Lap total extraperitoneal hernioplasty
Download
1 / 21

LAP TOTAL EXTRAPERITONEAL HERNIOPLASTY - PowerPoint PPT Presentation


  • 105 Views
  • Uploaded on

LAP TOTAL EXTRAPERITONEAL HERNIOPLASTY. Dr Girish juneja Head of surgery deptt . Specialist laparo bariatric surgeon

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' LAP TOTAL EXTRAPERITONEAL HERNIOPLASTY' - shina


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Lap total extraperitoneal hernioplasty
LAP TOTAL EXTRAPERITONEAL HERNIOPLASTY

Dr Girishjuneja

Head of surgery deptt.

Specialist laparo bariatric surgeon

Al Noor Hospital, abudhabi, uae


TEP

124 case done by single operator in a single standard method to treat all types of inguinal hernias

A retrospective analysis of all the laparoscopic total extraperitoneal inguinal hernioplasties (TEP) performed between January 2008 and Nov 2011 was


Lap tep hernioplasty
LAP TEP HERNIOPLASTY

  • Mckernan and laws 1993

    to avoid possible intra abdominal complications associated with TAPP approach.


Methods
METHODS

  • Single operating surgeon

  • General anesthesia

  • Preop. Inj. Ceftriaxone -1 gm iv

  • Three midline ports.

  • Balloon dissection was done to create extraperitoneal space in all cases.

  • Lightweight macroporous partially absorbable Mash 15x 12 cms with fixation at two points medially only


Methods1
Methods

  • The patients were included in a follow up protocol and were examined 5th day/1 week,1 month & majority of them 1 year . follow up included questions about pain if any , all patients underwent physical examination










Recurrence
Recurrence surgery for inguinal hernia


Conclusions
conclusions surgery for inguinal hernia

  • The laparoscopicTEPhernioplasty offers a safe and effective repair with acceptable complication and recurrence rates

  • Excellent results with the TEP technique can be achieved by laparoscopic surgeons in private hospitals as in specialized hernia centers.

  • In my experience its suitability for large inguinoscrotal hernias is questionable


Conclusions1
conclusions surgery for inguinal hernia

  • Seroma ,the commonest postoperative complication in this series was treated conservatively as advised in literature but it was noticed that after 1 month if needed aspiration(two cases) was difficult to do, due to septations developed in seroma sac . Therefore advised not to wait longer than 1 month. if seroma not subsided better do aspiration at this stage rather than waiting longer.

  • Use of dissecting balloon reduces operative time significantly.


ad