Abstract:
Objective
To compare the effect and superiority about transabdominal preperitoneal laparoscopic hernia repair (TAPP), totally extraperitoneal laproscopic hernioplasty (TEP) and open tension-free herniorrhaphy (OPEN)of groin hernia in a randomized research.
Methods
One hundred and twenty-four cases with adult inguinal hernia were randomized divided to three groups. Forty-four cases were received the laparoscopic repair with TAPP(TAPP group).Forty cases were repaired with TEP(TEP group).Forty cases were repaired with tension-free herniorrhaphy (Lichtenstein).The patients were followed up postoperatively and compared the correlative parameter.
Results
The operation time,duration in hospital,hospital costs,reprocessing time and the degree of postoperative pain in TAPP,TEP were more satisfactory than those in Lichtenslein group(P<0.01),There was no significant diference between TAPP and TEP groups.There was one case recurred in TAPP group and TEP group for tissue patch displacement.
Conclusions
For patients with groin hernia,TAPP or TEP is a feasible,safe and has advantages over open tention-free repair in the postoperative recovery.TAPP is more advantageous in recurring hernia,occular hernia and bilateral hernia.With the patch material development and the improvement of surgicaltechnic,TAPP willhave a broader prospect.
Key words:
Laparoscope,
Inguinalhernia,
Tension-freeherniorrhaphy,
Randomizedcontrolledtrial
Shun-qian WEN, Wei-dong LIN, Xue-yi XIE, Wu ZHANG. Randomized comparative study on transabdominal preperitoneal,totally extraperitoneal prosthetic and open tension-free herniorrhaphy of groin hernia[J]. Chinese Archives of General Surgery(Electronic Edition), 2009, 03(06): 487-490.