Comparison of aparoscopic transabdominal preperitoneal hernia repair and herniorrhaphy via internal ring approach (Kugel patch) for inguinal hernias
Abstract：Objective To compare the effect between transabdominal preperitoneal hernia repair(TAPP) and herniorrhaphy via internal ring approach (Kugel patch)in treating aduh inguinal hernia.Methods Patients(458 cases,594 sides) who were admitted to Department of General Surgery from Jan.2015 to Oct.2016 were divided into two groups depending on the surgical style.TAPP group included 203 patients (275 sides) and Kugel group included 255 patients (319 sides).The data of patients were analyzed retrospectively to compare the clinical effect between two groups.Results For unilateral inguinal hernia,the operation time of TAPP group was longer than that of Kugel group (65.5±14.5)min vs.(57.5± 18.1)min,P＜0.05,while the operation time of bilateral inguinal hernia was not significant statistically between two groups(107.4±25.3)min vs (112.1±29.1)min,P＞0.05.TAPP group is superior to Kugel group in postoperative VAS score,unilateral (2.0±0.5) vs.(2.5±0.5),bilateral (2.4±0.6) vs.(2.8±0.7),P＜0.01.Total hospitalization costs in Kugel group was lower than that in TAPP group,unilateral (9882.9± 1112.1) yuan vs.(12177.1 ± 1701.3) yuan,bilateral (14706.6±4706.5) yuan vs.(16952.4±2245.6) yuan,P＜0.01.In addition,there were 31 cases (43％ of its bilateral inguinal hernia patients) in TAPP group found the lateral occlusion hernia on the other side by intraoperative examination,which were repaired at the same time.The follow-up period ranged from 3 to 24 months (median 13 months).Follow-up rate was 96.6％ (TAPP group,196 cases) and 97.3％ (Kugel group,248 cases),each group missed 7 patients.All patients were cured,recurrent case was not found within the follow-up period.Kugel group had lower incidence of postoperative seroma (0.8％ vs 6.1％,P＜0.01).No significant difference was found between the two groups in the rate of returning to daily activities within 2 weeks,chronic pain,foreign body sensation and total postoperative complications(P＞0.05).Conclusion Both TAPP and Kugel are safe and effective.TAPP has the advantage of reducing postoperative pain,minimizing scarring and discovering occult hernia.The Kugel is more economical and suitable for all types of anesthesia.
Keywords：inguinal hernialaparoscopepreperitoneal herniorrhaphycomplication
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1258-1261 )