Özet:
Background and Objectives: Conversion to open surgery
is an important problem, especially during the learning
curve of laparoscopic totally extraperitoneal (TEP)
inguinal hernia repair.
Methods: Here, we discuss conversion to the Stoppa
procedure during laparoscopic TEP inguinal hernia repair.
Outcomes of patients who underwent conversion to an
open approach during laparoscopic TEP inguinal hernia
repair between September 2004 and May 2010 were evaluated.
Results: In total, 259 consecutive patients with 281 inguinal
hernias underwent laparoscopic TEP inguinal hernia
repair. Thirty-one hernia repairs (11%) were converted to
open conventional surgical procedures. Twenty-eight of
31 laparoscopic TEP hernia repairs were converted to
modified Stoppa procedures, because of technical difficulties.
Three of these patients underwent Lichtenstein
hernia repairs, because they had undergone previous surgeries.
Conclusion: Stoppa is an easy and successful procedure
used to solve problems during TEP hernia repair. The
Lichtenstein procedure may be a suitable option in patients
who have undergone previous operations, such as a
radical prostatectomy.
