Transabdominal pre-peritoneal mesh in inguinal hernia repair in elderly: end point of our experience

BMC Surgery

Research Article

Enrico Gibin¹  Valter Martino¹  Alessandra Surace¹  Mario Solej¹  Alessia MDG Ferrarese¹  Silvia Catalano¹  Alessandro Falcone¹  Silvia Marola¹  Stefano Enrico¹ 

[1] University of Turin - Department of Oncology - School of Medicine - Teaching Hospital "San Luigi Gonzaga", Section of General Surgery, OrbassanoTurin, Italy;

关键词: Incisional Hernia;    Inguinal Hernia Repair;    Polypropylene Mesh;    Recurrent Hernia;    Major Vascular Injury;   

DOI  :  10.1186/1471-2482-13-S2-S24

来源: Springer

【 摘 要 】

BackgroundAim of this study is to present our standardized laparoscopic transabdominal preperitoneal hernia repair (TAPP) technique, and to study our experience in the elderly as far as concerns preoperative and postoperative variables.MethodsWe described our standardized TAPP technique according with Stuttgart technique [1], and we evalutated our team's experience in TAPP inguinal hernia repair in elderly (> 65 yrs) and in young patients (< 65 yrs).ResultsWe retrospectively reviewed our Surgery Division's experience about TAPP; we included in our study 185 patients. The sample was subdivided in two groups: TAPP Group (< 65 years patients) and TAPPe Group (> 65 years patients). TAPP Group was composed by 154 patients and TAPPe Group of 31 patients. According with literature, in this subgroup recurrence rate (3,2%), early and delayed complications and mean operative time (86 min). There were no major vascular or intestinal complications. At the moment follow-up is 31 months. There were no incisional hernias on umbilical trocar. Mean satisfaction rate was excellent also in elderly patients.ConclusionsAccording with literature, in our experience TAPP technique is a safe and feasible procedure, even in elderly patients.

【 授权许可】

CC BY   
© Ferrarese et al; licensee BioMed Central Ltd. 2013