Manoj Kumar Dokania, Ankur Ankur, Nitin Agarwal, Atul Jain, Anshu Anshu, Rana A K Singh
{"title":"原发性腹股沟疝全腹膜外和经腹腹膜前修补术围手术期并发症发生率的比较。","authors":"Manoj Kumar Dokania, Ankur Ankur, Nitin Agarwal, Atul Jain, Anshu Anshu, Rana A K Singh","doi":"10.4103/jwas.jwas_76_23","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Hernia may be defined as a protrusion of viscus through layers anatomically designed to contain that viscus. Most abdominal hernias occur at well-described sites of potential weakness. Repair of inguinal hernia is one of the most common operations in general surgery. Objectives: To compare the perioperative complication rates of total extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) repairs of primary inguinal hernias.</p><p><strong>Materials and methods: </strong>It is a randomised comparative study, conducted at the department of general surgery. A total of 50 patients were included and divided into two groups with 25 in each. Group A represents the laparoscopic TEP repair and group B represents the laparoscopic TAPP repair. Patients above 18 years with primary unilateral inguinal hernia were included. Patients having complicated inguinal hernia and history of previous abdominal surgery were excluded.</p><p><strong>Results: </strong>We observed that hernia occurrence is more common in the 31-50 years of age group and right-sided hernia is more common. Scrotal oedema and conversion to open surgery chances are similar in both TEP and TAPP groups. The duration of surgery in TEP is significantly higher as compared to TAPP. Patients who underwent TEP experienced less pain as compared to TAPP as per visual analogue scale. Postoperative hospital stay and time taken to resume the routine activity were significantly less in case of TEP.</p><p><strong>Conclusion: </strong>TEP is preferred over TAPP for laparoscopic hernia repair because it preserves the peritoneal integrity and has lesser postoperative pain. The early recovery and return to the routine work were seen with the patient treated with the TEP and also showed better visual analogue score than the TAPP repair group.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10936899/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparison of Perioperative Complication Rates of Total Extraperitoneal and Transabdominal Preperitoneal Repairs in Primary Inguinal Hernia.\",\"authors\":\"Manoj Kumar Dokania, Ankur Ankur, Nitin Agarwal, Atul Jain, Anshu Anshu, Rana A K Singh\",\"doi\":\"10.4103/jwas.jwas_76_23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Hernia may be defined as a protrusion of viscus through layers anatomically designed to contain that viscus. Most abdominal hernias occur at well-described sites of potential weakness. Repair of inguinal hernia is one of the most common operations in general surgery. Objectives: To compare the perioperative complication rates of total extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) repairs of primary inguinal hernias.</p><p><strong>Materials and methods: </strong>It is a randomised comparative study, conducted at the department of general surgery. A total of 50 patients were included and divided into two groups with 25 in each. Group A represents the laparoscopic TEP repair and group B represents the laparoscopic TAPP repair. Patients above 18 years with primary unilateral inguinal hernia were included. Patients having complicated inguinal hernia and history of previous abdominal surgery were excluded.</p><p><strong>Results: </strong>We observed that hernia occurrence is more common in the 31-50 years of age group and right-sided hernia is more common. Scrotal oedema and conversion to open surgery chances are similar in both TEP and TAPP groups. The duration of surgery in TEP is significantly higher as compared to TAPP. Patients who underwent TEP experienced less pain as compared to TAPP as per visual analogue scale. Postoperative hospital stay and time taken to resume the routine activity were significantly less in case of TEP.</p><p><strong>Conclusion: </strong>TEP is preferred over TAPP for laparoscopic hernia repair because it preserves the peritoneal integrity and has lesser postoperative pain. 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引用次数: 0
摘要
背景:疝气可定义为内脏穿过按解剖学设计用于容纳内脏的层突出。大多数腹股沟疝发生在已明确描述的潜在薄弱部位。修复腹股沟疝是普外科最常见的手术之一。研究目的比较全腹膜外(TEP)和经腹膜前(TAPP)原发性腹股沟疝修补术的围手术期并发症发生率:这是一项随机比较研究,在普外科进行。共纳入 50 名患者,分为两组,每组 25 人。A 组代表腹腔镜 TEP 修复术,B 组代表腹腔镜 TAPP 修复术。18岁以上的原发性单侧腹股沟斜疝患者包括在内。结果:我们观察到,疝气多发于 31-50 岁年龄组,右侧疝气更为常见。TEP 组和 TAPP 组阴囊水肿和转为开放手术的几率相似。TEP 的手术时间明显长于 TAPP。根据视觉模拟量表,接受 TEP 手术的患者比接受 TAPP 手术的患者感受到的疼痛更轻。TEP 术后住院时间和恢复日常活动所需的时间明显更短:结论:在腹腔镜疝气修补术中,TEP 比 TAPP 更受青睐,因为它能保留腹膜的完整性,术后疼痛也更轻。接受 TEP 治疗的患者恢复较早,可重返日常工作岗位,视觉模拟评分也优于 TAPP 修复组。
Comparison of Perioperative Complication Rates of Total Extraperitoneal and Transabdominal Preperitoneal Repairs in Primary Inguinal Hernia.
Background: Hernia may be defined as a protrusion of viscus through layers anatomically designed to contain that viscus. Most abdominal hernias occur at well-described sites of potential weakness. Repair of inguinal hernia is one of the most common operations in general surgery. Objectives: To compare the perioperative complication rates of total extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) repairs of primary inguinal hernias.
Materials and methods: It is a randomised comparative study, conducted at the department of general surgery. A total of 50 patients were included and divided into two groups with 25 in each. Group A represents the laparoscopic TEP repair and group B represents the laparoscopic TAPP repair. Patients above 18 years with primary unilateral inguinal hernia were included. Patients having complicated inguinal hernia and history of previous abdominal surgery were excluded.
Results: We observed that hernia occurrence is more common in the 31-50 years of age group and right-sided hernia is more common. Scrotal oedema and conversion to open surgery chances are similar in both TEP and TAPP groups. The duration of surgery in TEP is significantly higher as compared to TAPP. Patients who underwent TEP experienced less pain as compared to TAPP as per visual analogue scale. Postoperative hospital stay and time taken to resume the routine activity were significantly less in case of TEP.
Conclusion: TEP is preferred over TAPP for laparoscopic hernia repair because it preserves the peritoneal integrity and has lesser postoperative pain. The early recovery and return to the routine work were seen with the patient treated with the TEP and also showed better visual analogue score than the TAPP repair group.