Comparing laparoscopic totally extraperitoneal inguinal hernia repair with and without mesh fixation

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dc.contributor.authorAkturk, Remzi
dc.contributor.authorSerinsoz, Serdar
dc.date.accessioned2024-03-13T10:33:38Z
dc.date.available2024-03-13T10:33:38Z
dc.date.issued2022
dc.departmentİstanbul Beykent Üniversitesien_US
dc.description.abstractAIM: To compare totally extraperitoneal (TEP) repair in uncomplicated primary inguinal hernia patients with and without mesh fixation using tack in terms of peri- and post-operative complications, recurrence, return to work, and hospital stay. MATERIAL AND METHODS: We retrospectively analyzed the medical records of patients who underwent TEP repair of uncomplicated primary inguinal hernia (American Society of Anesthesiologists score at our institute from January 2008 to December 2017. RESULTS: In total, 354 patients were included in this study. There was no statistical difference in the body mass index (BMI) and duration of operation between patients with and without fixation. The mean number of days to return to work was significantly (p=0.000) higher in patients with use mesh fixation (9.06+1.749) compared to patients without mesh fixation (7.31+2.097). There was no difference between the two groups in terms of post-operative complications, except for seroma of the inguinal region, subcutaneous emphysema, and post-operative pain (p<0.05). The mean number of days of hospital stay was significantly (p=0.002) higher in patients with mesh fixation (1.11+0.329) compared to patients without mesh fixation (1.02+0.149). Evaluation of peri- and post-operative complications in BMI groups showed that obese patients and other groups had no significant difference (p>0.05). CONCLUSIONS: Non-mesh fixation laparoscopic TEP repair is safe and feasible for primary and relapsed inguinal hernias. Patients experienced less chronic pain, shorter hospital stay, and shorter time to return to work. Furthermore, it might be safe in obese patients but requires additional study to confirm.en_US
dc.identifier.endpage362en_US
dc.identifier.issn0003-469X
dc.identifier.issn2239-253X
dc.identifier.issue3en_US
dc.identifier.pmid35297383en_US
dc.identifier.startpage355en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12662/4061
dc.identifier.volume93en_US
dc.identifier.wosWOS:000886953900015en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherEdizioni Luigi Pozzien_US
dc.relation.ispartofAnnali Italiani Di Chirurgiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHerniaen_US
dc.subjectInguinal herniaen_US
dc.subjectLaparoscopyen_US
dc.subjectMeshen_US
dc.subjectSurgeryen_US
dc.titleComparing laparoscopic totally extraperitoneal inguinal hernia repair with and without mesh fixationen_US
dc.typeArticleen_US

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