Digital evaluation of the muscle functions of the lower extremities among inguinal hernia patients treated using three different surgical techniques: a prospective randomized study

Abstract

Use of a digital environment with numerical parameters and measurements recorded using a dynamometer demonstrated that in the early postoperative period and on the third postoperative day, open surgery causes more functional loss in the lower extremities than laparoscopic methods. Therefore, surgeons should use laparoscopic methods whenever possible to reduce both pain and loss of muscle function.

TEP for elective primary unilateral inguinal hernia repair in men: what do we know?

“…The most recent meta-analysis for comparison of TEP with TAPP by Chen [49] with 1519 randomized patients included six further RCTs by Ciftci [57], Mesci [58], Sharma [59], Günal [60], Bansal [61] and Jeelani [62]. But five of these six additional RCTs included women, recurrences or bilateral inguinal hernias [57-59, 61, 62] and therefore had to be excluded from the present analysis.…”

Safety of two common laparoscopic inguinal herniorrhaphy approaches: an updated systematic review with meta-analysis of randomized clinical trials

“…These trials usually covered both direct and indirect hernia, and there was only one trial targeted only direct hernia (8). Most trials included unilateral hernia and bilateral hernia (5,6,(10)(11)(12)14,20,23), and five of the included trials purely investigated unilateral hernia (7,9,21,22,24). Table 1 showed relevant information of these trials, and quality of these trials was performed in concerned due to insufficient information in randomization sequence and concealment, no blinding to health providers, and about 15% lost follow-up.…”

“…A t o t a l o f s e v e n t r i a l s ( n = 8 8 2 ) r e p o r t e d s e r o m a (5,9,10,12,14,20,23), and four of the seven trials mainly focused on primary hernia repairment (n=603) (9,12,14,20). Overall pooled results showed that TEP led to higher seroma rate than TAPP (POR=2.01; 95% CI, 1.39 to 2.91; I-square =9%; Figure 2).…”

“…Unfortunately, complication rate after laparoscopic herniorrhaphy is about 10% (19), and no overview on complications between TEP and TAPP has been appropriately synthesized in previous systematic reviews and meta-analyses (16)(17)(18). In fact, several trials were performed to identify complication rates of TEP versus TAPP (5)(6)(7)(8)(9)(10)(11)(12)14,(20)(21)(22)(23)(24). They reported common intraoperative and postoperative complications including seroma, edema, hematoma, vascular injury, nerve injury, urinary retention, and wound infection.…”

“…The other one similarly declared that TEP and TAPP seem comparable in term of hematoma, seroma, infectious complications, and urinary retention in short-term, but the authors also mentioned that their synthesis showed moderate-to-very low confidence, essentially due to study limitation, imprecision, and inconsistence (17). The two syntheses did not give reasons for excluding some important RCTs though they were the best evidence on safety of TEP and TAPP for herniorrhaphy now (3,5,11,14,22,23). Thus, safety between the two laparoscopic herniorrhaphy approaches is still controversial though there were two syntheses making meta-analysis on relevant outcomes (16,17).…”