Transabdominal Preperitoneal Versus Lichtenstein Procedure for Inguinal Hernia Repair in Adults: A Comparative Evaluation of the Early Postoperative Pain and Outcomes.

inguinal hernia level of motor functionality lichtenstein procedure miopectineal orifice (fruchaud) perceived level of pain tapp

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jul 2023
Historique:
accepted: 14 07 2023
medline: 15 8 2023
pubmed: 15 8 2023
entrez: 15 8 2023
Statut: epublish

Résumé

Inguinal hernia repairs are one of the most common procedures in general surgery. In addition to classical open surgery, laparoscopic techniques, such as transabdominal preperitoneal (TAPP) and total extraperitoneal (TEP) hernia repair, have gained acceptance and are increasingly used for inguinal hernia repairs, and these three techniques are the only standards for inguinal hernia repairs. This study aimed to compare the results of inguinal hernia repairs in adult patients using the TAPP patch technique and Lichtenstein techniques regarding the level of pain perceived one day after surgery and the number of days of hospitalization. A two-year study was performed on 129 patients who underwent TAPP vs. 109 patients who underwent Liechtenstein hernia repair. Our results revealed statistical significance for both variables (Tpain(233) = -7.12, p< 0.001, d=2.92; Tdays of hospitalization(233) = -31.34, p< 0.001, d=4.01). TAPP is a safe method for inguinal hernia repairs, allowing quick recovery and less postoperative pain than the classical Liechtenstein technique.

Identifiants

pubmed: 37581138
doi: 10.7759/cureus.41886
pmc: PMC10423624
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e41886

Informations de copyright

Copyright © 2023, Dumitrescu et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Victor Dumitrescu (V)

Department of General Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.

Dragos Serban (D)

Department of General Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.

Daniel Ovidiu Costea (DO)

Faculty of Medicine, Ovidius University of Constanța, Constanța, ROU.

Dan Dumitrescu (D)

Department of General Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.

Florin Bobirca (F)

Department of General Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.

Bogdan Geavlete (B)

Department of Urology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.

Dan Georgian Bratu (DG)

Faculty of Medicine, "Lucian Blaga" University of Sibiu, Sibiu, ROU.

Laura Tribus (L)

Department of Internal Medicine, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.

Crenguta Serboiu (C)

Department of Radiology, Oncology and Hematology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.

Catalin Alius (C)

Department of General Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.

Corneliu Tudor (C)

Department of General Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.

Ana Maria Dascalu (AM)

Department of Ophthalmology, Faculty of Medicine, University of Medicine and Pharmacy Carol Davila, Bucharest, ROU.

Mihail Silviu Tudosie (MS)

Department of Clinical Toxicology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.

Bogdan Serban (B)

Department of Orthopaedics, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.

Doru Florian Moga (DF)

Faculty of Medicine, "Lucian Blaga" University of Sibiu, Bucharest, ROU.

Classifications MeSH