Comparison of Telescopic and Balloon Dissection Techniques in Total Extraperitoneal Inguinal Hernia Repair: A Retrospective Analysis
Abstract
Background: Totally extraperitoneal (TEP) repair involves creating a preperitoneal space with balloon or telescopic dissection (TD). This study aimed to compare the outcomes of TD and BD techniques in TEP inguinal hernia repair in male patients.
Methods: A retrospective analysis was conducted on male patients who underwent TEP hernia repair by a single surgeon between November 2023 and November 2024. Patients were divided into two groups based on the technique used to create the preperitoneal space: BD or TD. Demographic data, operative outcomes, and postoperative pain scores were compared between the groups. Statistical significance was set at P < 0.05.
Results: A total of 49 patients were included, with 31 in the TD group and 18 in the BD group. The BD group had significantly shorter operative times (37.8 ± 15.8 vs. 45.6 ± 17.4 minutes, P = 0.029). Postoperative pain at the 3rd hour was significantly lower in the TD group (2.0 ± 2.1 vs. 3.0 ± 1.6, P = 0.018). Pain scores at later time points and other parameters, including peritoneal rupture rates and hospital stay duration, were comparable between the groups.
Conclusion: Both TD and BD are safe and effective techniques for TEP hernia repair. BD may reduce operative time, while TD offers superior early postoperative pain control. The choice of technique should be guided by patient characteristics, surgeon expertise, and cost considerations.
Keywords
Total Extraperitoneal Hernia Repair , Balloon Dissection , Telescopic Dissection , Postoperative Pain
Kaynakça
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