Better to trans-abdominal preperitoneal hernias than open them:a comparative study in a rural setup
DOI:
https://doi.org/10.18203/2349-2902.isj20163036Keywords:
Inguinal hernia, Hernia repair, Prolene mesh, Laparoscopy, Lichtenstein repair, TAPPAbstract
Background: Hernias are one of the most common anatomical derangements in men and women and has left an indelible mark throughout most of recorded history. The main aim of our study was to make a comparative assessment of the shortest duration of stay in hospital between 2 modalities of inguinal hernia repair namely; lap trans- abdominal preperitoneal(TAPP) and conventional lichtenstein repair.
Methods: The postoperative complications of pain and seroma were also assessed as secondary outcomes of the study. The study comprised of 200 patients randomly allocated, and followed up every 6 months for 4 years.
Results: TAPP repair was found to be better in terms of shorter duration of stay in hospital and few postoperative complications as evident from the p-value.
Conclusions: The study concluded that the duration of stay in hospital was the shortest in lap TAPP compared to conventional lichtenstein repair.
References
Fitzgibbons RJ, Richards AT, Quinn TH. Open hernia repair. In: Souba WS, Mitchell P, Fink MP, Jurkovich GJ, Kaiser LR, Pearce WH, Pemberton JH, Soper NJ, editors. ACS Surgery: Principles and Practice. 6th ed. Philadelphia, U.S.A: Decker Publishing Inc; 2002;828-49.
Ruhl CE, Everhart JE. Risk factors for inguinal hernia among adults in the US population. Am J Epidemiol. 2007;165:1154-61.
Kulah B, Kulacoglu IH, Oruc MT, Duzgun AP, Moran M, Ozmen MM, et al. Presentation and outcome of incarcerated external hernias in adults. Am J Surg. 2001;181:101-4.
Akinci M, Ergül Z, Kulah B, Yilmaz KB, Kulacoglu H. Risk factors related with unfavorable outcomes in groin hernia repairs. Hernia. 2010;14:489-93.
Kulah B, Duzgun AP, Moran M, Kulacoglu IH, Ozmen MM, Coskun F. Emergency hernia repairs in elderly patients. Am J Surg. 2001;182:455-9.
Alvarez PJA, Baldonedo RF, Bear IG, Solís JA, Alvarez P, Jorge JI. Emergency hernia repairs in elderly patients. Int Surg. 2003;88:231-7.
Turaga K, Fitzgibbons RJ, Puri V. Inguinal hernias: Should we repair? Surg Clin North Am.2008;88:127-38.
Barkun J, Neville A, Fitzgerald GW, Litwin D. Evidence-based reviews in surgery group. Can J Surg. 2008;51:406-9.
Fitzgibbons RJ, Jr Giobbie HA, Gibbs JO, Dunlop DD, Reda DJ, McCarthy M, Jr, et al. Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: a randomized clinical trial. J Am Med Asso. 2006;295:285-92.
Dwyer PJ, Norrie J, Alani A, Walker A, Duffy F, Horgan P. Observation or operation for patients with an asymptomatic inguinal hernia: a randomized clinical trial. Ann Surg. 2006;244:167-173.
Chung L, Norrie J, O'Dwyer PJ. Long-term follow-up of patients with a painless inguinal hernia from a randomized clinical trial. Br J Surg. 2010 doi: 10.1002/bjs.7355.
Amid PK. Lichtenstein tension-free hernioplasty: its inception, evolution, and principles. Hernia.2004;8:1-7.
Kurzer M, Kark A, Hussain ST. Day-case inguinal hernia repair in the elderly: a surgical priority. Hernia.2009;13:131-6.
Kulacoglu H, Ozyaylali I, Yazicioglu D. Factors determining the doses of local anesthetic agents in unilateral inguinal hernia repair. Hernia. 2009;13:511-6.
Dion YM, Morin J. Laparoscopic inguinal herniorraphy. Can J Surgery 1992;35:209-12.
McKernan B. Laparoscopic pre-peritoneal prosthetic repair of inguinal hernias. Surgical rounds 1992; 7:579-610.
Fruchaud, H. Anatomie Chirurgicale des hernies de l’aine. Paris, Doin. The Preperitoneal Approach and Prosthetic repair of Groin Hernia. 1956.
Mccormack K, Scott NW, Go PM, Ross S, Grant AM. EU hernia trialists collaboration laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev 2003(1):CD001785.
EU Hernia Trialists Collaboration. Laparoscopic compared with open methods of groin hernia repair: systematic review of randomized controlled trials. Br J Surg. 2000;87(7):860-7.
Kozol R, Lange PM, Kosir M, Beleski K, Mason K, Tennenberg S. A prospective, randomized study of open vs laparoscopic inguinal hernia repair. An assessment of postoperative pain. Arch Surg. 1997;132(3):292-5.
Mccormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E. Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess. 2005;9(14):1-203.
Wall ML, Cherian T, Lotz JC. Laparoscopic hernia repair the best option?. Acta Chir Belg. 2008;108(2):186-91.
