The Management of Indirect Inguinal Hernia Sac in Laparoscopic Transabdominal Pre-Peritoneal Procedure Hernia Repair.

Background: Of all the hernia varieties, groin hernias are the most prevalent. A gap in the endo-abdominal fascia known as an inguinal hernia is large enough to allow the evacuation of intraperitoneal or preperitoneal contents into the groin. Aim of study: To evaluate various hernia sac management strategies either sac transacted or sac reduction regarding feasibility and complications if both hernia repair is done laparoscopically using the Trans Abdominal Pre-Peritoneal (TAPP) surgery. Patients and methods: A randomised controlled clinical trial was conducted for this study at Zagazig University Hospitals' General Surgery Department through the period from Jul 2022 to Jan 2023. This study included 24 adult candidates for indirect inguinal hernia repaired laparoscopically with transabdominal preperitoneal repair of inguinal hernia sac. Potential patients with indirect inguinal hernias that need laparoscopic transabdominal preperitoneal repair were classified into two groups. Group (A): Underwent indirect hernia sac transection and group (B) that underwent complete sac reduction. Results: The post-operative problems did not alter noticeably (scrotal edoema). In terms of post-operative pain, group A had statistically significantly higher mean pain at 12 hr post-operative. In relation to postoperative hospitalisation, there was no statistically significant difference between the study groups. Scrotal edema in group A at follow-up was 24.9%, compared to 8.3% in group B without statistical significance while recurrence was reported in 16.7% of the patients among group A and 8.3% with group B. Conclusion: Full sac reduction and hernia sac transection are both dependable and safe procedures. [ABSTRACT FROM AUTHOR]