E-ISSN 2587-0610
Comparative study of groin hernia repair [Laparosc Endosc Surg Sci ]
Laparosc Endosc Surg Sci . 2021; 28(1): 50-54 | DOI: 10.14744/less.2021.62534

Comparative study of groin hernia repair

Ilker Özgür1, Irem Karataş1, Halil Alper Bozkurt1, Metin Keskin1, Ali Akyüz2
1Department of General Surgery, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey
2Department of General Surgery, Acıbadem International Hospital, İstanbul, Turkey

INTRODUCTION: The aim of the study is to compare results of Lichtenstein repair, laparoscopic totally extraperitoneal (TEP), and transabdominal preperitoneal (TAPP) repair of groin hernias.
METHODS: We retrospectively extracted medical records of 127 consecutive male patients operated on for inguinal hernia between June 2014 and June 2019. Patients were grouped according to preferred surgery; Lichtenstein (Group 1), TAPP (Group 2), and TEP (Group 3) repair groups. Demographic data, body mass index (BMI), American society of anesthesiologists score, surgery time, post-operative hospital stay, pain score, complications, and recurrence rates were compared.
RESULTS: Mean age was 53.6 (17–86) years. Mean BMI was 24.8 kg/m2. Mean surgery time was 62.0±24.2 (30–150), 71.1±26.9 (40–135), and 76.5±20.9 (35–1 40) min in groups, respectively. Mean hospital stay was 1.3 (1–3), 1.2 (1–4), and 1.3 (1–2) days. Post-operative pain was less in laparoscopic group, especially in TEP repair group (1.0±0.9 [0–4], 0.4±0.8 [0–3], 0.2±0.6 [0–3]; 1 vs. 2 p: 0.005/2 vs. 3 p: 0.000/1 vs. 3 p: 0.001). No major complication was observed and two recurrent hernias were detected after mean 953-day follow-up period.
DISCUSSION AND CONCLUSION: Both open and laparoscopic hernia repair can be performed safely, with a low rate of complications. Post-operative pain is reduced in the laparoscopic group.

Keywords: Inguinal hernia, Lichtenstein repair, Transabdominal preperitoneal, Totally extraperitoneal

Ilker Özgür, Irem Karataş, Halil Alper Bozkurt, Metin Keskin, Ali Akyüz. Comparative study of groin hernia repair. Laparosc Endosc Surg Sci . 2021; 28(1): 50-54

Corresponding Author: Ilker Özgür, Türkiye
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