The Gauze technique: a simple method of dissection in laparoscopic inguinal hernia repair

Minerva Chir. 2020 Dec;75(6):426-429. doi: 10.23736/S0026-4733.20.08335-2. Epub 2020 May 26.

Abstract

Background: Hernia repair is one of the most frequent operation in general surgery. The aim of this is study is to present a new preperitoneal atraumatic dissection of peritoneal flap during laparoscopic transabdominal preperitoneal inguinal hernia repair.

Methods: From January 2019 to December 2019, 30 patients (19 male, 11 female) attended TAPP inguinal hernia repairs. The inclusion's criteria were: patients from 32 to 88 years; male and woman; bilateral inguinal hernia.

Results: The median age of patients was 46,46 (32-88). The median time of operation was 63,8 (45-100) minutes. All procedures were performed without complications and convertions.

Conclusions: Based on our experience the soft technique is a safe and feasible way to create a preperitoneal flap. Operating time is drastically reduced and the learning curve is reduced even for less experienced surgeons.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Ambulatory Surgical Procedures
  • Dissection / methods*
  • Female
  • Hernia, Inguinal / pathology
  • Hernia, Inguinal / surgery*
  • Herniorrhaphy / methods*
  • Humans
  • Laparoscopy / methods
  • Learning Curve
  • Male
  • Middle Aged
  • Operative Time
  • Peritoneum / surgery*
  • Pneumoperitoneum, Artificial
  • Tampons, Surgical*