Journal of Isfahan Medical School

Journal of Isfahan Medical School

The Therapeutic Consequences of Laparoscopic Hernia Surgery through Totally Extraperitoneal (TEP) Route with and/or without Takers

Document Type : Original Article (s)

Authors
Masoud Sayadi-Shahraki 1
Hamid Melali 1
Amir hossein karimi 2
1 Assistant Professor, Department of General Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Resident, Department of General Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
10.22122/jims.v39i624.13761
Abstract
Background: Inguinal hernia is a common and widespread disease in the world that millions of people suffer from. Inguinal hernia repair is one of the most common general surgeries. Despite the high prevalence of this disease, no type of surgery has ideal results and postoperative complications still remain. The aim of the current study was to evaluate therapeutic consequences of laparoscopic hernia surgery with totally extraperitoneal (TEP) with and/or without Takers.Methods: Out of 54 patients studied in this clinical trial study, 27 patients underwent TEP using Takers and 27 patients without Taker. The findings were recorded during the operation and compared in 6-month follow-up using a questionnaire.Findings: The duration of operation, the duration of hospitalization, the duration of postoperative pain, and the duration of return to work and normal daily activities were the same in both groups. In terms of hernia recurrence rate, one recurrence was observed in each group. Other complications including infection, neuralgia, and postoperative hematoma were not observed in any of the groups.Conclusion: The present study showed that in patients with inguinal hernia after repair by TEP method, it may not be necessary to use Takers for mesh fixation.
Keywords
Hernia
Laparoscopy
Outcomes Assessment
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  • Receive Date 11 December 2020
  • Accept Date 06 April 2022