@article{article_464026, title={Comparison of Lichtenstein and total extraperitoneal laparoscopic hernia repair (TEP) methods in inguinal hernias}, journal={Ortadoğu Tıp Dergisi}, volume={11}, pages={366–371}, year={2019}, DOI={10.21601/ortadogutipdergisi.464026}, author={Ulusoy, Serap and Özer, Mehmet and Albuz, Özgür and Parlak, Ömer}, keywords={inguinal herni,Lichtenstein onarımı,TEP onarımı,herni komplikasyonları}, abstract={<b>Aim: </b>To compare Lichtenstein and TEP methods regarding the endocrine and inflammatory response to surgery and the results of early postoperative period. <br /> <b>Material and Method: </b>40 patients who had been operated for inguinal hernia at our clinic were included in the study. TEP was administered to the 20 patients while Lichtenstein was performed in another 20 patients. During the induction of anesthesia, postoperative 6th and 12th hours blood samples from the patients in both groups was obtained and serum ACTH, IL-6, WBC and CRP levels were measured. Results of early postoperative periods of operations were evaluated. <br /> <b>Results: </b>There was no difference between the two groups in terms of surgical endocrine responses. Inflammatory response parameters varied. In patients TEP applied on WBC values ​​and average checked at 6th hours at statistically significant degree higher while average of CRP values ​​checked in 6th hours is lower at statistically significant degree in the patients with TEP than patients who underwent Lichtenstein operation. There were no significant differences detected in any period between Lichtenstein and TEP group in terms of IL-6 value. Postoperative VAS values ​​of Lichtenstein group were statistically significantly higher than those of patients who underwent the TEP. <br /> <b>Conclusion: </b>In study there wasn’t difference between TEP and Lichtenstein repair in terms of inflammatory and endocrine responses. TEP repair, found to be superior than Lichtenstein repair operation; as it provides return to work early, the patients have less pain and less analgesic is needed, and less cost that promoted by the earlier return to work.}, number={4}, publisher={MEDİTAGEM Ltd. Şti.}