An Observational Study on the Comparative Analysis of Trans Abdominal Preperitoneal and Totally Extraperitoneal: A Single-center Experience of 105 Patients.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Manoj Kumar, Ashesh Kumar Jha, Deepak Kumar, Iqbal Hasan, Dhirendra Kumar
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引用次数: 0

Abstract

Background: Inguinal hernia repair remains one of the most common surgical procedures performed in the elective setting. trans abdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) are the two well-established laparoscopic methods of inguinal hernia repair. However, doubts still exist about their relative merits and risks. In this study, we are sharing our observations on the comparative analysis of TAPP versus TEP.

Materials and methods: This retrospective analysis was carried out on 105 cases of inguinal hernia, repaired laparoscopically over the last 2 years. Patients within the age group of 20-60 years, operated for primary unilateral inguinal hernia using either TAPP or TEP were included in this study. All the repairs were done by a single surgeon in the same unit, having more than 3 years of experience in laparoscopic hernia repair.

Results: Among 105 patients, who underwent laparoscopic hernia repair, 53 were operated on by TAPP and 52 by TEP. There was no significant visceral or vascular injury in either group. The mean duration of surgery in the TAPP group was 103.43 ± 12.24, and in TEP group 89.83 ± 14.25 min (P < 0.0001) Mean hospital stay was 2.47 ± 0.79 and 2.0 ± 0.65 days in TAPP and TEP groups (P = 0.001). Patients in the TAPP group were able to return to their work after 14.30 ± 1.60 and in TEP after 13.73 ± 1.24 days (P = 0.04).

Conclusion: Both TAPP and TEP are well-established methods for laparoscopic hernia repair. In terms of outcome, we observed that TEP requires less operative time and is associated with a relatively shorter hospital stay and earlier return to work.

105例经腹腹膜前和全腹膜外手术的观察性比较分析。
背景:腹股沟疝修补术仍然是最常见的外科手术之一。经腹腹膜前疝修补术(TAPP)和完全腹膜外疝修补术(TEP)是目前公认的两种腹腔镜腹股沟疝修补术。然而,对它们的相对优点和风险仍然存在疑问。在本研究中,我们分享了我们对TAPP与TEP的比较分析的观察结果。材料与方法:回顾性分析近2年来经腹腔镜修复的105例腹股沟疝。本研究纳入年龄在20-60岁之间,采用TAPP或TEP治疗原发性单侧腹股沟疝的患者。所有的修补都是由同一单位的一位外科医生完成的,他在腹腔镜疝修补方面有3年以上的经验。结果:105例腹腔镜疝修补术中,53例采用TAPP, 52例采用TEP。两组均未见明显的内脏或血管损伤。TAPP组的平均手术时间为103.43±12.24 min, TEP组的平均手术时间为89.83±14.25 min (P < 0.0001)。TAPP组和TEP组的平均住院时间分别为2.47±0.79和2.0±0.65 d (P = 0.001)。TAPP组患者术后14.30±1.60天恢复工作,TEP组术后13.73±1.24天恢复工作(P = 0.04)。结论:TAPP和TEP都是腹腔镜疝修补术的理想方法。就结果而言,我们观察到TEP需要较少的手术时间,并且与相对较短的住院时间和较早的重返工作岗位相关。
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来源期刊
Annals of African Medicine
Annals of African Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
31
期刊介绍: The Annals of African Medicine is published by the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria and the Annals of African Medicine Society. The Journal is intended to serve as a medium for the publication of research findings in the broad field of Medicine in Africa and other developing countries, and elsewhere which have relevance to Africa. It will serve as a source of information on the state of the art of Medicine in Africa, for continuing education for doctors in Africa and other developing countries, and also for the publication of meetings and conferences. The journal will publish articles I any field of Medicine and other fields which have relevance or implications for Medicine.
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