Laparoscopic TAPP versus Lichtenstein repair - early clinical outcome

Mitevski, Aleksandar and Antovic, Svetozar and Markov, Petar and Jankulovski, Nikola (2020) Laparoscopic TAPP versus Lichtenstein repair - early clinical outcome. Macedonian Medical Review, 74 (3). pp. 165-172. ISSN 0025-1097

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Abstract

Introduction
Laparoscopy as a minimally invasive technique has itsplace in inguinal hernia repair. Lower postoperative pain, earlier mobilization and earlier return to usual activities are comparable to an initially high cost of the hospital charge. Also, there is a lower percentage of postoperative complications especially related to the wound.
Material and methods
The study was designed as a prospective randomized controlled study conductedin a three-year-period.
Sixty-five patients were randomly assigned into two groups, examined - 35 patients treatedwith TAPP technique and controlled -30 patients treated with Lichtenstein technique.
Surgicaltime, preoperative pain, hospital stay, postoperative analgesia, functional status and convalescence were evaluated. The postoperative complications, hematoma, seroma, wound infection and urinary retention were also taken into consideration.
Results
A significant diference was found in the surgicaltime favoring Lichtenstein overTAPP technique;postoperative hospitalization was significanlly longer in case of the Lichtenstein procedure. There wasa significant difference concerning postoperative pain and functional status between the groups, as well as in the same group regarding the postoperative days.
The percentage of early postoperative complications wassignificantly lower in TAPP group(6.3% versus 16.7%); there wasa significant difference in convalescence (TAPP 4.6±1.2 / Lichtenstein 6.6±1.10).
Conclusion
Patients treated with laparoscopic TAPP technique had better early clinical outcome compared to open Lichtenstein technique. It is a result of a lower intensity of the postoperative pain, less postoperative complications which leads to a shorter hospital stay, better functional status and short convalescence.

Item Type:	Article
Subjects:	Medical and Health Sciences > Clinical medicine
Divisions:	Faculty of Medical Science
Depositing User:	Aleksandar Mitevski
Date Deposited:	19 Apr 2021 07:01
Last Modified:	19 Apr 2021 07:01
URI:	https://eprints.ugd.edu.mk/id/eprint/27940

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