Primerjava odprte nenapetostne in laparoskopske hernioplastike
Tension-free versus laparoscopic hernioplasty

slovenian

2005

volume 10, issue 24

Hernia, Inguinal   Surgery    Laparoscopy    Length Of Stay    Pain, Postoperative   Treatment Outcome

Slovensko zdravniško društvo, Združenje za endoskopsko kirurgijo

Background. The main disadvantage of the conventional Bassini hernioplasty is that it involves forceful approximation of the groin tissues associated with tension on the suture line, which leads to increased postoperative pain, longer hospital stay, delay in resuming regular physical activity, and higher recurrence rate. New techniques of tension-free repair have many advantages, iincluding decreased tension, reduced postoperative pain, decreased analgesic consumption, faster return to normal physical activity and lower incidence of recurrence. Tension-free techniques are divided into open (Trabucco) and endoscopic (laparoscopic TAPP and TEP). This study was undertaken to investigate the advantages and disadvantages of conventional and laparoscopic hernioplasties. Patients and methods. During the period 1999-2000, 28 patients, 24 (85.7%) men and four (14.3%) women, underwent endoscopic hernia repair at this Department. During the same period, the open tension-free technique was used in 432 patients, 388 (84.9%) men and 44 (10.2%) women. The mean age of the laparoscopic and open tension-free group was 55 and 52 years, respectively. The techniques were compared in terms of operating time, hospital stay, postoperative pain, analgesic usage, recurrence rate, return tonormal physical activity, and complications. Follow-up examinations wer scheduled at one month, six months, one year and five years after surgery. Results. The operating time in laparoscopic hernioplasty is significantly longer than in tension-free hernia repair, yet there is no statistically significant difference between the two techniques as concerns the length of hospital stay. (Abstract truncated at 2000 characters)

16.09.2009