Laparoscopic Transabdominal Preperitoneal Approach with Abandon Sac Technique in Management of Large Inguinoscrotal Hernia; Randomized Clinical Trial
yassin, M., Atef, B., Ramadan, A., Elaidy, M. (2022). Laparoscopic Transabdominal Preperitoneal Approach with Abandon Sac Technique in Management of Large Inguinoscrotal Hernia; Randomized Clinical Trial. EKB Journal Management System, 89(1), 5458-5463. doi: 10.21608/ejhm.2022.264526
Mahmoud abdou yassin; Baher Atef; Alaaedin Ramadan; Mostafa M. Elaidy. "Laparoscopic Transabdominal Preperitoneal Approach with Abandon Sac Technique in Management of Large Inguinoscrotal Hernia; Randomized Clinical Trial". EKB Journal Management System, 89, 1, 2022, 5458-5463. doi: 10.21608/ejhm.2022.264526
yassin, M., Atef, B., Ramadan, A., Elaidy, M. (2022). 'Laparoscopic Transabdominal Preperitoneal Approach with Abandon Sac Technique in Management of Large Inguinoscrotal Hernia; Randomized Clinical Trial', EKB Journal Management System, 89(1), pp. 5458-5463. doi: 10.21608/ejhm.2022.264526
yassin, M., Atef, B., Ramadan, A., Elaidy, M. Laparoscopic Transabdominal Preperitoneal Approach with Abandon Sac Technique in Management of Large Inguinoscrotal Hernia; Randomized Clinical Trial. EKB Journal Management System, 2022; 89(1): 5458-5463. doi: 10.21608/ejhm.2022.264526

Laparoscopic Transabdominal Preperitoneal Approach with Abandon Sac Technique in Management of Large Inguinoscrotal Hernia; Randomized Clinical Trial

The Egyptian Journal of Hospital Medicine
Article 207, Volume 89, Issue 1, October 2022, Page 5458-5463  XML PDF (783.34 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2022.264526
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Authors
Mahmoud abdou yassin email ; Baher Atef; Alaaedin Ramadan; Mostafa M. Elaidy
Faculty of medicine , Zagazig university ,Egypt
Abstract
Background: Inguinoscrotal hernia is the commonest type of all hernias. Although, Lichtenstein tension-free technique was the main procedure for its repair, laparoscopic transabdominal preperitoneal (TAPP) approach has been widely used, but with a great challenge for large size hernia. In this article, we described a modified laparoscopic trial in order to overcome this obstacle by transecting the large hernia sac, vice complete intra-abdominal inversion.
Objective: This study aimed to evaluate the initial results of a modified TAPP technique (abandon sac trial), in laparoscopic management of large inguinoscrotal hernia type I.
Patients and methods: Our study was conducted at Zagazig University Hospitals, on 50 cases of large inguinoscrotal hernia type I through the period from January 2021 and June 2022.
Results: As regards surgical results, both scrotal edema and hematoma were reported in 6% and seroma in 12%. While there was no detected cases of either infection, funiculitis, chronic groin pain or recurrence. Postoperative pain was mild to moderate, and the hospital stay was 1-2 days only.
Conclusion: A large inguinoscrotal hernia type I, can be managed safely with introduction of a slight modification on the TAPP laparoscopic method (abandon sac technique). With this modification, big size hernias will have a chance to be managed laparoscopically and obtained its advantages as small wound size and marked reduction of both postoperative pain, and recurrence.
 
Keywords
Inguinoscrotal; Lichtenstein; TAPP; Seroma; Abandon sac technique; Laparoscopic; Large hernia
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