Quality of life after laparoscopic trans-abdominal pre-peritoneal inguinal hernia repair: spinal vs general anesthesia

Sarakatsianou, Chamaidi; Baloyiannis, Ioannis; Perivoliotis, Konstantinos; Georgopoulou, Stavroula; Tzovaras, George

doi:10.1007/s10029-020-02313-4

Cited by 5 publications

(4 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For this reason, the fact that patients do not feel pain after surgery, in their daily life and during exercise increases their quality of life 24. Long-term quality of life is particularly relevant to pain and complications 37. In our study, patients who were operated with GA were the most dissatisfied group, while the SA and EA groups were significantly more satisfied.…”

Section: Discussionmentioning

confidence: 56%

See 1 more Smart Citation

Comparison of General, Epidural, and Spinal Anesthesia in Laparoscopic TEP (Total Extraperitoneal Repair) for Inguinal Hernia

Ferahman

Dönmez²,

Sürek³

et al. 2021

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

Purpose: Laparoscopic total extraperitoneal repair (TEP) is one of the most preferred minimally invasive methods for inguinal hernia repair. In our study, we aimed to compare the advantages and disadvantages of general anesthesia (GA), spinal anesthesia (SA), and epidural anesthesia (EA) for TEP operations.Materials and Methods: This is a retrospective study involving 221 patients who underwent TEP surgery for inguinal hernia between January 2018 and July 2020. Patients were divided into 3 groups as GA (n = 77), SA (n = 70), and EA (n = 74). Demographic data of the patients, duration of anesthesia and surgery, perioperative and postoperative complications, postoperative pain, anatomical delineation, hospital stay and quality of life were evaluated.Results: Anesthesia time was the longest in the EA group (23.1 ± 2.32 min) and significantly prolonged the operation time (P < 0.001). When the visual analog scale scores were compared, it was observed that the patients in the GA group felt significantly more pain (P < 0.001). While the rates of hypotension and headache were higher in regional anesthesia (P < 0.001 and P < 0.002), there was no significant difference in urinary retention, postoperative nausea/vomiting, and shoulder pain (P = 0.274, 0.262, and 0.314, respectively). SA and EA groups were found to be superior compared with the GA group in terms of patient satisfaction (P < 0.001). Conclusion: Regional anesthesia (SA and EA) can be safely performed in TEP surgeries, gives results similar to the anatomical delineation satisfactory and complication rates of GA, and results in less postoperative pain.

show abstract

Section: Discussionmentioning

confidence: 56%

“…24 Long-term quality of life is particularly relevant to pain and complications. 37 In our study, patients who were operated with GA were the most dissatisfied group, while the SA and EA groups were significantly more satisfied. The positive effect of regional anesthesia on quality of life was similar to in recent studies.…”

mentioning

confidence: 49%

Comparison of General, Epidural, and Spinal Anesthesia in Laparoscopic TEP (Total Extraperitoneal Repair) for Inguinal Hernia

Ferahman

Dönmez²,

Sürek³

et al. 2021

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

show abstract

“…Ці методики мають невірогідну різницю (за умови відповідного досвіду хірурга) таких показників як час операції, частоту інтра-і післяопераційних ускладнень та відсоток рецидивів [32]. Прямі фінансові витрати на TEP/TAPP є вищими, однак при аналізі фізичної реабілітації пацієнта та якості життя, вони незначно перевищують витрати для операції Lichtenstein [26,33,34].…”

unclassified

Modern Approach to Inguinal Hernia Surgery

Shkaraban,

Bulyk,

Vasyliuk

et al. 2023

Khark. Surg. Sch.

View full text Add to dashboard Cite

Summary. The article analyzes modern clinical guidelines for the repair of inguinal hernias. In 2018, the Hernia Surge Group published clinical guidelines for inguinal hernia repair. Experts evaluated the effectiveness, advantages and disadvantages of many currently known methods of hernia repair, and with a high level of evidence recommended choosing two open (Shouldice and Lichtenstein) and two laparoscopic techniques (TAPP and TER). The Shouldice operation is considered the best if it is decided to choose inguinal hernia repair without a mesh. However, modern trends in the repair of inguinal hernias still lean toward tension-free techniques, regardless of the age and gender of the patient. Even in young men with various types of hernias, it is recommended to use a prolene mesh, which reduces the risk of recurrence without impairing sexual function and fertility indicators. The Lichtenstein repair is the standard for open (anterior) inguinal hernia repair. In endoscopic TAPP and TEP repairs, the mesh is inserted into the preperitoneal space, but the techniques differ in access to this space. Due to technical complexity and high cost, laparoscopic and endoscopic repair of inguinal hernias is primarily recommended for recurrent and bilateral hernias, as well as for comorbid operations. Both TAPP and TEP have different and rare but serious complications. The 2018 EHS guidelines recommend open (Lichtenstein) and endoscopic (TEP/TAPP) as equivalent and evidence-based options for primary unilateral inguinal hernia repair.

show abstract

“…Recent studies show no significant advantages on short-term outcome (both intraoperative and postoperative)[ 15 ] or even long-term outcomes, such as the postoperative quality of life when comparing SA and GA.[ 16 ]…”

mentioning

confidence: 99%