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Corresponding Author

Ahmed Ramzy Shaaban Abd Elazeem

Document Type

Original Article

Abstract

Background - A special entity among inguinal hernias is represented by bilateral hernia. The optimal surgical approach must be selected individually for the patient, taking into account patient age, hernia size, primary or recurrent status, type of anesthesia, occupation, and patient activities.

Aim - To evaluate and compare bilateral-inguinal-hernia in management STOPPA & laparoscopic (TAPP) approaches.

Patients and Methods - Thirty (30) patients presented in the outpatient clinics complaining of bilateral inguinal hernia were randomly divide; Group I 15 patients for TAPP repair and Group II 15 patients for Stoppa repair. which was done at Al-Azhar University hospitals and Shebin El-Koum Teaching hospital over a period from february 2021 to october 2022.

Results - Our results revealed that; non-significant difference between both groups as regarding age, postoperative complications; hospital stay, no wound infection with TAPP while there were one case of wound infection with STOPPA, post operative recurrence and one case recurrence with TAPP. TAPP technique takes shorter duration than STOPPA technique.

Conclusion - TAPP approaches were observed that low of surgical trauma with better outcomes in comparison to STOPPA approache with high complication rate and high incidence of surgical trauma.

Keywords

Laporoscopic; Bilateral Inguinal Hernia; STOPPA; TAPP

Subject Area

Pediatrics & its Subspecialty., General Surgery, Endo-surgery

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