EVALUACIÓN DE LOS RESULTADOS DE LAS REPARACIONES LAPAROSCÓPICAS DE LAS HERNIAS INGUINALES VERSUS TÉCNICA CONVENCIONAL SIN TENSIÓN DE LICHTENSTEIN. HOSPITAL TEODORO MALDONADO CARBO 2014-2016

Abstract

Description of the problem: The Lichtenstein technique, being the goldstand technique in inguinal hernioplasties, still presents complications such as postoperative inguinodynia, this may be incapacitating in some cases, laparoscopic repairs of inguinal hernias offer advantages such as: minor pain, rapid labor reintegration and lower incidence of postoperative inguinodynia. Rationale: In our hospital, few laparoscopic hernioplasties are performed, due to the preconceived idea, that laparoscopic surgery with general anesthesia is not justified, and it can be performed with conductive anesthesia using conventional technique, obtaining the same results. This thesis evaluates the results of laparoscopic inguinal hernioplasties. Objectives: To evaluate the results of laparoscopic inguinal hernioplasties versus lichtenstein repairs. Methodology: Non-intervention, descriptive, observational study with prospective follow-up was carried out at Hospital Teodoro Maldonado Carbo between 2014-2016, with a non-probabilistic sample for convenience, 50 patients with Lichtenstein hernioplasty and 46 with TAPP. Results: Relative risk of 0.28 to 1 (TAAP/Lichtenstein) correlating the presence of complications in the first week of surgery, the 95% confidence interval is 0.55 to 1.42 with a p-value of 0.11 obtained using chi-square and the relative risk was 0.32 to 1 (TAAP/Lichtenstein), with a 95% confidence interval of 0.80 to 1.26 with p value 0.08 obtained. Conclusions: The hypothesis test indicates that there are no statistically significant differences between the two surgical procedures and the presence of complications during the first week and first month of surgery