Transabdominal preperitoneal (TAPP) versus open Lichtenstein hernia repair. Comparison of the systemic inflammatory response and the postoperative pain

Abstract

Purpose To compare open Lichtenstein repair and laparoscopic transabdominal preperitoneal (TAPP) repair to treat primary unilateral hernia, regarding systemic inflammatory response, postoperative pain, and complications. Methods A non-randomized prospective cohort study, with the preoperative and postoperative (24 hours) collection of blood samples for C reactive protein (CRP), interleukin 6 (IL-6), leukocyte and neutrophil analysis. Visual Analog Scale (VAS) was used to quantify the level of pain, and the operative time was correlated with the inflammatory response. VAS and CRP were also obtained on the 8th postoperative day. Results Groups were homogeneous regarding preoperative characteristics. There were no differences between groups in 24h values of CRP, IL-6, leukocytes, neutrophils or VAS. Similarly, CRP and VAS did not differ between groups on the 8th postoperative day. However, the operative time for laparoscopic hernia repair was longer than the time for the open procedure. There was a weak correlation (r coefficient 0.31) between the duration of the surgical procedure and the VAS score at the eighth day. Conclusions There were no statistically significant differences in the inflammatory response, pain scores, or complications between groups. We conclude that there is no advantage performing a primary unilateral hernia repair by laparoscopy.

Transabdominal Preperitoneal Patch Plasty versus Open Lichtenstein Hernia Repair – A Study

“…Bittner and Schwarz in 2019 described the ranking of TAPP in comparison to the other techniques, and it was concluded that the TAPP technique has the potential to become the standard operative technique for repair of inguinal hernias in future 13 . There are, however, some studies where there were no statistically significant differences in the inflammatory response, pain scores, or complications between the groups and the it was inferred that TAPP offered no significant advantage over the other techniques 2,14 . The limitation of our study is the small number of participants and it is hoped that is future, as greater number of patients undergo TAPP, a more comprehensive study would be undertaken to analyze the outcomes of these techniques of hernia repair.…”

“…Inguinal hernia repairs are one of the most common general surgical operations and globally; about more than 20 million inguinal hernia repairs are conducted every year 1 . The condition is multifactorial and affects both genders at all ages 2,3 . Indirect hernia corresponds to more than 70% of cases among adults.…”

Perbandingan kadar C-reactive protein (CRP) berdasarkan jenis herniotomi dan hubungannya dengan keluaran klinis pada hernia inguinalis indirek anak

“…1 Insiden kejadian hernia inguinalis bervariasi di tiap negara, sebuah studi di Taiwan menunjukkan kejadian kumulatif hernia inguinalis pada anak-anak hingga usia 15 tahun adalah 6,62% pada anak lakilaki dan 0,74% pada anak perempuan. 3 Herniotomi merupakan pilihan dan prosedur standar untuk tatalaksana hernia inguinalis pada anak. Prosedur herniotomi pada hernia inguinal indirek anak dilakukan secara open surgical ataupun laparoskopi.…”