Τίτλος:
Laparoscopic total extraperitoneal inguinal hernia repair Retrospective study on prosthetic materials, postoperative management, and quality of life
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Laparoscopic inguinal hernia repair is one of the most frequently performed operations. However, the search for the most appropriate prosthetic materials continues to occupy the surgical community. The purpose of this study was to evaluate the postoperative shortand mid-term effects (like duration of stay, number and type of complications, and inguinal pain) of laparoscopic inguinal hernia repair using the total extraperitoneal (TEP) approach. The evaluation encompassed different types of mesh and fixation devices, as well as medications prescribed during hospitalization. This retrospective study was conducted at the General, Laparoendoscopic, Bariatric, and Robotic Surgical Clinic of the Athens Medical Center. Clinical data from 524 patients were evaluated. The answers from an appropriately designed questionnaire completed from each individual were used to obtain information about their postoperative course. The statistical analysis was implemented in SPSS v 23. Analysis revealed that pain sensation on discharge decreased with increasing age (P<.05). No clear relationship was found between surgical clips and pain (P=.292), as well as mesh absorbability and chronic pain (P=.539). The major postoperative complications were annoyance and discomfort (15.9%). The recurrence rate was 1.7%. Postoperative complications following the TEP approach were mostly found to be minor; chronic pain, as an aspect of impaired quality of life, was not experienced in the majority (89.08%). The properties of prosthetic materials used and the type of medications prescribed were not found to exert a significant role in satisfactory postoperative outcomes. © 2018 the Author(s). Published by Wolters Kluwer Health, Inc.
Συγγραφείς:
Georgiou, E.
Schoina, E.
Markantonis, S.-L.
Karalis, V.
Athanasopoulos, P.G.
Chrysoheris, P.
Antonakopoulos, F.
Konstantinidis, K.
Περιοδικό:
Medicine (United States)
Εκδότης:
Lippincott Williams and Wilkins
Λέξεις-κλειδιά:
cephalosporin derivative; histamine H2 receptor antagonist; nonsteroid antiinflammatory agent; opiate; paracetamol; proton pump inhibitor, adult; antibiotic prophylaxis; Article; burning sensation; chronic pain; constipation; data analysis software; female; gastrointestinal symptom; hernioplasty; hospitalization; human; infectious complication; inguinal hernia; inguinal pain; laparoscopic surgery; laparoscopic total extraperitoneal inguinal hernia repair; major clinical study; male; medical record; nociception; paresthesia; postoperative care; postoperative pain; postoperative period; preoperative complication; prescription; priority journal; quality of life; recurrence risk; relapse; retrospective study; surgical approach; surgical patient; swelling; visual analog scale; age; herniorrhaphy; inguinal hernia; length of stay; postoperative care; postoperative complication; postoperative pain; procedures; quality of life; surgical mesh, Age Factors; Female; Hernia, Inguinal; Herniorrhaphy; Humans; Length of Stay; Male; Pain, Postoperative; Postoperative Care; Postoperative Complications; Quality of Life; Retrospective Studies; Surgical Mesh
DOI:
10.1097/MD.0000000000013974
