Repair of Inguinal Hernias by Laparascopy

Introduction: a series of 78 laparoscopic hernioplasties performed in the General Teaching Hospital “Enrique Cabrera”.

Objective: to determine perioperative events, surgical complications and the evaluation of the pain referred by the operated patients.

Methods: between January 2012 and December 2018, 78 hernioplasties were performed laparoscopic in 60 patients; 18 had bilateral inguinal hernias. He collected the variables: age, sex, type of hernia, perioperative events and complications, and a pain scale was applied. A database was filled andprocessed statistically.

Results: the male sex predominated in a 5:1 ratio, the surgical time average was 53.5 minutes for unilateral hernias and 71.3 minutes for the bilateral ones. The most frequent complication in the transoperative period was bleeding lower in 27.0%, and in the postoperative period the hematoma was in 15.3%, it recurred two hernias (2.5%). At 15 days after surgery, 93.3% of the operated did not complain of pain, but the social and labor reintegration was of only 34% of patients.

Conclusions: laparoscopic inguinal hernioplasty is a therapeutic option more, mainly in patients with bilateral and reproduced hernias.

Keywords: laparoscopic hernioplasty, inguinal hernia, hernia recurrence.