Laparoscopic inguinal hernia repair - A review of 2500 cases

Background: We performed a prospective study to evaluate the safety and eff icacy of laparoscopic hernia repair in our hospital. Methods: A total of 2500 consecutive laparoscopic transabdominal hernia rep airs (TAPP) were performed in 1952 patients. Their average age was 59 years . We used a mesh, 12 x 15cm. Results: The average operating time was 32 mins. We had a recurrence rate o f 1.04%. There were 89 complications (3.56%). Three were bladder injuries, one of which necessitated conversion to an open laparotomy. Three of 38 hem atomas required open exploration, Three patients were reoperated because of nerve irritation. An incarcerated trocar hernia occurred in six cases. The re was one wound infection at the umbilical incision. There were no infecti ons or incompatibility reactions at the mesh. The complication rate decline d over time. At the same time, the rate of recurrence decreased as we acqui red more experience in laparoscopic hernia repair. Conclusion: Laparoscopic hernia repair can be performed safely, with low ra tes of recurrences and few complications are low. This technique achieves g ood results combined with the benefits of minimal invasive procedures.