Laparoscopic transabdominal preperitoneal inguinal repair versus open Lichtenstein repair: a randomized control trial

Dandinarasaiah, Manjunath; Gurugunti, Umeshchandra D.; Radhakrishna, Veerabhadra

doi:10.18203/2349-2902.isj20175522

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…According to current evidence, laparoscopic repair has a lower incidence of acute pain compared to open surgery. 1,11,12,13,14 In addition, patients submitted to laparoscopy reported a longer mean time of pain compared to the open technique, although 100% of these used analgesics, unlike those submitted to TAPP. This result is similar to that found in other studies, where significantly lower consumption of these drugs was verified in the laparotomy technique 12 .…”

Section: Chronic and Acute Postoperative Painmentioning

confidence: 99%

Evaluation of the Impact of Pre-Peritoneal Transabdominal Inguinal Herniorraphy (Tapp) During the Seventh Hernia Effort

Fiuza,

Castanheira,

Melo

et al. 2023

JHS

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Introduction: Lichtenstein and transabdominal preperitoneal (TAPP) operations are considered in the repair of inguinal hernias, both with advantages. Determining the superiority between them is done by evaluating the complications -chronic pain and recurrence-, fast recovery, reproducible results and better costeffectiveness. Objective: To identify the best surgical technique for repairing inguinal hernias in relation to the rate of recurrence, chronic pain and time to return to daily activities, at the Hospital Universitário Ciências Médicas (HUCM), during the Seventh Hernia Campaign, in 2019. Methods: The quantitative-qualitative observational cross-sectional study took place between 2021 and 2022. Patients from the 7th hernia joint effort, promoted by the Brazilian Society of Hernias, treated at a university hospital in Belo Horizonte, were evaluated. men and women of majority, with unilateral and bilateral inguinal hernias, non-recurring, submitted to surgery with TAPP and Lichtenstein. Of these, 17 patients performed a questionnaire and physical examination to investigate chronic pain, time to return to daily activities and recurrence. Results: Two groups composed of eight patients submitted to Lichtenstein (2 women and 6 men) and nine men to TAPP, with a mean age of 63 years (p=0.0885). Chronic pain affected 44.4% of the Lichtenstein group and 37.5% of the TAPP group (p-value>0.999). On physical examination, there was no recurrence in both techniques. Returning to work took more than one month for 44.4% of Lichtenstein members and 25% of TAPP members (p=0.555). Conclusion: Absence of statistical difference to determine which was the best surgical technique applied during the task force at HUCM. However, Lichtenstein meets the needs of the institution, given the socioeconomic conditions, defined by the limited access to the laparoscopic technique by SUS.

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Section: Chronic and Acute Postoperative Painmentioning

confidence: 99%

Evaluation of the Impact of Pre-Peritoneal Transabdominal Inguinal Herniorraphy (Tapp) During the Seventh Hernia Effort

Fiuza,

Castanheira,

Melo

et al. 2023

JHS

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“…As per CDC guidelines, all patients received 1gm intravenous Ceftriaxone as prophylaxis at the time of anesthetic induction. 4 Group 'A' patients underwent neurectomy of ilioinguinal nerve whereas the ilioinguinal nerve in group 'B' patients was safeguarded. The pain was evaluated using Visual Analogue Scale (VAS).…”

Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%

Prophylactic ilioinguinal neurectomy in open inguinal hernia repair: a randomized control trial

Belagali¹,

Dandinarasaiah

Devani³

et al. 2018

Int Surg J

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Background: Inguinal neuralgia is one of the important complications of hernia repair which occurs due to entrapment, neuroma or fibrotic reactions involving the ilioinguinal nerve. Hence the excision of ilioinguinal nerve should theoretically eliminate the possibility of inguinal neuralgia. But routine ilioinguinal neurectomy is still controversial and is not widely accepted. Hence a study was conducted to evaluate the effect of prophylactic ilioinguinal neurectomy in open inguinal hernia repair.Methods: A prospective study was conducted in the General Surgery Department in a tertiary center for a period of 20 months, from December 2011 to July 2013. The patients were randomly allocated to either group A or group B by block randomized technique. Group ‘A’ patients underwent neurectomy of ilioinguinal nerve whereas the ilioinguinal nerve in group ‘B’ patients was safeguarded.Results: A total of 60 patients were studied with 30 patients each in group A and group B. During vigorous activities, more group B patients had pain compared to group A patients at 4-month [15 (50%) vs. five (17%); p=0.006; Chi-square test] and 8-month follow-up [15 (50%) vs. five (17%); p=0.006; Chi-square test].Conclusions: Inguinal neuralgia is a significant and debilitating complication following hernia repair. The prophylactic neurectomy can be an appropriate solution in the prevention of chronic groin pain following inguinal hernia repair and can be considered as an ideal inclusion into the standard hernia repair procedures.

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“…In comparison to Lichtenstein, the transabdominal pre peritoneal approach has various benefits, including a shorter hospital stay, less post-operative problems and reduced inguinal pain. [10][11] The Lichtenstein technique is less expensive and can be done with local anesthesia as opposed to the transabdominal preperitoneal laparoscopic approach, which is more expensive and calls for general anesthesia. [10][11]…”

Section: Introductionmentioning

confidence: 99%

“…[10][11] The Lichtenstein technique is less expensive and can be done with local anesthesia as opposed to the transabdominal preperitoneal laparoscopic approach, which is more expensive and calls for general anesthesia. [10][11]…”

Section: Introductionmentioning

confidence: 99%

Characteristics and Presentation of Women with Ectopic Pregnancy

Saqib¹,

Umer²,

Khanam³

et al. 2022

PJMHS

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Objective: To determine characteristics and presentation of women with ectopic pregnancy (EP). Study Design: A cross-sectional study. Place and Duration of the Study: The Department of Obstetrics & Gynaecology, Sialkot Medical College, Sialkot Pakistan from January 2021 to December 2021. Material and Methods: A total of 39 women aged between 18 to 45 years and diagnosed with EP were included. Age, parity status, clinical presentation, diagnostic modality and sides affected were noted. A special proforma was designed to record all study data. For statistical analysis, SPSS version 26.0 was employed. Numeric data was shown as mean and standard deviation while categorical variables were represented as frequencies/percentages. Results: In a total of 39 women with ectopic pregnancy, mean age was 28.6±6.4 years while 23 (59.0%) women were aged between 18 to 30 years. There were 9 (23.1%) women who were nulliparous. Residential status of 22 (56.4%) women was rural in 22 (56.4%) patients. Condition of tube revealed ruptured EP among 37 (94.9%) women. Most common clinical presentation was abdominal/pelvic pain in 37 (94.9%) women while amenorrhea and vaginal bleeding were observed in 32 (82.1%) and 30 (76.9%) women respectively. Conclusion: Most commonly observed clinical presentation among women with ectopic pregnancy were abdominal/pelvic pain, amenorrhea and vaginal bleeding while almost half of the patients presented with shock. Keywords: Amenorrhea, abdominal pain, ectopic pregnancy, shock, vaginal bleeding.

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Laparoscopic transabdominal preperitoneal inguinal repair versus open Lichtenstein repair: a randomized control trial

Cited by 4 publications

References 10 publications

Evaluation of the Impact of Pre-Peritoneal Transabdominal Inguinal Herniorraphy (Tapp) During the Seventh Hernia Effort

Evaluation of the Impact of Pre-Peritoneal Transabdominal Inguinal Herniorraphy (Tapp) During the Seventh Hernia Effort

Prophylactic ilioinguinal neurectomy in open inguinal hernia repair: a randomized control trial

Characteristics and Presentation of Women with Ectopic Pregnancy

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