Sliding inguinal XXXX : scope of laparoscopic repair.

@entity1 @entity169 @entity547
BACKGROUND: Sliding @entity547 are an uncommon type of @entity169 . Very little is published in the literature regarding the outcome of laparoscopic repair of sliding @entity547 . The present series evaluates the feasibility and outcome of laparoscopic repair of these @entity547 . METHODS: Retrospective analysis of prospectively maintained data of @entity1 with sliding @entity169 undergoing laparoscopic repair from January 2003 to July 2010 was done. The @entity1 demographics, clinical presentations, operative details, and complications were studied. Related literature was reviewed. RESULTS: A total of 1136 @entity1 underwent laparoscopic repair of @entity169 , of which 54 @entity1 had sliding @entity169 (4.7%). Forty-one @entity1 (76%) had left-sided @entity547 and 13 @entity1 (24%) had right-sided @entity547 . Mean age of presentation was 63.5 years. Thirty-five @entity1 (64.8%) presented as complicated @entity547 (27 irreducible, 7 obstructed, and 1 strangulated). Thirty-nine @entity1 had sigmoid colon, 9 @entity1 had cecum, 3 @entity1 had ascending colon, and 3 @entity1 had urinary bladder as the sliding component. Eight @entity1 underwent Lichtenstein repair, 27 @entity1 transabdominal preperitoneal repair, and 19 @entity1 total extraperitoneal repair. Mean operating time of laparoscopic repair was 53 minutes (40-105 minutes). Five procedures (10.8%) were converted to open repair. Overall morbidity was 44.4%. Median hospital stay was 1.5 days (1-14 days). There were no recurrences in up to 7 years follow-up. CONCLUSION: Laparoscopic repair of sliding @entity169 is feasible and safe with good outcome. Laparoscopic transabdominal preperitoneal approach is the preferable method.
