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Transinguinal Preperitoneal Mesh Plasty - An Alternative or a Dispensable Technique? A Prospective Analyze vs Lichtenstein Repair for Complex Unilateral Groin Hernias
- Source :
- Chirurgia. 114:48
- Publication Year :
- 2019
- Publisher :
- Celsius Publishing House, 2019.
-
Abstract
- Background: complex groin hernia is a well describe entity with a high risk of recurrence and postoperative complications. There is no standardized approach and no reports to confirm the efficcacy of a surgical procedure. Our goal was to compare Lichtenstein repair (LR) as "golden standard" for open anterior approach with the transinguinal preperitoneal plasty (TIPP) in the treatment of complex groin hernia repair. Material and methods: the study was a prospective one and includes all patients with complex hernias admitted in the Department of Surgery of the Military Hospital Cluj-Napoca between January 2010 and December 2014. All the patients were randomized in two groups: LR and TIPP. Baseline characteristics, intraoperative findings, pain and complications were recorded. Follow-up was at least 1 year. The main outcome after 1 year were recurrence, chronic pain and its intensity recorded on VAS scale. Results: 205 patients (101 in LR group and 104 in TIPP) were included in the study. There were no differences in baseline characteristics and operative findings. Postoperative pain was lower for TIPP group (p 0.05). Follw-up was 98% at 1 month, 74% after 6 months and 64% after 1 year. Recurrence rate was higher for LR (p=0.027). Pain was increased in LR group. Conclusion: TIPP is equal in terms of chronic pain and recurrence for complex groin inguinal hernias.
- Subjects :
- Male
0301 basic medicine
medicine.medical_specialty
medicine.medical_treatment
Postoperative pain
Hernia, Inguinal
030230 surgery
Groin
03 medical and health sciences
0302 clinical medicine
Recurrence
medicine
Humans
Hernia
Prospective Studies
Herniorrhaphy
Pain, Postoperative
business.industry
Chronic pain
Middle Aged
Surgical Mesh
Hernia repair
medicine.disease
Surgery
Treatment Outcome
030104 developmental biology
medicine.anatomical_structure
Baseline characteristics
Female
Anterior approach
business
Subjects
Details
- ISSN :
- 12219118
- Volume :
- 114
- Database :
- OpenAIRE
- Journal :
- Chirurgia
- Accession number :
- edsair.doi.dedup.....aaad0a6bc26f4e792a36c9799d03afaa