Evaluation of Trans Rectus Sheath Extra-Peritoneal Mesh Repair:Our Early Results

Abstract

Background:An inguinal hernia is a protrusion of the content of the abdominal cavity or preperitoneal fat through a hernia defect in the inguinal area.Inguinal hernia repair is considered one of the most common surgical procedures done all over the world. The Lichtenstein technique, introduced in 1984, is the best evaluated and the most common open tensionless mesh repair of different open mesh techniques with low morbidity and low recurrence rates (≤4%) in the long-term follow-up. Objectives:Evaluation of our results ofTrans Rectus Sheath Extra-Peritoneal Procedure (TREPP)considering the data available from the literature of the standard Lichtenstein method for the treatment of primary adult inguinal hernia. Patients and Methods: A clinical study was conducted at Qena University Hospital over 6 months period, between 1/9/2019 to 1/3/2020 for patients with hernia visiting the outpatient clinic. We operated on 52 patients using the TREPP technique with a follow-up period at 6 months duration post-operative. Results:We operated on 52 patients using the TREPP technique; all of them were males with a mean age of 33.3±10.2years. Intra-operative complications occurred in 1.9% of cases. No cases showed recurrence during the first 6 months post-operative. No cases had CPIP (chronic post-operative pain). Conclusion: The TREPP technique is a good alternative to the standard Lichtenstein tension-free mesh repair with a low recurrence rate as in Lichtenstein repair, but with a less incidence of CPIP and scrotal edema with shorter operation time.

Keywords

• inguinal hernia preperitoneal trepp