The analysis of the effects of laparoscopic total extraperitoneal (TEP) and Liechtenstein surgery on the long-term quality of life in the treatment of inguinal hernia

Abstract

Approximately 27-43% of men and 3-6% of women suffer from inguinal hernia during their lives. Surgery is the only viable treatment for inguinal hernia. As such, more than 20 million people worldwide are operated for inguinal hernia annually. Treatment indications and surgical procedures for inguinal hernia repair have always been discussed from a medical point of view. Along with the development of minimally invasive techniques, laparoscopic methods are frequently used in inguinal hernia surgery. In this study, we aimed to evaluate how both open and laparoscopic tension-free mesh repair methods, both of which are widely used, affect the quality of life in the long-term post-operative period. This study was designed as a retrospective survey. Short Form-36 (SF-36) questionnaire was used as a postoperative quality of life (QoL) assessment scale. 69 (67.6%) of them underwent open surgery, while 33 (32.4%) of them underwent laparoscopic TEP. The demographic data, complications, SF-36 scale and chronic pain were evaluated, and no significant differences were found between the two groups. In conclusion, our study compared laparoscopic and open methods and observed no significant differences between the long-term results in two different groups.

Keywords

• Inguinal Hernia
• Laparoscopic Inguinal Hernia
• Short Form 36

İnguinal herni tedavisinde laparoskopik total ekstraperitoneal (TEP) ve Liechtenstein cerrahisinin uzun dönem yaşam kalitesine etkilerinin değerlendirilmesi

Abstract

Erkeklerin yaklaşık %27-43'ü ve kadınların %3-6'sı yaşamları boyunca kasık fıtığı sorunuyla karşı karşıya kalmaktadır. Ameliyat, kasık fıtığı için tek geçerli tedavi yöntemidir. Bu nedenle, dünya çapında her yıl 20 milyondan fazla kişi kasık fıtığı nedeniyle ameliyat edilmektedir. Kasık fıtığı onarımında tedavi endikasyonları ve cerrahi prosedürler her zaman tıbbi bir bakış açısıyla tartışılmıştır. Minimal invaziv tekniklerin gelişmesiyle birlikte, kasık fıtığı cerrahisinde laparoskopik yöntemler sıklıkla kullanılmaktadır. Bu çalışmada, yaygın olarak kullanılan açık ve laparoskopik gerilimsiz yama onarım yöntemlerinin, her ikisi de ameliyat sonrası uzun dönemde yaşam kalitesini nasıl etkilediğini değerlendirmeyi amaçladık. Bu çalışma retrospektif bir anket olarak tasarlanmıştır. Ameliyat sonrası yaşam kalitesi değerlendirme ölçeği olarak Kısa Form-36 (SF-36) anketi kullanılmıştır. 69 (%67,6) hastaya açık cerrahi uygulanırken, 33 (%32,4) hastaya laparoskopik TEP uygulandı. Demografik veriler, komplikasyonlar, SF-36 skalası ve kronik ağrı değerlendirildi ve iki grup arasında anlamlı bir fark bulunmadı. Sonuç olarak, çalışmamızda laparoskopik ve açık yöntemler karşılaştırılmış ve iki farklı grupta uzun dönem sonuçlar arasında anlamlı bir fark gözlenmemiştir.

Keywords

• İnguinal Herni
• Laparoskopik İnguinal Herni
• Kısa Form 36

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