Year: 2025
Type: article
Study design: Case Report
Abstract: Background Groin hernia (GH) represents a common surgical presentation, predominantly affecting one third of men worldwide, and adversely impacting their quality of life and work capacity. On emergency sitting they represent a life-threatening condition with mortality rate of 4.9%. Outcomes are significantly worse for emergency hernia repair than the elective one, with increased risk of adverse events up to 18.5 %. Minimally invasive techniques showed a safe and effective therapeutic option for GH requiring emergency surgery. We present a case series of emergency GH repaired laparoscopically at a district general hospital over the past year. Methods A retrospective review of prospectively well-maintained data of patients presented with emergency GH, including patient characteristics, Complications, Length of stay (LOS) and recurrence were collected and analyzed to identify the primary outcomes of laparoscopically repaired GH between December 2023 and August 2024. Results Eight patients underwent Emergency Transabdominal pre peritoneal repair (TAPP) repair with mesh was used in all included GH cases. One patient had a right femoral hernia, one had both left inguinal and femoral hernia and the remaining 6 patients had inguinal hernias. Average LOS is 1.5 days. One patient developed seroma, one developed an ileus, and one had unexplained hematuria. No recurrence reported. Conclusions Several operative techniques were described to repair GH. We opted for the laparoscopic TAPP as a safe option, aids in confirming diagnosis, bowel assessment, and has all laparoscopic surgery benefits. Randomized trials needed to establish the proper guidance and patient selection for such approach.
Source: British journal of surgery
Authors: Mohamed S Mohamed, Adel Assiri, Alistair Myers, Ashraf Koronfel, Sreelakshmi Mallappa, Mohamed Aly
Institution: Hillingdon Hospital
Language: English
Topic: Hernia repair and management
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4406539232