Laparoscopic Transabdominal Preperitoneal versus Open Preperitoneal Hernioplasty for Unilateral Primary Inguinal Hernia
Background: According to the greatest reviews of inguinal hernia repairs, there is no discernible difference between laparoscopic and open mesh hernia repair techniques in terms of recurrence.Aim of the work: This study compares open and laparoscopic hernia repair procedures performed in hospitals.P...
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| Format: | Article |
| Language: | English |
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Al-Azhar University, Faculty of Medicine (Damietta)
2023-04-01
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| Series: | International Journal of Medical Arts |
| Subjects: | |
| Online Access: | https://ijma.journals.ekb.eg/article_302440_45040e24040869da47392f68d73cb294.pdf |
| _version_ | 1827389407757336576 |
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| author | Anas Abd-elsamee Ayman Elwan Mohamed Abo Elkher |
| author_facet | Anas Abd-elsamee Ayman Elwan Mohamed Abo Elkher |
| author_sort | Anas Abd-elsamee |
| collection | DOAJ |
| description | Background: According to the greatest reviews of inguinal hernia repairs, there is no discernible difference between laparoscopic and open mesh hernia repair techniques in terms of recurrence.Aim of the work: This study compares open and laparoscopic hernia repair procedures performed in hospitals.Patients and Methods: In this retrospective cohort study, the open and laparoscopic approaches to inguinal hernia repair were compared and evaluated for their effects on post-operative pain, hospital stay, operating room time, seroma, urinary retention, paresthesia, numbness, wound infection, and recurrence. From June 2020 to June 2022, 30 patients underwent hernioplasty surgery for a unilateral primary inguinal hernia. A laparoscopic hernioplasty [TAPP] was performed on Group A, while an open hernioplasty was performed on Group B.Results: There was a statistically significant difference between the two groups regarding the surgical time [p-value = 0.0001] and hospital stay [p-value = 0.0001]. While 20% of group B reported paresthesia and numbness, group A had no complications in terms of paresthesia and numbness [P=0.22]. There was no statistically significant difference between the two groups in terms of seroma and infection results [P-Values =0.329 and 1, respectively]. 13.3% of group A patients experienced recurrence of their hernias compared to group B's 6.7% [p-value =1].Conclusion: The laparoscopic technique of tension-free repair is preferable to the open technique in terms of immediate postoperative problems as well as delayed pain and paresthesia, as well as in terms of safety. |
| first_indexed | 2024-03-08T16:35:28Z |
| format | Article |
| id | doaj.art-9b8d96d23152401f90632db2e372004e |
| institution | Directory Open Access Journal |
| issn | 2636-4174 2682-3780 |
| language | English |
| last_indexed | 2024-03-08T16:35:28Z |
| publishDate | 2023-04-01 |
| publisher | Al-Azhar University, Faculty of Medicine (Damietta) |
| record_format | Article |
| series | International Journal of Medical Arts |
| spelling | doaj.art-9b8d96d23152401f90632db2e372004e2024-01-05T19:35:35ZengAl-Azhar University, Faculty of Medicine (Damietta)International Journal of Medical Arts2636-41742682-37802023-04-01543159316410.21608/ijma.2023.151918.1488302440Laparoscopic Transabdominal Preperitoneal versus Open Preperitoneal Hernioplasty for Unilateral Primary Inguinal HerniaAnas Abd-elsamee0Ayman Elwan1Mohamed Abo Elkher2Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, EgyptDepartment of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, EgyptDepartment of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, EgyptBackground: According to the greatest reviews of inguinal hernia repairs, there is no discernible difference between laparoscopic and open mesh hernia repair techniques in terms of recurrence.Aim of the work: This study compares open and laparoscopic hernia repair procedures performed in hospitals.Patients and Methods: In this retrospective cohort study, the open and laparoscopic approaches to inguinal hernia repair were compared and evaluated for their effects on post-operative pain, hospital stay, operating room time, seroma, urinary retention, paresthesia, numbness, wound infection, and recurrence. From June 2020 to June 2022, 30 patients underwent hernioplasty surgery for a unilateral primary inguinal hernia. A laparoscopic hernioplasty [TAPP] was performed on Group A, while an open hernioplasty was performed on Group B.Results: There was a statistically significant difference between the two groups regarding the surgical time [p-value = 0.0001] and hospital stay [p-value = 0.0001]. While 20% of group B reported paresthesia and numbness, group A had no complications in terms of paresthesia and numbness [P=0.22]. There was no statistically significant difference between the two groups in terms of seroma and infection results [P-Values =0.329 and 1, respectively]. 13.3% of group A patients experienced recurrence of their hernias compared to group B's 6.7% [p-value =1].Conclusion: The laparoscopic technique of tension-free repair is preferable to the open technique in terms of immediate postoperative problems as well as delayed pain and paresthesia, as well as in terms of safety.https://ijma.journals.ekb.eg/article_302440_45040e24040869da47392f68d73cb294.pdfhernioplastylaparoscopepreperitonealinguinal hernia |
| spellingShingle | Anas Abd-elsamee Ayman Elwan Mohamed Abo Elkher Laparoscopic Transabdominal Preperitoneal versus Open Preperitoneal Hernioplasty for Unilateral Primary Inguinal Hernia International Journal of Medical Arts hernioplasty laparoscope preperitoneal inguinal hernia |
| title | Laparoscopic Transabdominal Preperitoneal versus Open Preperitoneal Hernioplasty for Unilateral Primary Inguinal Hernia |
| title_full | Laparoscopic Transabdominal Preperitoneal versus Open Preperitoneal Hernioplasty for Unilateral Primary Inguinal Hernia |
| title_fullStr | Laparoscopic Transabdominal Preperitoneal versus Open Preperitoneal Hernioplasty for Unilateral Primary Inguinal Hernia |
| title_full_unstemmed | Laparoscopic Transabdominal Preperitoneal versus Open Preperitoneal Hernioplasty for Unilateral Primary Inguinal Hernia |
| title_short | Laparoscopic Transabdominal Preperitoneal versus Open Preperitoneal Hernioplasty for Unilateral Primary Inguinal Hernia |
| title_sort | laparoscopic transabdominal preperitoneal versus open preperitoneal hernioplasty for unilateral primary inguinal hernia |
| topic | hernioplasty laparoscope preperitoneal inguinal hernia |
| url | https://ijma.journals.ekb.eg/article_302440_45040e24040869da47392f68d73cb294.pdf |
| work_keys_str_mv | AT anasabdelsamee laparoscopictransabdominalpreperitonealversusopenpreperitonealhernioplastyforunilateralprimaryinguinalhernia AT aymanelwan laparoscopictransabdominalpreperitonealversusopenpreperitonealhernioplastyforunilateralprimaryinguinalhernia AT mohamedaboelkher laparoscopictransabdominalpreperitonealversusopenpreperitonealhernioplastyforunilateralprimaryinguinalhernia |