P-005 LAPAROSCOPIC INGUINAL HERNIOPLASTY USING TRANSABDOMINAL PREPERITONEAL APPROACH (TAPP) IN YOUNG SURGEONS: A PERSONAL EXPERIENCE

Abstract Aims We present short-term results from the personal series of laparoscopic TAPP inguinal hernia procedures performed during 1st year postgraduate in General Surgery. Material and Method Retrospective study where we analyzed our database patients diagnosed with undergoing surgical treatment using approach-TAPP. Results A total 77 underwent approach (men: 90%, age: 61(RIQ: 4 2.5–68 years)). LOS:1(RIQ:1–2 days). BMI: 2 7.3±3.3kg/m2. Overweight(57.1%). Hernia characteristics: bilateral(84.4%), inguino-scrotal(10.4%), Lateral 66.2%), Medial(7.8%), Mixed(24.7%) Femoral 1.3%). Overall complications: 8(10.4%). Serious intraoperative: 0%. Seroma: 10.4%. Hematoma: ISQ: Recurrence: 1(1.3%). an analysis comparing(X2) operated on first 6 months(Period A) vs. those second B), obtained following terms inguino-scrotal hernias (0% 18.6% p = 0.008), mod-large : type 2–3(44.1% 65.1% p=0.065), non-fixation mesh(14.7% 51.2% w=0.001), time<60min(5.9% 46.5% w<0.05), global complications (5.9% 11.6% p=0.38), recurrence(2.9% 0% p=0.25). Conclusions The to offers advantages minimally invasive surgery: less postoperative pain, fewer complications, shorter hospital stay, early return usual physical activities. It is a technique that requires learning curve but it possible be safely effectively by young surgeon under supervision more experienced surgeon,without increasing rate intraoperative or short times successful results.