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Laparoscopic Inguinal Hernia Repair

Contents
Overview
Anatomy
Technical Analysis
Laparoscopic Mesh
Instruments
OR Set-up
Trocars
Consent
Coding-Billing
TAPP Technique
TEP Repair
Post-op instructions
Mngt. Complications
Oucome Analysis
Photos
References

Emails and Questions

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Laparoscopic Repair of Inguinal & Femoral Hernias
Outcome Analysis

LAPAROSCOPIC INGUINAL HERNIA REPAIRS

Number of Cases 2500  
Age Range 15 to 89 YO No Pediatric Repairs
Anesthesia Type Gen. - ETI  
TAPP Repairs 1902  
TEP Repairs 598  
Mean Op. Time 37 Minutes  
Conversion Rate 0.08%  
Postop Seromas 4.9% Resolved in 6 Hours
Temporary Neuralgia 79.2% Resolved in 7 Days
Permanent Neuralgia 0.08%  
Post-op Bleeding with Transfusion 1 Unrecognized Epigastric Vessels Injury
Recurrence Rate 0.28%  
 

RECOVERY ANALYSIS - ALL REPAIRS COMBINED

Post-Op Day Return to Unrestricted Activities Minimal pain Status
2 77.2% 93.2%
5 90% 96.1%
7 96% 97%
10 98% 99.1%
14 99% 99.8%

Notes: Return to Unrestricted Activities: All patients were told they had no physical or activity restrictions. They were instructed to return to unrestricted activities as soon as possible. Minimal Pain Status was defined as the day the patient no longer used any oral analgesic. 

 

HOSPITAL STAY ANALYSIS FOR 2500 REPAIRS

Length of Hospital Stay /Hour % of Patients
< 6 Hrs 95.2
< 8 Hrs 96.8
<10 Hrs 97.5
<12 Hrs 98.1
< 18 Hrs 98.7
<24 Hrs 98.9


 

Procedural Videos
> Full TAPP Repair [Female}

>Full TAPP Repair [Male]

>Full TEP Repair [Male]

>Repair of Complications in TEP Repairs

> Repair of Complications in TAPP Repair

> Inserting and Using the TEP Balloon and Structural Trocar.

>Anchoring the Mesh Techniques in TAPP and TEP Repair

> TEP or TAPP: How to decide?


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