Laparoscopic Treatment for Multiple Inguinal Hernias – Case Report

Abstract

The miopectineal weak area described by Fruchaud is better visualized by laparoscopic approach, and associated occult hernias of this region can be easily diagnosed, either ipsilateral or contralateral. The goal of this paper is to emphasize the less obvious advantages of mini-invasive approach, by a case study of a bilateral hernia (left inguinal hernia and recurrent right inguinal hernia), operated by laparoscopic means using TEP (total extraperitoneal) approach. A femoral hernia without clinical manifestations was diagnosed intraoperatively. All three hernias were repaired during the same operation. The postoperative course was uneventful and the patient was discharged three days after the procedure. CONCLUSIONS: The laparoscopic approach of inguinal hernias offers the possibility to diagnose and to treat the occult inguinal hernias with low rate of postoperative morbidity and recurrence.

Bilateral inguinal hernia repair by laparoscopic totally extraperitoneal (TEP) vs. laparoscopic transabdominal preperitoneal (TAPP)

“…The reported results of the differences in hospital stay between the two techniques are very diverse, probably because it depends on various factors such as age, complication rate, postoperative pain, social factors, educational factors, and trust in the surgeon [ 45 , 46 ]. A randomized trial found no significant difference in hospital stay between TAPP and TEP in bilateral inguinal hernia repair [ 22 ].…”