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.
License
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, Volume 4, Issue 1, March 2013, 80-83
https://doi.org/10.5799/ahinjs.01.2013.01.0238
Publication date: 14 Mar 2013
Article Views: 2588
Article Downloads: 1514
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