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Journals / Turgut Özal Tıp Merkezi Dergisi / 2006 / Cilt: 13 Sayı: 4

Is Kugel Herniorraphy Really Minimally Invasive?: A Prospective, Randomized Study+

Kugel Fıtık Tamiri Gerçekten Minimal İnvaziv midir?: Prospektif Randomize Bir Çalışma

Cüneyt Kırkıl
Erhan Aygen
Nurullah Bülbüller
Osman Doğru
Ahmet Ödekmerdan
Mustafa Girgin
Mehmet Saraç
Pages
227–230
Publication Date
2006-08-01
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusions:In conclusion our data show that Kugel herniorraphy causes less inflammatory response, less postoperative acute pain and rapid recovery compared with Lichtenstein technique.

📌 3 Key Takeaways

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Objective & Hypothesis:Background: Kugel herniorraphy had been advocated as a minimally invasive technique.
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Key Findings & Data:Peripheral venous blood samples were collected, to measure the levels of interleukin-6 and C-reactive protein, just prior to surgery and then 12 and 48 hours postoperatively.
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Conclusion & Impact:Conclusions:In conclusion our data show that Kugel herniorraphy causes less inflammatory response, less postoperative acute pain and rapid recovery compared with Lichtenstein technique.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Kugel fıtık tamiri · Lichtenstein ameliyatı · Enflamatuvar yanıt

Abstract

Background: Kugel herniorraphy had been advocated as a minimally invasive technique. The purpose of this study was to compare inflammatory responses and clinical outcomes after Kugel and Lichtenstein procedures. Patients and methods: Thirty patients with unilateral inguinal hernia were randomized into Kugel and Lichtenstein repair groups. Peripheral venous blood samples were collected, to measure the levels of interleukin-6 and C-reactive protein, just prior to surgery and then 12 and 48 hours postoperatively. Postoperative acute and chronic pains were evaluated. Time to return normal activities and work was recorded. Results: Interleukin-6 levels significantly increased after Lichtenstein procedure. C-reactive protein levels were significantly increased in both groups. Patients had less postoperative pain and they recovered earlier after the Kugel procedure. Conclusions:In conclusion our data show that Kugel herniorraphy causes less inflammatory response, less postoperative acute pain and rapid recovery compared with Lichtenstein technique. Key words: Kugel herniorraphy, Lichtenstein procedure, Inflammatory response, Minimally invasive

Özet

Amaç: Kugel fıtık tamirinin minimal invaziv bir teknik olduğu ileri sürülmektedir. Bu çalışmanın amacı Kugel ve Lichtenstein girişimlerinden sonra gelişen enflamatuvar yanıtları ve klinik sonuçları karşılaştırmaktı. Hastalar ve Metotlar: Tek taraflı kasık fıtığı olan 30 hasta Kugel ve Lichtenstein tamir gruplarına rastgele ayrıldılar. Cerrahi girişimden hemen önce ve girişimden sonraki 12. ve 48. saatlerde, interlökin-6 ve C-reaktif protein seviyelerini ölçmek için periferik venöz kan örnekleri alındı. Cerrahi sonrası akut ve kronik ağrı değerlendirildi. Normal aktivitelere ve işe dönüş süreleri kaydedildi. Bulgular: Lichtenstein girişiminden sonra interlökin-6 düzeyleri belirgin olarak artarken Kugel fıtık tamiri, interlökin-6 düzeylerinde anlamlı olmayan bir artışa neden oldu. C-reaktif protein düzeyleri her iki grupta da belirgin olarak arttı. Kugel girişiminden sonra hastaların ağrısı daha azdı ve daha erken iyileştiler. Sonuç: Sonuçlarımız göstermektedir ki, Kugel fıtık tamiri Lichtenstein tekniği ile karşılaştırıldığında daha az enflamatuvar yanıta, daha az ameliyat sonrası ağrıya ve daha hızlı iyileşmeye neden olmaktadır. Anahtar kelimeler: Kugel fıtık tamiri, Lichtenstein ameliyatı, Enflamatuvar yanıt, Minimal invaziv

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Cite This Article

Kırkıl, C., Aygen, E., Bülbüller, N., Doğru, O., Ödekmerdan, A., Girgin, M., Saraç, M. (2006). Is Kugel Herniorraphy Really Minimally Invasive?: A Prospective, Randomized Study+. Turgut Özal Tıp Merkezi Dergisi, Cilt: 13 Sayı: 4, 227–230. https://ajindex.com/articles/1010121

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