LAPAROSCOPIC APPROACH FOR INGUINAL HERNIA EMERGENCIES

Laparoscopic approach for incarcerated or strangulated hernias is still controversial, for both technique transabdominal preperitoneal (TAPP) or extraperitoneal (TEP). There is also a continuous concern about meshes used, if they are easy to apply and also decrease the incidence of recurrences. Fibrin-glue is proved to decrease postoperative chronic pain syndrome that can appear secondary to tacks, even the restorable ones. The aim of the study was to investigate the benefits of 3D and fibrin-glue as fixation tool. We present the first part of a prospective ongoing study, from may 2012 till june 2015, enrolled 40 patients. Out of the 40 operations, 3 were performed for femoral hernias. Duration of the operation was between 60 – 190 minutes with an average value of 114 minutes. GIQLI score had an average value of 10,47 reported at a maximum value of 144. Pain Score average value was 3,05 on a scale from 1 to 10. Bowel movements started after an average of 1,25 days for gases and 1.87 days for stool. Average length of stay was 2,57. There were 3 conversions to open technique, no complications or death. Anatomically shaped mesh allows an easier application making the surgical technique easier, even in emergency. Fibrin glue does not seem to be at the origin of any postoperative chronic pain.