Surgical outcomes of laparoscopic total extraperitoneal (TEP) inguinal hernia repair compared with Lichtenstein tension-free open mesh inguinal hernia repair: A prospective randomized study
<p dir="ltr">Inguinal hernia repair is one of the most frequently performed surgery. The ideal procedure for inguinal hernia repair remains controversial. Open Lichtenstein tension-free mesh repair (LMR) is one of the most preferred open techniques with satisfactory outcomes. Laparos...
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2022
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| _version_ | 1864513548281970688 |
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| author | Mohammed Yunus Shah (21363248) |
| author2 | Pratik Raut (21363251) T.R.V. Wilkinson (21363254) Vijay Agrawal (21363257) |
| author2_role | author author author |
| author_facet | Mohammed Yunus Shah (21363248) Pratik Raut (21363251) T.R.V. Wilkinson (21363254) Vijay Agrawal (21363257) |
| author_role | author |
| dc.creator.none.fl_str_mv | Mohammed Yunus Shah (21363248) Pratik Raut (21363251) T.R.V. Wilkinson (21363254) Vijay Agrawal (21363257) |
| dc.date.none.fl_str_mv | 2022-07-01T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1097/md.0000000000029746 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Surgical_outcomes_of_laparoscopic_total_extraperitoneal_TEP_inguinal_hernia_repair_compared_with_Lichtenstein_tension-free_open_mesh_inguinal_hernia_repair_A_prospective_randomized_study/29069477 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences inguinal hernia laparoscopy laparoscopic TEP Lichtenstein mesh repair |
| dc.title.none.fl_str_mv | Surgical outcomes of laparoscopic total extraperitoneal (TEP) inguinal hernia repair compared with Lichtenstein tension-free open mesh inguinal hernia repair: A prospective randomized study |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <p dir="ltr">Inguinal hernia repair is one of the most frequently performed surgery. The ideal procedure for inguinal hernia repair remains controversial. Open Lichtenstein tension-free mesh repair (LMR) is one of the most preferred open techniques with satisfactory outcomes. Laparoscopic approach in inguinal hernia surgery remains controversial, especially in comparison with open procedures. In this study, we have reported a comparison of laparoscopic total extraperitoneal (TEP) inguinal hernia repair with LMR. Postoperative pain, operative time, complications like seroma, wound infection, chronic groin pain, and recurrence rate were parameters to evaluate the outcome.</p><p dir="ltr">One hundred seventy-four patients were included in the study by consecutive randomized prospective sampling. The patients were divided into 2 groups: group A, laparoscopic TEP inguinal hernia repair, and group B, LMR. The procedures were performed by experienced surgeons. The primary outcomes were evaluated based on postoperative pain and recurrence rate. Secondary outcomes considered for evaluation were operative time, complications like seroma, infection, and chronic groin pain.</p><p dir="ltr">Severe pain was reported in group A (7.9%) compared to group B (15.1%), which was statistically significant (<i>P</i> < .001). Moderate pain was reported more in group B (70.9%) compared to group A (29.5%) (<i>P</i> < .001). The mean operative time in group A was 84.6 ± 32.2, which was significantly higher than that in group B, 59.2 ± 14.8. There was no major complication in both groups. The chronic pain postoperatively was significantly in higher number of patients in group B vs group A (22.09% vs 3.4%). The postoperative hospital stay period was significantly lesser for group A vs for group B (2.68 ± 1.52 vs 3.86 ± 6.16). Time duration taken to resume normal activities was significantly lower in group A (13.6 ± 6.8) vs (19.8 ± 4.6) in group B (<i>P</i>< .001).</p><p dir="ltr">Although there is definite evidence of longer operative time and learning curve, laparoscopic TEP has added advantages like less postoperative pain, early resumption of normal activities, less chronic groin pain, and comparable recurrence rate compared to open Lichtenstein repair. Laparoscopic TEP can be performed with acceptable outcomes and less postoperative complications if performed by experienced hands.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md.0000000000029746" target="_blank">https://dx.doi.org/10.1097/md.0000000000029746</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_94c7cd2bb092693d102e62ab641a7018 |
| identifier_str_mv | 10.1097/md.0000000000029746 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29069477 |
| publishDate | 2022 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Surgical outcomes of laparoscopic total extraperitoneal (TEP) inguinal hernia repair compared with Lichtenstein tension-free open mesh inguinal hernia repair: A prospective randomized studyMohammed Yunus Shah (21363248)Pratik Raut (21363251)T.R.V. Wilkinson (21363254)Vijay Agrawal (21363257)Biomedical and clinical sciencesClinical sciencesinguinal hernialaparoscopylaparoscopic TEPLichtensteinmesh repair<p dir="ltr">Inguinal hernia repair is one of the most frequently performed surgery. The ideal procedure for inguinal hernia repair remains controversial. Open Lichtenstein tension-free mesh repair (LMR) is one of the most preferred open techniques with satisfactory outcomes. Laparoscopic approach in inguinal hernia surgery remains controversial, especially in comparison with open procedures. In this study, we have reported a comparison of laparoscopic total extraperitoneal (TEP) inguinal hernia repair with LMR. Postoperative pain, operative time, complications like seroma, wound infection, chronic groin pain, and recurrence rate were parameters to evaluate the outcome.</p><p dir="ltr">One hundred seventy-four patients were included in the study by consecutive randomized prospective sampling. The patients were divided into 2 groups: group A, laparoscopic TEP inguinal hernia repair, and group B, LMR. The procedures were performed by experienced surgeons. The primary outcomes were evaluated based on postoperative pain and recurrence rate. Secondary outcomes considered for evaluation were operative time, complications like seroma, infection, and chronic groin pain.</p><p dir="ltr">Severe pain was reported in group A (7.9%) compared to group B (15.1%), which was statistically significant (<i>P</i> < .001). Moderate pain was reported more in group B (70.9%) compared to group A (29.5%) (<i>P</i> < .001). The mean operative time in group A was 84.6 ± 32.2, which was significantly higher than that in group B, 59.2 ± 14.8. There was no major complication in both groups. The chronic pain postoperatively was significantly in higher number of patients in group B vs group A (22.09% vs 3.4%). The postoperative hospital stay period was significantly lesser for group A vs for group B (2.68 ± 1.52 vs 3.86 ± 6.16). Time duration taken to resume normal activities was significantly lower in group A (13.6 ± 6.8) vs (19.8 ± 4.6) in group B (<i>P</i>< .001).</p><p dir="ltr">Although there is definite evidence of longer operative time and learning curve, laparoscopic TEP has added advantages like less postoperative pain, early resumption of normal activities, less chronic groin pain, and comparable recurrence rate compared to open Lichtenstein repair. Laparoscopic TEP can be performed with acceptable outcomes and less postoperative complications if performed by experienced hands.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md.0000000000029746" target="_blank">https://dx.doi.org/10.1097/md.0000000000029746</a></p>2022-07-01T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1097/md.0000000000029746https://figshare.com/articles/journal_contribution/Surgical_outcomes_of_laparoscopic_total_extraperitoneal_TEP_inguinal_hernia_repair_compared_with_Lichtenstein_tension-free_open_mesh_inguinal_hernia_repair_A_prospective_randomized_study/29069477CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/290694772022-07-01T03:00:00Z |
| spellingShingle | Surgical outcomes of laparoscopic total extraperitoneal (TEP) inguinal hernia repair compared with Lichtenstein tension-free open mesh inguinal hernia repair: A prospective randomized study Mohammed Yunus Shah (21363248) Biomedical and clinical sciences Clinical sciences inguinal hernia laparoscopy laparoscopic TEP Lichtenstein mesh repair |
| status_str | publishedVersion |
| title | Surgical outcomes of laparoscopic total extraperitoneal (TEP) inguinal hernia repair compared with Lichtenstein tension-free open mesh inguinal hernia repair: A prospective randomized study |
| title_full | Surgical outcomes of laparoscopic total extraperitoneal (TEP) inguinal hernia repair compared with Lichtenstein tension-free open mesh inguinal hernia repair: A prospective randomized study |
| title_fullStr | Surgical outcomes of laparoscopic total extraperitoneal (TEP) inguinal hernia repair compared with Lichtenstein tension-free open mesh inguinal hernia repair: A prospective randomized study |
| title_full_unstemmed | Surgical outcomes of laparoscopic total extraperitoneal (TEP) inguinal hernia repair compared with Lichtenstein tension-free open mesh inguinal hernia repair: A prospective randomized study |
| title_short | Surgical outcomes of laparoscopic total extraperitoneal (TEP) inguinal hernia repair compared with Lichtenstein tension-free open mesh inguinal hernia repair: A prospective randomized study |
| title_sort | Surgical outcomes of laparoscopic total extraperitoneal (TEP) inguinal hernia repair compared with Lichtenstein tension-free open mesh inguinal hernia repair: A prospective randomized study |
| topic | Biomedical and clinical sciences Clinical sciences inguinal hernia laparoscopy laparoscopic TEP Lichtenstein mesh repair |