Can laparoscopic total extraperitoneal repair of inguinal hernia be preferred to conventional method? A randomized clinical trial

摘要

Objective:This is a prospective study of laparoscopic to-tally extraperitoneal (TEP) inguinal hernia repair to com-pare with the conventional method of Lichtenstein.Methods:A total of 50 patient (25 conventional, 25 lapa-roscopic) with inguinal hernia were included. We were examined prospectively age, gender, body mass index (BMI), inguinal hernia type (Nyhus classification), Ameri-can Society of Anesthesiologists risk score (ASA), the first skin incision until closure operation time, intraopera-tive and postoperative complications, postoperative pain score, analgesic requirement, hospital stay, return to nor-mal physical activity in terms of duration and recurrence on preoperative patient. Visual analog pain score (VAS) were used for scoring pain for all patients.Results:46 patients (92%) were male and mean age was 50.9 years (range 17-78). The mean BMI was 25,8 kg/m2 (range 19.1-31,6) and there was no significant difference in demographic characteristics between groups (p>0,05). In both groups, mainly Nyhus Type 2 was followed and there was no significant difference in ASA scores and hernia type between the groups (p>0.05). Laparoscopic group was more advantageous in analgesic use, VAS score, and return to work time, but had longer operation time (p0.05).Conclusions:Although laparoscopic TEP hernia repair had longer operation time; it provides less pain, less an-algesic use with similar morbidity rate and provides early discharge