Abstract | AIM: The aim of this randomized trial was to compare short-term postoperative complications of laparoscopic transabdominal preperitoneal ( TAPP) and Lichtenstein tension free hernia repair. METHODS: RESULTS:
Pain was the most common symptoms in both groups. The TAPP group patients significantly had experienced less postoperative pain than the Lichtenstein group in all moments (P<0.05). TAPP group had lower incidence of hematoma ( TAPP, 6.6% vs. Lichtenstein 13.3%; P=0.67), seroma ( TAPP 10% vs. Lichtenstein 13.3%; P=1.00), and infection ( TAPP 0 vs. Lichtenstein 1.6%; P=0.67). However, no differences between the 2 groups were found in terms of postoperative complications. In TAPP group mean of hospital stay significantly was less than Lichtenstein group ( TAPP, 8.13±2.19 vs. Lichtenstein, 13.15±1.5 days; P<0.001). CONCLUSION: The laparoscopic TAPP repair is safer and less complicated approach to inguinal hernia repair. The two main short-term advantages of the laparoscopic TAPP repair with the tension free Lichtenstein repair were less postoperative pain and earlier return to the normal life activities. No difference was seen in overall complications.
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Authors | S Kargar, S M Shiryazdi, M Zare, M H Mirshamsi, S Ahmadi, H Neamatzadeh |
Journal | Minerva chirurgica
(Minerva Chir)
Vol. 70
Issue 2
Pg. 83-9
(Apr 2015)
ISSN: 0026-4733 [Print] Italy |
PMID | 25017958
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Topics |
- Adult
- Female
- Follow-Up Studies
- Hernia, Inguinal
(surgery)
- Hospitals, University
- Humans
- Laparoscopy
(methods)
- Length of Stay
- Male
- Middle Aged
- Operative Time
- Pain, Postoperative
(etiology)
- Quality of Life
- Recovery of Function
- Retrospective Studies
- Risk Factors
- Surgical Mesh
- Treatment Outcome
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