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:: Scientific Journal of Kurdistan University of Medical Sciences - No 2, 2022 ::
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Comparison of Early Complications and Recurrence in Inguinal Hernia Surgery with Laparoscopic (TAPP) and Open Methods
Behzad Nemati Honar , Khosro Ayazi , Alireza Mirkheshti
Abstract:   (131 Views)
Background and Aim: There is controversy about the preferred method for inguinal hernia repair between the open and laparoscopic methods. On the other hand, open repairs are usually done via spinal anesthesia while laparoscopic repairs are usually done with general anesthesia. This clinical trial was performed to compare the rate of early complications inguinal hernia repair and its recurrence in laparoscopic (TAPP) and open (Lichtenstein) methods.
Material and Methods: In this clinical trial, 84 patients who were candidates for elective inguinal hernia repair at Imam Hossain Hospital were randomly divided into two groups: laparoscopic (TAPP) and open (Lichtenstein) groups both with spinal anesthesia. Patients were followed for short term complications (e.g. infection, seroma, hematoma, postoperative pain), number of days of hospitalization and recurrence within the first year. Data were analyzed using SPSS software (version 16).
 
Results: There was no significant difference between the two groups in terms of age and gender. Unfortunately, in the TAPP group, 23 patients (54.8%) received general anesthesia due to lack of co-operation, excessive abdominal wall stiffness and failure of spinal anesthesia. The duration of hospitalization (P <0.001) was shorter, postoperative pain in the first 24 hours (P <0.001) was lesser, but the duration of surgery (P <0.001) was greater in the TAPP group compared with Lichtenstein group. There was no significant difference between the two groups in terms of infection and recurrence in the first year. Seroma was seen in only 16.7% of open surgical patients (P <0.012). Pain in the first 24 hours at all three time points (1, 8 and 24 hours) was lesser in the TAPP group with spinal anesthesia than TAPP with general anesthesia and open Lichtenstein group (P <0.001).
Conclusion: The results of this study showed that laparoscopic surgery (TAPP) with spinal anesthesia in inguinal hernia repair is associated with reduced postoperative pain in the first 24h, and that the TAPP method (irrespective of route of anesthesia) is associated with lower risk of seroma formation.
Keywords: Inguinal Hernia, Lichtenstein’s repair, Laparoscopic hernioplasty
     
Type of Study: Original Research | Subject: Medicine - General Surgery
Received: 2020/09/17 | Accepted: 2021/07/5
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مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
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