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Abstract：
Objective The objective of this prospective cohort study was to compare the time to return to work between patients who underwent laparoscopic transabdominal preperitoneal (TAPP) hernia repair and those who underwent Lichtenstein tension-free hernia repair with mesh for unilateral inguinal hernia. Methodology Patients were registered for unilateral inguinal hernia review at Aga Khan University Hospital, Karachi, Pakistan, from May 2016 to April 2017 and followed till April 2020. All patients aged 16-65 planned for unilateral transabdominal preperitoneal hernia repair or Lichtenstein tension-free hernia mesh repair were included. Patients with bilateral inguinal hernia repair, limited activity, or above retirement age were excluded. A non-probability consecutive sampling technique was implemented, and patients were divided into two cohort groups: Group A underwent laparoscopic transabdominal preperitoneal hernia repair, while Group B underwent Lichtenstein tension-free mesh repair. Patients were followed up at one week to inquire about the resumption of activities and then at one and three years for recurrence. Results Sixty-four patients met the inclusion criteria; three patients opted out of research, and 61 patients agreed to participate; one patient was excluded due to the conversion of the procedure. The remaining 30 in Group A and 30 in Group B were followed for the study period. The mean time to return to work in Group A was 5.33 ± 4.46 days; in Group B, it was 6.83 ± 4.58 days, with a p-value of 0.657. One recurrence was observed at three years in Group A. Conclusion Although the time to return to work at our hospital was slightly shorter in laparoscopic hernia repair than in the open technique, the results were not statistically significant. In addition, there was no significant difference in hernia recurrence at the one-year follow-up between laparoscopic transabdominal preperitoneal hernia repair and Lichtenstein tension-free hernia mesh repair for unilateral inguinal hernia.
摘要：
目的这项前瞻性队列研究的目的是比较接受腹腔镜经腹腹膜前（TAPP）疝修补术和接受Lichtenstein无张力疝修补术治疗单侧腹股沟疝的患者恢复工作的时间。方法患者在阿加汗大学医院登记进行单侧腹股沟疝检查，卡拉奇,巴基斯坦,从2016年5月到2017年4月，一直到2020年4月。计划进行单侧经腹腹膜前疝修补术或Lichtenstein无张力疝网片修补术的所有16-65岁患者均包括在内。双侧腹股沟疝修补术患者，活动有限,或超过退休年龄被排除在外。实现了一种非概率连续采样技术，将患者分为两组：A组接受腹腔镜经腹腹膜前疝修补术，B组行Lichtenstein无张力网片修复术。在一周时对患者进行随访以询问活动的恢复，然后在一年和三年时进行复发。结果64例患者符合纳入标准,3例患者选择退出研究,61例患者同意参与;1例患者因手术转换而被排除.在研究期间随访A组中的其余30名和B组中的30名。A组平均复工时间为5.33±4.46天;B组,是6.83±4.58天,p值为0.657。A组3年复发1例。结论虽然腹腔镜疝修补术在我院恢复工作的时间略短于开腹手术,结果无统计学意义.此外,腹腔镜经腹腹膜前疝修补术和Lichtenstein无张力疝网片修补术治疗单侧腹股沟疝,在1年随访时疝复发无显著差异.
