Author/Editor		Škapin, S
Title		Transabdominalna preperitonealna hernioplastika
Translated title		Transabdominal preperitoneal hernioplasty
Type		članek
Source		In: Repše S, editor. Zbornik simpozija Kile; 1998; Ljubljana. Ljubljana: Kirurška šola, Kirurška klinika,
Publication year		1998
Volume		str. 114-9
Language		slo
Abstract		Background. The disadvantages of tension herniopalsties include a high recurrence rate and lengthy and painful recovery. Tension-free techniques represent a remarkable advance in the managment of hernias: they minmize the incidence of recurrence and provide for a speedy and painless recovery. Methods. Between June 1993 and June 1998, 96 patients with hernia were treated by transabdominal preperitoneal hernioplasty at this Department. Severnty patients were operated on for the first time, 21 had surgery for recurrent hernia and 5 underwent hernia repair with concomitant cholecystectomy. They returned for a follow-up examination 14 days, and 3 and 6 months after surgery. Results. A total of 106 herniplasties were performed. The recurrence rate for the initial third was 11,5% and for the whole series 3,7%. One patient required laparotomy because of bleeding from the spermatic cord venous plexus. Two seromas were treated by aspiration. One patient developed paralytic ileus. The overall incidence of complications was 3,7%. Conclusions. Tension hernoplasties have been increasingly replaced by tension-free procedures. These new methods are technically demanding and require considerable skill and experience with endoscopic surgery. Transabdominal preperitoneal hernioplasty is the treatment of choice in patients with recurrent and incarcerated hernias. Also, it is the technique most frequently used simultaneously with other laparoscopic procedures.
Descriptors		HERNIA, INGUINAL SURGERY, OPERATIVE