开腹还是腹腔镜疝修补术?土耳其人口的前瞻性比较研究。

Mehmet Alperen Avci, Can Akgun, Suleyman Polat, Ahmet Burak Ciftci, Omer Faruk Buk, Emin Daldal
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引用次数: 0

摘要

目的:研究开放(Lichtenstein)和腹腔镜技术(经腹腹膜前手术(TAPP)和全腹膜外手术(TEP))对异质患者群体腹股沟疝修补的生活质量的影响,并将结果与土耳其的规范值进行比较。研究设计:实验研究。研究地点和时间:2023年1月至7月,土耳其Samsun Samsun大学培训与研究医院普外科。方法:采用SF-36生活质量问卷调查128例患者的数据,对开放式和腹腔镜腹股沟疝修补技术进行前瞻性比较。将SF-36问卷数据与代表土耳其人口的规范身心功能值进行比较。结果:64例患者接受开放手术,64例患者接受腹腔镜手术。两组在年龄、性别、并发症、慢性疼痛或生活质量方面没有统计学上的显著差异。与土耳其人群的正常值相比,腹腔镜技术在女性身体功能方面表现出明显更好的结果(p结论:对于土耳其人群的腹股沟疝修复,男性患者可推荐开放技术,而腹腔镜技术可能更适合女性患者。然而,在确定合适的手术入路时,还应考虑手术专业知识和患者的临床状况。关键词:Lichtenstein,经腹腹膜前手术,全腹膜外手术,腹股沟疝,生活质量,简表36
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Open or Laparoscopic Hernia Repair? A Comparative Prospective Study in the Turkish Population.

Objective: To investigate the impact of open (Lichtenstein) and laparoscopic techniques (transabdominal preperitoneal procedure (TAPP), and total extraperitoneal procedure (TEP)) for inguinal hernia repair, on quality of life within a heterogeneous patient population, and to compare the findings with the Turkish normative values.

Study design: An experimental study. Place and Duration of the Study: Department of General Surgery, Samsun University Training and Research Hospital, Samsun, Turkiye, from January to July 2023.

Methodology: Open and laparoscopic inguinal hernia repair techniques were prospectively compared using data from 128 patients, the SF-36 quality of life questionnaire. A comparison of the SF-36 questionnaire data was made with the normative physical and mental function values representative of the Turkish population.

Results: A total of 64 patients underwent open surgery, while another 64 received laparoscopic surgery through randomisation. No statistically significant differences were observed between the two groups regarding age, gender, complications, chronic pain, or quality of life. Compared to the normative values of the Turkish population, the laparoscopic technique demonstrated significantly better outcomes in women for physical functions (p <0.001) whereas the open technique showed significantly better results in men regarding role limitation due to emotional problems (p = 0.049).

Conclusion: For inguinal hernia repair in the Turkish population, the open technique may be recommended for male patients, while the laparoscopic technique may be more suitable for female patients. However, surgical expertise and the patients' clinical condition should also be taken into account when determining the appropriate surgical approach.

Key words: Lichtenstein, Transabdominal preperitoneal procedure, Total extraperitoneal procedure, Inguinal hernia, Quality of life, Short form 36.

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