Weiming Li1, Dali Sun1, Yanbo Sun1, Yunyun Cen1, Shumin Li1, Qingwen Xu1, Yijun Li1, Yuxing Qi1, Yueying Lin1, Ting Yang1, Pengyuan Xu2. 1. Department of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University, 374 Dianmian Road, Kunming, 650101, Yunnan Province, China. 2. Department of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University, 374 Dianmian Road, Kunming, 650101, Yunnan Province, China. pyxu778@sina.com.
Abstract
OBJECTIVES: The aim of this study was to compare the effect of transabdominal preperitoneal (TAPP) inguinal hernioplasty with or without mesh fixation on chronic pain and quality of lifeof patients. METHODS:One hundred patients with a simple oblique inguinal hernia were included and treated at the Second Affiliated Hospital of Kunming Medical University from July of 2015 to July of 2016. Patients were randomly assigned to TAPP inguinal hernioplasty with mesh fixation (fixation group, n = 50) or without mesh fixation (non-fixation group, n = 50). Observation indices such as mean operative time, time to ambulation, hospitalization expense, and complications were recorded. The visual analog scale (VAS) was adopted for pain evaluation 2 days, 3 months, and 6 months postoperatively. The 36-item short-form health survey (SF-36) was adopted for life quality scoring 3 months postoperatively. RESULTS:No recurrence or incisional infections were observed during follow-up in either group. The mean operative time, time to ambulation, and hospitalization expense of the non-fixation group were all significantly reduced compared to those of the fixation group. The VAS score 2 days, 3 months, and 6 months postoperatively of the non-fixation group were significantly lower than in the fixation group. The physical function, role physical, bodily pain, and general health in the non-fixation group were each significantly higher than in the fixation group. In contrast, vitality, social function, role emotional, and mental health showed no significant differences across groups. CONCLUSIONS: For patients with primary unilateral oblique inguinal hernia with a defect size less than 4.0 cm in diameter, TAPP inguinal hernioplasty without mesh fixation was safe and effective. Furthermore, this shortened the operative time, promoted early ambulation, decreased hospitalization expenses, alleviated postoperative pain, and improved quality of life.
RCT Entities:
OBJECTIVES: The aim of this study was to compare the effect of transabdominal preperitoneal (TAPP) inguinal hernioplasty with or without mesh fixation on chronic pain and quality of life of patients. METHODS: One hundred patients with a simple oblique inguinal hernia were included and treated at the Second Affiliated Hospital of Kunming Medical University from July of 2015 to July of 2016. Patients were randomly assigned to TAPP inguinal hernioplasty with mesh fixation (fixation group, n = 50) or without mesh fixation (non-fixation group, n = 50). Observation indices such as mean operative time, time to ambulation, hospitalization expense, and complications were recorded. The visual analog scale (VAS) was adopted for pain evaluation 2 days, 3 months, and 6 months postoperatively. The 36-item short-form health survey (SF-36) was adopted for life quality scoring 3 months postoperatively. RESULTS: No recurrence or incisional infections were observed during follow-up in either group. The mean operative time, time to ambulation, and hospitalization expense of the non-fixation group were all significantly reduced compared to those of the fixation group. The VAS score 2 days, 3 months, and 6 months postoperatively of the non-fixation group were significantly lower than in the fixation group. The physical function, role physical, bodily pain, and general health in the non-fixation group were each significantly higher than in the fixation group. In contrast, vitality, social function, role emotional, and mental health showed no significant differences across groups. CONCLUSIONS: For patients with primary unilateral oblique inguinal hernia with a defect size less than 4.0 cm in diameter, TAPP inguinal hernioplasty without mesh fixation was safe and effective. Furthermore, this shortened the operative time, promoted early ambulation, decreased hospitalization expenses, alleviated postoperative pain, and improved quality of life.
Entities:
Keywords:
Hernia; Inguinal; Laparoscopic; Life quality; Non-fixation; Tension-free
Authors: R Bittner; M E Arregui; T Bisgaard; M Dudai; G S Ferzli; R J Fitzgibbons; R H Fortelny; U Klinge; F Kockerling; E Kuhry; J Kukleta; D Lomanto; M C Misra; A Montgomery; S Morales-Conde; W Reinpold; J Rosenberg; S Sauerland; C Schug-Pass; K Singh; M Timoney; D Weyhe; P Chowbey Journal: Surg Endosc Date: 2011-07-13 Impact factor: 4.584
Authors: R Bittner; M A Montgomery; E Arregui; V Bansal; J Bingener; T Bisgaard; H Buhck; M Dudai; G S Ferzli; R J Fitzgibbons; R H Fortelny; K L Grimes; U Klinge; F Köckerling; F Koeckerling; S Kumar; J Kukleta; D Lomanto; M C Misra; S Morales-Conde; W Reinpold; J Rosenberg; K Singh; M Timoney; D Weyhe; P Chowbey Journal: Surg Endosc Date: 2014-11-15 Impact factor: 4.584
Authors: Martin McCarthy; Chih-Hung Chang; A Simon Pickard; Anita Giobbie-Hurder; Donald D Price; Olga Jonasson; James Gibbs; Robert Fitzgibbons; Leigh Neumayer Journal: J Am Coll Surg Date: 2005-08 Impact factor: 6.113
Authors: G G Koning; C S Andeweg; F Keus; M W A van Tilburg; C J H M van Laarhoven; W L Akkersdijk Journal: Hernia Date: 2011-12-01 Impact factor: 4.739
Authors: Maurício Andrade Azevedo; Guilherme Blattner Torres de Oliveira; Carlos Alberto Malheiros; Sergio Roll Journal: Arq Bras Cir Dig Date: 2022-09-09
Authors: Christoph Paasch; Jennifer Fiebelkorn; Gianluca De Santo; Sascha Azarhoush; Katherina Boettge; Stefan Anders; Ulrich Gauger; Martin Strik Journal: Ann Med Surg (Lond) Date: 2020-05-23