Abstract
Objective: To report our experience with recurrent hernias. In 20% of the patients, the
laparoscopic total extra-peritoneal (TEP) inguinal procedure was performed as a day case surgery.
herniorrhaphy at our institution. Minor complications occurred in 32% of patients,
Methodology: This retrospective study was whereas major complication occurred in two
st carried out from 1st January 2007 to 31 patients who developed recurrence in the
December 2010 at Department of General immediate post operative period. The median
Surgery, Pakistan Institute of Medical Sciences time to normal physical activity was 8-11 days for
Islamabad, Pakistan. It included 58 consecutive unilateral and 11-16 days for bilateral hernia
patients who underwent laparoscopic TEP repair repair.
of inguinal hernia at our unit. Conclusion: Laparoscopic TEP herniorrhaphy is
Results: All patients were male with a mean age a good alternative to open hernia repair. However,
of 46 years (range 25 to 67). During the study further studies are needed to strengthen this
period, 69 laparoscopic inguinal hernia repairs conclusion. (Rawal Med J 2013;38:290-293).
were performed in 58 patients. Bilateral hernia Keywords: Inguinal hernia, laparoscopy,
repair was done in 19% (n=11). Of the 69 total extra-peritoneal.
procedures; 12% repairs (n=7) were done for
