Can laparoscopic total extraperitoneal repair of inguinal hernia be preferred to conventional method? A randomized clinical trial
Hacı Osman Tanrıverdi, Fevzi Cengiz 1 * , Savaş Yakan, Abdullah Şenlikçi, Mehmet Akif Üstüner, Enver İlhan
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1 İzmir Bozyaka Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İzmir, Turkey* Corresponding Author

Abstract

Objective: This is a prospective study of laparoscopic to­tally extraperitoneal (TEP) inguinal hernia repair to com­pare with the conventional method of Lichtenstein.
Methods: A total of 50 patient (25 conventional, 25 lapa­roscopic) with inguinal hernia were included. We were examined prospectively age, gender, body mass index (BMI), inguinal hernia type (Nyhus classification), Ameri­can Society of Anesthesiologists risk score (ASA), the first skin incision until closure operation time, intraopera­tive and postoperative complications, postoperative pain score, analgesic requirement, hospital stay, return to nor­mal physical activity in terms of duration and recurrence on preoperative patient. Visual analog pain score (VAS) were used for scoring pain for all patients.
Results: 46 patients (92%) were male and mean age was 50.9 years (range 17-78). The mean BMI was 25,8 kg/m2 (range 19.1-31,6) and there was no significant difference in demographic characteristics between groups (p>0,05). In both groups, mainly Nyhus Type 2 was followed and there was no significant difference in ASA scores and hernia type between the groups (p>0.05). Laparoscopic group was more advantageous in analgesic use, VAS score, and return to work time, but had longer operation time (p<0.05). There was no significant difference be­tween the two methods in operative and postoperative complication rates and early recurrence rates (p>0.05).
Conclusions: Although laparoscopic TEP hernia repair had longer operation time; it provides less pain, less an­algesic use with similar morbidity rate and provides early discharge.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Research Article

J Clin Exp Invest, 2013, Volume 4, Issue 1, 80-83

https://doi.org/10.5799/ahinjs.01.2013.01.0238

Publication date: 14 Mar 2013

Article Views: 2401

Article Downloads: 1368

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