OC-107 IMPLEMENTATION OF LAPAROSCOPIC INGUINAL HERNIA REPAIR IN A LOCAL HOSPITAL. 2 YEARS’ EXPERIENCE AND CHALLENGES

Abstract Background More than 30 years have passed since the first laparoscopic inguinal hernioplasty but nowadays less 5% of patients are currently operated by this technique as recent Spanish national data suggest. Objective To present our experience 2 after implementation in local hospital and highlight challenges we faced. Methods Our deals with a high volume abdominal wall surgery has more 20 ambulatory surgery. A multidisciplinary clinical pathway was implemented. Strict selection criteria were established pelvitrainer sessions done. Results From January 2021 until December 2022, 196 repairs performed: 167 transabdominal preperitoneal (TAPP), 29 totally extraperitoneal (TEP). The main challenge learning curve. 5 surgeons trained. Until now completed their curve for TAPP began training TEP approach while others still need senior assistance. duration hernioplasty, deep relaxation increased carbon dioxide absorption biggest concerns Anesthesia team. cost new materials could be afforded, even though different sutures types mesh fixation devices used getting non-invasive one. Surgical outcomes good, few minor complications. Moreover outpatient rate maintained average time waiting list increased. Conclusion program is feasible safe faces many challenges, especially due to long