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- Title
Laparoscopic extraperitoneal inguinal hernia repair in the day-care setting.
- Authors
O'Riordain, D. S.; Kelly, P.; Horgan, P. G.; Keane, F. B. V.; Tanner, W. A.; Keane, F B
- Abstract
<bold>Background: </bold>Totally extraperitoneal (TEP) laparoscopic inguinal hernia repair is gaining popularity, and our preference is to perform this procedure as a day case. This study evaluates the suitability of TEP repair in the day-care setting.<bold>Methods: </bold>A policy of day-care TEP repair, unless contraindicated, was adopted for inguinal hernia repair, and the outcome was prospectively evaluated. Of 87 consecutive inguinal hernia repairs, day-care TEP was possible in 54 (62%); 17 (20%) were in-patient TEP, 14 (16%) were open repairs, and 2 (2%) were converted from TEP to open repairs.<bold>Results: </bold>Among day-care TEP repairs, median visual analog pain score at discharge was 2.3/10, and 43% of patients had no pain. Complications included cord hematoma 2 (4%) and seroma 3 (6%). Median times for stopping analgesia, resumption of full activity, and return to work were 3, 3, and 6 days respectively. Complete satisfaction with day-care TEP was expressed by 91% of patients; 9% were moderately satisfied, and none expressed dissatisfaction.<bold>Conclusions: </bold>Day-care TEP repair is feasible in the majority of patients with inguinal hernias, and it is associated with minimal complications, excellent recovery, and a high degree of patient satisfaction.
- Publication
Surgical Endoscopy, 1999, Vol 13, Issue 9, p914
- ISSN
0930-2794
- Publication type
journal article
- DOI
10.1007/s004649901133