Welcome to the AHS 2020 ePoster Session. Please scroll down to view all of the submitted posters or press Control-F to search. To view the poster and its abstract, click on the poster image. Many posters also have a brief audio introduction which can be played by going to the bottom of the poster screen.
P067: ONE SURGEON'S EXPERIENCE WITH R-TAPP
Jorge L Florin, MD, FACS; Daniel D Wiggan; Valeria L Bianchi; Mid-Florida Surgical Associates
BACKGROUND: There is a tremendous paucity of literature regarding the long-term surgical outcomes of the r-TAPP procedure for inguinal hernia repair. Additionally, much of the existing literature regarding this procedure has very limited follow of up to 12 months. This article presents the outcomes of 150 consecutive r-TAPP inguinal hernia repairs performed on 111 patients using Progrip mesh without fixation, with up to 24 month follow up.
METHODS: The initial 150 consecutive r-TAPP inguinal hernia repairs were performed from February 2017 to April 2018 using Progrip without fixation. All patients were seen at two weeks, followed by phone follow up at six months, one year, and two years. During the follow-up calls, we inquired about chronic pain or symptoms of hernia recurrence. Those that had any concerns were asked to make a follow up office appointment.
RESULTS: Of the 111 patients involved in this case study, 39 had bilateral hernias (35%) and 72 had unilateral hernias (65%). The age range for all patients was 18 years to 93 years. The BMI range for all patients was 20.7 to 50.2, with a mean of 26.4 and median of 25.8. Total operative time ranged from 28 minutes to 138 minutes with a mean of 62.4 minutes and median of 56 minutes. ASA classification ranged from 1 to 4, with a mean of 2.1. No significant blood loss was observed in any of the cases. There were no conversions to open surgery. All patients were discharged the same day of the operation. Of the 111 patients, we were able to follow up with 100% at two weeks, 75% at six months, 72% at one year, and 62% at two years. No recurrences were recorded at two weeks, six months, one year, or two years. There were no reports of chronic pain up to two years in any of the patients.
CONCLUSION: These results indicate that r-TAPP inguinal hernia repair using Progrip without further fixation is safe, effective, and can be performed with minimal recurrences or chronic pain.
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