Author/Authors :
Nana Oumarou, Blondel University of Yaoundé I - Faculty of Medicine and Biomedical Sciences - Department of surgery and specialities, Cameroon , Nana Oumarou, Blondel National Social Insurance Fund Health Center of Essos - Visceral and laparoscopic surgery unit, Cameroon , Bang, Guy Aristide National Social Insurance Fund Health Center of Essos - Visceral and laparoscopic surgery unit, Cameroon , Savom, Eric Patrick National Social Insurance Fund Health Center of Essos - Visceral and laparoscopic surgery unit, Cameroon , Guifo, Marc Leroy University of Yaoundé I - Faculty of Medicine and Biomedical Sciences - Department of surgery and specialities, Cameroon , Ekani, Boukar Yannick Mahamat National Social Insurance Fund Health Center of Essos - Visceral and laparoscopic surgery unit, Cameroon , Ousmana, Oumarou , Essomba, Arthur University of Yaoundé I - Faculty of Medicine and Biomedical Sciences - Department of surgery and specialities, Cameroon
Abstract :
Inguinal hernia repair is probably the most common procedure in general surgery. Today, in adult hernias, prosthetic repairs are accepted to be superior to “non-mesh” suture repairs. Concerning mesh repair, the (open) Lichenstein and laparoscopic inguinal hernia techniques are recommended as the best evidence-based options. Nevertheless laparoscopic techniques still not currently practiced in our country. We report a case of a 57 years-old male patient who presented with a left inguinal hernia managed by a transabdominal preperitoneal (TAPP) repair. With the patient under general anesthesia, we placed three trocars, the optic one inserted by “open-coelioscopy”. We realized a peritoneal incision 4 cm above the left inner inguinal ring. The peritoneal sac was dissected from the spermatic cord and transected. A polyester mesh with a self-gripping overlapping flap was then inserted into the pre-peritoneal space created. A Thorough closure of the peritoneal incision was done. The post-operative course was uneventful. In conclusion, laparoscopic hernias repairs in general and TAPP in particularly are easy to teach and learn. Surgeons and residents should be trained on it.
NaturalLanguageKeyword :
Inguinal hernia , transabdominal pre , peritoneal repair , Inguinal hernia , laparoscopy
