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264526

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

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Last updated: 24 Dec 2024

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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.  

DOI

10.21608/ejhm.2022.264526

Keywords

Inguinoscrotal, Lichtenstein, TAPP, seroma, Abandon sac technique, Laparoscopic, Large hernia

Authors

First Name

Mahmoud

Last Name

yassin

MiddleName

abdou

Affiliation

Faculty of medicine , Zagazig university ,Egypt

Email

mahmoudyassin42@yahoo.com

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Orcid

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First Name

Baher

Last Name

Atef

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Alaaedin

Last Name

Ramadan

MiddleName

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Affiliation

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Email

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Orcid

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First Name

Mostafa M.

Last Name

Elaidy

MiddleName

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Affiliation

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Email

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City

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Orcid

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Volume

89

Article Issue

1

Related Issue

36332

Issue Date

2022-10-01

Receive Date

2022-10-08

Publish Date

2022-10-01

Page Start

5,458

Page End

5,463

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_264526.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=264526

Order

207

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

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

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Type

Article

Created At

22 Jan 2023