Is Laparoscopic Transabdominal Preperitoneal Hernia Repair more Invasive than Anterior Open Mesh Repair?
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 1
Abstract
ABSTRACT Introduction: Tension-free open mesh repair is a popular surgical choice for an inguinal hernia. Laparoscopic Hernia Repair (LAHR) is gradually increasing, however, LAHR is considered more invasive than open mesh repair because the surgical time is longer and has a higher rate of postoperative complications. Aim: To compare the invasiveness of laparoscopic Transabdominal Preperitoneal Hernia Repair (TAPP) with open mesh repair by evaluating surgical time, postoperative stay duration, postoperative complications, and inflammatory marker levels in patients with inguinal hernia. Materials and Methods: This was a prospective comparative clinical study of 104 patients with inguinal hernia who were divided into two groups based on treatment type: TAPP and open mesh repair. Patient characteristics, surgery-related and postoperative factors, postoperative stay duration, and postoperative complications were analysed and compared between the two groups. Continuous data were presented as mean±standard deviation and were compared using Student’s t-test (two-tailed). Categorical data were compared using Fisher’s-exact test. Results: In total, 51 patients underwent TAPP and 53 open mesh repair. Surgical time and postoperative stay duration were not significantly different between the two groups. Similarly, White Blood Cells (WBC) (postoperative days 1 and 3) and C-Reactive Protein (CRP) (day 3) levels were not significantly different between the two groups; however, day 1 CRP levels were significantly lower in the TAPP group than in the open mesh repair group (1.12±0.81 mg/dL and 2.22±1.88 mg/dL, respectively; p<0.01). Postoperative surgical complication rates were not significantly different between the two groups. Conclusion: Both TAPP and open mesh repair are safe and feasible procedures. TAPP is comparable to open mesh repair in terms of surgical stress and is less invasive.
Authors and Affiliations
Takaaki Tsushimi, Kazuhito Oka, Koichi Ueki, Yoshihide Minami
Keywords
Related Articles
- EP ID EP556710
- DOI 10.7860/JCDR/2019/37846.12508
- Views 82
- Downloads 0
Global Search Trends of Oral Problems using Google Trends from 2004 to 2016: An Exploratory Analysis
Introduction: Oral diseases are pandemic cause of morbidity with widespread geographic distribution. This technology based era has brought about easy knowledge transfer than traditional dependency on information obtained...
Trauma from Armed Conflict and the Effect on Mental Health in Thailand's Deep South: A Systematic Review
Introduction: The Deep South region of Thailand has faced a situation of jihadist insurgency since 2004 with indiscriminate attacks on civilians and more than 19,000 casualties as of September 2016. Despite the large num...
Role of Multi-Detector CT (MDCT) in Evaluation of Bowel Diseases
Introduction: Multi-Detector Computed Tomography (MDCT) has revealed excellent results in various systems of the body. Its role in abdominal imaging for solid viscera has been proved beyond doubt. It is an emerging non i...
Evaluation of Dental Non-Metric Traits in Ethnic Tamil Population: An Aid in Forensic Profiling
ABSTRACT Introduction: Non-metric dental traits are features of dental morphology that show alteration in their appearance both within and between the populations. These traits seem to be controlled in part by genetics...
Uterine Gangrene and Mechanical Intestinal Obstruction in a Teenager Following Unsafe Abortion
ABSTRACT Unsafe abortion often leads to complications since it is carried out by untrained persons in an unsafe environment. The most common complications are anaemia, bowel injury, bladder injury, uterine perforation, a...