Comparison of Outcomes of Open Tension-free Mesh Repair and Totally Extraperitoneal Laparoscopic Repair of Inguinoscrotal Hernias

Q4 Medicine

Annals of African Surgery Pub Date : 2021-02-09 DOI:10.4314/AAS.V18I1.6

B. Shazi, M. Koto, C. Osuagwu, H. Schoeman

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引用次数: 1

Abstract

Background: This study aimed to determine the differences in postoperative complications experienced by patients with inguinoscrotal hernia after laparoscopic versus open repair, and the association of risk factors to development of postoperative complications. Methods: We retrospectively reviewed the charts of all patients with inguinoscrotal hernias who had either Lichtenstein repair or totally extraperitoneal laparoscopic (TEP) repair from January 2014 to December 2017. Results: The study was performed on evaluable data that could be extracted for 49 patients: 14 were offered TEP repair and 35 Lichtenstein repairs. There was no statistical difference in the mean operative time and mean time taken to return to normal activities between the two groups. The length of hospital stay was one day for both groups. Two patients from the TEP repair group and one patient from the Lichtenstein repair group developed recurrence. Three patients from the TEP group and one patient from the Lichtenstein repair group developed chronic groin pain. One patient from the totally extraperitoneal laparoscopic repair group developed a seroma. Conclusion: Our study demonstrated a trend towards better postoperative outcomes in the Lichtenstein repair group than in the TEP group. Keywords: Open tension-free mesh repair, Totally extraperitoneal laparoscopic repair, Inguinoscrotal hernias

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开放式无张力疝环网修补术与全腹膜外腹腔镜疝环修补术的疗效比较

背景：本研究旨在确定腹腔镜和开放式修补术后腹股沟斜疝患者术后并发症的差异，以及危险因素与术后并发症发展的关系。方法：我们回顾性回顾了2014年1月至2017年12月接受Lichtenstein修补术或全腹膜外腹腔镜（TEP）修补术的所有腹股沟斜疝患者的病历。结果：该研究对49名患者的可评估数据进行了提取：14名患者接受了TEP修复，35名患者进行了Lichtenstein修复。两组之间的平均手术时间和恢复正常活动所需的平均时间没有统计学差异。两组患者的住院时间均为一天。TEP修复组的两名患者和Lichtenstein修复组的一名患者出现复发。TEP组的三名患者和Lichtenstein修复组的一名患者出现慢性腹股沟疼痛。完全腹膜外腹腔镜修复组的一名患者出现浆膜瘤。结论：我们的研究表明，Lichtenstein修复组的术后效果优于TEP组。关键词：开放式无张力网片修补术、全腹膜外腹腔镜修补术、腹股沟疝

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来源期刊

Annals of African Surgery Medicine-Surgery

CiteScore

0.50

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： The Annals of African Surgery ANN. AFR. SURG. (ISSN: 1999-9674 [print], ISSN: 2523-0816 [online]) is a bi-annual publication that aims to provide a medium for the exchange of current information between surgeons in the African region. The journal embraces surgery in all its aspects: basic science, clinical research, experimental research, and surgical education. The Annals of African Surgery will help surgeons in the region keep abreast of developing surgical innovations. This Ethics Policies document is intended to inform the public and all persons affiliated with The Annals of African Surgery of its general ethics policies. Types of articles published: -Original articles -Case reports -Case series -Reviews -Short communications -Letters to the editor -Commentaries Annals of African Surgery publishes manuscripts in the following fields: - Cardiac and thoracic surgery - General surgery - Neurosurgery - Oral and maxillofacial surgery - Trauma and orthopaedic surgery - Otolaryngology (ear, nose and throat surgery) - Paediatric surgery - Plastic and reconstructive surgery - Urology surgery - Gynaecologic surgery - Surgical education -Medical education -Global surgery - Health advocacy - Innovations in surgery - Basic sciences - Anatomical sciences - Genetic and molecular studies