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  • Title: Laparoscopic repair of strangulated hernias.
    Author: Rebuffat C, Galli A, Scalambra MS, Balsamo F.
    Journal: Surg Endosc; 2006 Jan; 20(1):131-4. PubMed ID: 16333554.
    Abstract:
    BACKGROUND: Although laparoscopic transabdominal preperitoneal polypropylene (TAPP) hernia repair is now a recognized procedure for groin hernia repair in patients undergoing elective surgery, there is a scarcity of data on TAPP repair in emergency situations such as those involving strangulated hernias. METHODS: Unless contraindicated, the authors' department considers laparoscopic TAPP repair the procedure of choice for all strangulated hernias. A prospective database of 1,532 consecutive hernia repairs performed between May 1998 and April 2004 was reviewed. RESULTS: A total of 28 irreducible strangulated hernias were observed and repaired through laparoscopic TAPP. There were three conversions (10.7%): one because of extensive adhesions and two because of bowel distention. Resection became necessary in 9 (36%) of the 25 cases involving effective TAPP repair of strangulated hernias. The mean operation time, with and without resection, was 103 and 55 min, respectively. The rate of postoperative morbidity was 4% because of one inguinal hematoma case. During a mean follow-up period of 340 days, there were no recurrences after TAPP repair. CONCLUSIONS: For selected patients, the TAPP approach appears to be a good therapeutic option for strangulated hernias.
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