Comparative analysis of transabdominal preperitoneal and total extraperitoneal plastic surgeries in inguinal hernia repair
https://doi.org/10.24884/0042-4625-2017-176-4-48-50
Abstract
OBJECTIVE. Comparative analysis of transabdominal preperitoneal (TAPP) and total extraperitoneal (TEP) plastic surgeries was made in case of inguinal hernia repair. MATERIAL AND METHODS. Patients (n =236) underwent surgery at the period from 2012 till 2016. The TAPP was performed in 114 (48,3 %) patients and TEP was carried out in 122 (51,7 %). Clinical analysis of results was made in two groups. RESULTS. The research didn’t show any significant difference in the rate of intra- and postoperative complications and recurrences, but their structure varied. However, length of operation was less in case of one-sided hernia in TAPP group, although it was less in case of two-sided hernia in TEP group. An expression of pain syndrome was reliably lower in TEP group. CONCLUSIONS. Both methods demonstrated similar results and could be applied in treatment of inguinal hernias.
About the Authors
A. S. Savin
A. M. Nikiforov All-Russian Center of Experimental and Radio Medicine
Russian Federation
Russian Federation
A. V. Khokhlov
A. M. Nikiforov All-Russian Center of Experimental and Radio Medicine
Russian Federation
Russian Federation
D. V. Dvoryankin
I. I. Mechnikov North-Western State Medical University
Russian Federation
Russian Federation
References
1. Греясов В. И., Чугуевский В. М., Иванов С. А. Современные методы лечения грыж передней брюшной стенки // Альманах института хирургии им. А. В. Вишневского. 2015. № 2. С. 102- 106.
2. Егиев В. Н., Лядов К. В., Воскресенский П. К. Атлас оперативной хирургии грыж. М. : Медпрактика, 2009. 228 c.
3. Ермаков Н.А.,Зорин Е.А.,Орловская Е.С.Лапароскопическая трансабдоминальная преперитонеальная аллопластика пахового промежутка (ТАРР) : Первые 1000 операций // Альманах института хирургии им. А. В. Вишневского. 2015. № 2. С. 223-226.
4. Жебровский В. В. Хирургия грыж живота. М. : МИА, 2009. 384 c.
5. Хасанов А. Г., Нуртдинов М. А., Бакиров И. С., Меньшиков А. М. Десятилетний опыт использования протезирующей герниопластики // Анн. хир. 2009. № 3. С. 57-58.
6. Gass M., Banz V., Rosella L. et al. TAPP or TEP? Population-based analysis of prospective data on 4,552 patients undergoing endoscopic inguinal hernia repair // World J. Surg. 2012. № 36. P. 2782-2786.
7. Kockerling F., Bittner R., Jacob D. et al. TEP versus TAPP : comparison of the perioperative outcome in 17,587 patients with a primary unilateral inguinal hernia // Surg. Endosc. 2015. № 29. P. 3750-3760.
8. Tetik C., Arregui M., Dulucq J. et al. Complication and recurrences associated with laparoscopic repair of groin hernias : A multi-institutional retrospective analysis // Surg. Endosc. 1994. № 8. P. 1316-1322.
Review
For citations:
Savin A.S., Khokhlov A.V., Dvoryankin D.V. Comparative analysis of transabdominal preperitoneal and total extraperitoneal plastic surgeries in inguinal hernia repair. Grekov's Bulletin of Surgery. 2017;176(4):48-50. (In Russ.) https://doi.org/10.24884/0042-4625-2017-176-4-48-50
Views:
626
Email this article 