a satisfactory technique with a low recurrence rate and a low major complication rate (4%). Patients have found the procedure to be remarkably pain free and 51% have taken no analgesics after discharge from hospital. Of the patients, 78% returned to work within 2 weeks of the operation. These results suggest that laparoscopic hernia repair can be performed safely with excellent long-term results. |
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