| ORIGINAL ARTICLE |
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| Year : 2013 | Volume
: 5
| Issue : 1 | Page : 13-17 |
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Laparoscopic inguinal hernia repair in a developing nation: Short-term outcomes in 103 consecutive procedures
Shamir O Cawich1, Sanjib K Mohanty2, Kimon O Bonadie1, Lindberg K Simpson1, Peter B Johnson1, Sundeep Shah1, Eric W Williams1
1 Department of Surgery, University of the West Indies, Mona, Kingston 7, Jamaica, West Indies
2 Department of Surgery, Cayman Islands Hospital, Grand Cayman, British, British West Indies
Correspondence Address:
Shamir O Cawich
Department of Surgery, University of the West Indies, Mona, Kingston 7, Jamaica,
West Indies
 Source of Support: None, Conflict of Interest: None  | 1 |
DOI: 10.4103/2006-8808.118601
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Background: There are no published data on the outcomes of inguinal hernia repair from the Anglophone Caribbean. To the best of our knowledge, this is the first report of a series of laparoscopic inguinal hernia repairs from the region. Materials and Methods: Data was extracted from a prospectively maintained database of consecutive trans abdominal pre-peritoneal (TAPP) repairs done between June 1, 2005 and May 30, 2012. Perioperative data collected included patient demographics, hernia type, operative technique, duration of surgery, intra-operative details, morbidity, analgesia requirements, and duration of hospitalization. A telephone survey was also performed to identify late recurrences and complications. Descriptive statistics were generated using Statistical Package for Social Sciences (SPSS) Ver 12.0. Results: There were 103 consecutive TAPP procedures in 88 patients at an average age of 35.4 years ± 12.9 (standard deviation; SD) and average body mass index (BMI) of 28.9 Kg/m 2 ± 2.23 (SD). The indications were bilateral (30), recurrent unilateral (24), and primary unilateral (49) inguinal hernias. The mean duration of operation was 68.5 minutes (SD ± 10.4; Range: 55-95; Median 65; Mode 65) minutes for unilateral TAPP and 89 minutes (SD ± 7.61; Range: 80-105; Median 90; Mode 90) for bilateral repairs. Post-operatively, 65/70 patients required ≤1 dose of parenteral opioid analgesia and 74 (84.1%) patients discontinued oral analgesia within 48 hours of operation. Complications were recorded in six (5.8%) cases and a recurrence in one (0.97%) case after a mean follow-up period of 3.2 years (SD ± 1.8; Range: 0.5-7). Conclusion: Laparoscopic inguinal hernia repair is a safe and effective operation in this setting. |
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