World Journal of Laparoscopic Surgery

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VOLUME 15 , ISSUE 2 ( May-August, 2022 ) > List of Articles


Laparoscopic Mesh Hernioplasty: A Novel Method of Extraperitoneal Space Creation

Manash Ranjan Sahoo, Leesa Misra, Sibabrata Kar, Jyotirmaya Nayak, Soumya Bharati Rout, Amiya Ranjan Parida, Pradeep Kumar Pradhan

Keywords : Extraperitoneal space creation, Laparoscopic, Laparoscopic hernioplasty, Mesh hernioplasty, Total extraperitoneal repair

Citation Information : Sahoo MR, Misra L, Kar S, Nayak J, Rout SB, Parida AR, Pradhan PK. Laparoscopic Mesh Hernioplasty: A Novel Method of Extraperitoneal Space Creation. World J Lap Surg 2022; 15 (2):185-187.

DOI: 10.5005/jp-journals-10033-1516

License: CC BY-NC 4.0

Published Online: 16-08-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Introduction: In the era of laparoscopic surgery, total extraperitoneal (TEP) hernia repair has become the standard procedure for treatment of inguinal hernias. While balloon is used to create extraperitoneal space in most Western countries, the financial burden of buying a balloon in a developing country like India is overwhelming. So, we present a case series of extraperitoneal space creation using a zero-degree telescope to reduce the cost of the surgery to a few thousand rupees (less than 100 dollars). Context: Laparoscopic total extraperitoneal inguinal hernia repair. Aims: To study the feasibility of creation of extraperitoneal space using a zero-degree telescope in laparoscopic total extraperitoneal hernia repair. Materials and methods: It is a case series of 500 patients from June 2011 to July 2021. Furthermore, it is a single-surgeon experience. Results: A Total of 500 laparoscopic TEP hernia surgeries were performed over a period of 10 years. Out of these, 485 patients were male and 15 patients were female. The age of patients ranged from 5 years to 85 years. Out of these, 50 patients (10%) were converted to transabdominal preperitoneal (TAPP) hernia repair. During the follow-up period, no hernia recurrence was found. No major complication was noted in any patients during this period. Seroma formation was noted in 25 patients (5%). Retention of urine was noted in 25 patients (5%). All patients returned to normal routine work within 2 weeks. Conclusion: Zero-degree telescope is a feasible method of creating extraperitoneal space in laparoscopic total extraperitoneal repair. Key messages: Slight changes in advanced laparoscopic methods can make these costly procedures accessible to a vast population of poor people in the world.

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