Case Report
Volume 9 Issue 4 - 2022
Laparoscopic Repair, TAPP Approach, of a Type 1 Giant Inguinal Hernia. A Case Report and Literature Review
Yang Sheng1 and Yagan Pillay2*
1Family Physician, Victoria Hospital, Prince Albert, Saskatchewan, Canada
2Associate Professor, Department of Surgery, University of Saskatchewan, Saskatchewan, Canada
*Corresponding Author: Yagan Pillay, Associate Professor, Department of Surgery, University of Saskatchewan, Saskatchewan, Canada.
Received: February 17, 2022; Published: March 16, 2022




Abstract

The surgical repair of a giant inguinal hernia remains controversial given the paucity of published data. There are no recognised guidelines from the established hernia societies worldwide. Open mesh herniorrhaphy remains the cornerstone for this condition. There has been a trend towards minimally invasive mesh herniorrhaphy, either laparoscopically or through robotic surgery. A transabdominal preperitoneal (TAPP) repair is shown to be superior to the totally extraperitoneal (TEP) repair. Our patient underwent a laparoscopic TAPP repair, and we hope our experience adds to the surgical armamentarium of hernia surgeons. There needs to be a stepwise approach to dealing with issues such as loss of domain and its physiological consequences, as well as analyzing the long-term outcomes of these repairs. Pre-operative patient preparation needs to be addressed in terms of abdominal cavity preparation and assessment of the patient`s airway pressures, both intraoperatively and in the immediate post-operative period. Our patient underwent an anaesthesia and cardiology assessment, highlighting the multidisciplinary approach to this type of inguinal hernia surgery. Long term follow-up of more than five years duration is required to compare outcomes of the laparoscopic repair with that of open mesh herniorrhaphy.

 

Keywords: Giant Inguinal Hernia; Laparoscopic Inguinal Herniorrhaphy; Giant Inguinal Hernia Classification

 

References

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Citation: Yang Sheng and Yagan Pillay. “Laparoscopic Repair, TAPP Approach, of a Type 1 Giant Inguinal Hernia. A Case Report and Literature Review”. EC Gastroenterology and Digestive System 9.4 (2022): 28-35.

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