ORIGINAL ARTICLE   

Minerva Chirurgica 2020 December;75(6):426-9

DOI: 10.23736/S0026-4733.20.08335-2

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

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

Francesco CORATTI ✉, Martina TRAFELI, Giuseppe BARBATO, Cristina MAGGIONI, Andrea MANETTI, Fabio CIANCHI

Unit of Digestive Surgery, Department of Surgery and Translational Medicine, University Hospital of Florence, University of Florence, Florence, Italy

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.

KEY WORDS: Hernia, inguinal; Laparoscopy, inguinal; Dissection