Current trends in laparoscopic hernioplasty TAPP

Natalya Voytyuk

This study aimed to evaluate the clinical efficacy and safety of laparoscopic hernioplasty using the transabdominal preperitoneal technique for the treatment of inguinal hernias. A retrospective analysis of medical data from patients who underwent treatment for inguinal hernias between 2018 and 2023 was conducted. The sample included 120 patients, categorised into groups based on the type of hernia: primary, recurrent, and bilateral. Key indicators examined to assess the effectiveness of laparoscopic hernioplasty using the transabdominal preperitoneal technique included postoperative complications, recovery time, chronic pain, and recurrence rate. The clinical efficacy of this method in comparison with traditional surgical approaches was determined. All data were collected from medical records and analysed using statistical methods to identify significant differences between the groups. Postoperative complications were lower in patients with recurrent and bilateral hernias (5%) compared to traditional treatment (15%). Recovery time was 7 days after laparoscopy versus 14 days in the conventional treatment group. Chronic pain after 6 months was significantly lower (10 vs. 25%), and the recurrence rate was only 2%. The findings confirm that laparoscopic hernioplasty using the method of transabdominal preperitoneal technique is a safe and promising approach to the surgical treatment of inguinal hernias, reducing complications, shortening rehabilitation, and lowering chronic pain. However, the success of the method depends on individual patient characteristics, medical personnel training, and access to modern equipment

minimally invasive hernia repair; Lichtenstein technique; outpatient surgical treatment; open hernia repair techniques; inguinal canal diseases

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