Journals / Laparoscopic Endoscopic Surgical Science / 2021 / Cilt: 28 - Sayı: 4

Comparison of early and late period outcomes of transabdominal pre-peritoneal technique and Lichtenstein technique in repair of bilateral inguinal hernia

Pages
192–198
Publication Date
2022-09-04
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Overall morbidity rate and length of hospital stay were higher in LT group, p=0.029 and p<0.001, respectively.

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Objective & Hypothesis:Introduction: The aim of this study is to compare the early and late period outcomes of transabdominal preperitoneal (TAPP) technique and Lichtenstein technique (LT), which are two different methods used in the surgical treatment of bilateral inguinal hernia.
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Key Findings & Data:Materials and Methods: Patients who were operated for bilateral inguinal hernia at Erzurum Regional Education and Research Hospital between January 2015 and January 2021 were selected for the study retrospectively.
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Conclusion & Impact:Overall morbidity rate and length of hospital stay were higher in LT group, p=0.029 and p<0.001, respectively.
🔬Design:Research Article
📍Scope:2015 Verileri
⚙️Variables:Domain Parameters

Abstract

Introduction: The aim of this study is to compare the early and late period outcomes of transabdominal preperitoneal (TAPP) technique and Lichtenstein technique (LT), which are two different methods used in the surgical treatment of bilateral inguinal hernia. Materials and Methods: Patients who were operated for bilateral inguinal hernia at Erzurum Regional Education and Research Hospital between January 2015 and January 2021 were selected for the study retrospectively. The patients were divided into two groups according to the surgery performed: TAPP technique group and LT group. Complications occurred in the first 30 days of the post-operative period were defined as early period outcomes, and complications occurred after the first 30 days postoperatively were defined as late period outcomes. The outcomes differences between TAPP technique and LT were evaluated with appropriate statistical tests, and p=0.05 was considered statistically significant. Results: During the study period, 110 patients underwent bilateral inguinal hernia surgery. One hundred and nine patients (99.1%) were men. The mean age of all patients was 56.6±14.27 years (20-84). TAPP technique group had 28 (25.5%) patients. Overall morbidity rate and length of hospital stay were higher in LT group, p=0.029 and p<0.001, respectively. There was no difference between the groups in terms of recurrence (p=0.255). Conclusion: Comorbid diseases and age of the patients are important factors in the selection of surgical method. TAPP technique, which reduces the overall morbidity and shortens the duration of hospital stay and does not have a significant increase in terms of recurrence, can be performed safely in bilateral inguinal hernia cases.

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Cite This Article

KALAYCI, T., YENİ, M. (2022). Comparison of early and late period outcomes of transabdominal pre-peritoneal technique and Lichtenstein technique in repair of bilateral inguinal hernia. Laparoscopic Endoscopic Surgical Science, Cilt: 28 - Sayı: 4, 192–198. https://ajindex.com/articles/423543

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References (14)

  1. Weber-Sánchez A, Weber-Alvarez P, Garteiz-Martínez D. Laparoscopy and bilateral inguinal hernias. J Surg Transpl Sci 2016;4:1019
  2. Al-Shemy G, Hassan A, Elias AA-K, Nagi A. Evaluation of open hernioplasty in bilateral inguinal hernia repair. Al-Azhar Assiut Med J 2018;16:66–72
  3. Simons M, Aufenacker T, Bay-Nielsen M, Bouillot J, Campanelli G, Conze J, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 2009;13:343–403
  4. Wauschkuhn CA, Schwarz J, Boekeler U, Bittner R. Laparoscopic inguinal hernia repair: gold standard in bilateral hernia repair? Results of more than 2800 patients in comparison to literature. Surg Endosc 2010;24:3026–30. 5. van Veenendaal N, Simons M, Hope W, Tumtavitikul S, Bonjer J. Consensus on international guidelines for management of groin hernias. Surg Endosc 2020;34:2359–77
  5. Feliu-Pala X, Martin-Gomez M, Morales-Conde S, Fernández- Sallent E. The impact of the surgeon’s experience on the results of laparoscopic hernia repair. Surg Endosc 2001;15:1467–70
  6. Çelik Y, Erbil OA. Genel anestezi altında laparoskopik transabdominal preperitoneal ve total ekstraperitoneal herni tamirinin karşılaştırılması. Anatol Clin 2020;25:7–11
  7. International guidelines for groin hernia management. Hernia 2018;22:1–165
  8. Torralba-Martinez J, Moreno-Egea A, Liron-Ruiz R, Alarte- Garvi J, Morales-Cuenca G, Miguel-Perello J, et al. Bilateral inguinal hernia: open surgery versus extraperitoneal laparoscopic repair. Cir Esp 2003;73:282–7
  9. Berndsen F, Petersson U, Montgomery A. Endoscopic repair of bilateral inguinal hernias–short and late outcome. Hernia 2001;5:192–5
  10. Kark A, Belsham P, Kurzer M. Simultaneous repair of bilateral groin hernias using local anaesthesia: a review of 199 cases with a five-year follow-up. Hernia 2005;9:131–3
  11. Gilbert AI. Simultaneous repair of bilateral groin hernias using local anaesthesia. Hernia 2005;9:401
  12. Fernández-Lobato R, Tartas-Ruiz A, Jiménez-Miramón FJ, Marín-Lucas FJ, de Adana-Belbel JCR, Esteban ML. Stoppa procedure in bilateral inguinal hernia. Hernia 2006;10:179– 83
  13. Gainant A, Geballa R, Bouvier S, Cubertafond P, Mathonnet M. Prosthetic treatment of bilateral inguinal hernias via laparoscopic approach or Stoppa procedure. Ann Chir 2000;125:560–5
  14. Sarli L, Iusco DR, Sansebastiano G, Costi R. Simultaneous repair of bilateral inguinal hernias: a prospective, randomized study of open, tension-free versus laparoscopic approach.