Adrian Maghiar, George Dejeu, Marius Sfirlea, Dan Ciurtin, Codruta Macovei, Florin Fasie, Paula Badea. Spital Pelican
We use the laparoscopic treatment of inguinal hernia in our clinic, Pelican Hospital in Oradea, Romania, for 10 years. With a percentage of about 60% of cases being operated laparoscopically. In this study we looked at the readmission rates for inguinal hernia patients operated laparoscopically or using the Lichtenstein technique.
Of 100 patients included in the study, that started in january 2018, 62% were operated laparoscopically (52 using TEP technique and 10 using TAPP technique), the rest were operated with Lichtenstein technique. We had 17 readmisions for various reasons, 12 for patients from the Lichtenstein group and 5 from the lap group. 4 patients form the Lichtenstein group for surgery unrelated conditions and 1 from the lap group. The rest were a mixture of acute postoperative pain, haematoma and seroma. No patients spent more than 2 days in hospital. 7 patients from the Lichtenstein group needed some form of surgical drainage for the haematoma/seroma, and 1 patient from the TEP group. No patients presented with signs or symptoms of surgical site infection, and no patients needed antibiotic treatment. Looking at the data we conclude that using a lap technique we reduce the number of patients with complications in the first 30 days after hernia surgery that need readmission and surgical treatment, lowering the economic impact of such surgery and accelerating the return to normal life for patients. We continue to research the impact of lap surgery in addition to newer pain control techniques on hernia patients.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95935
Program Number: P546
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster