PDF(Pubmed)
Abstract：
UNASSIGNED: The current study aims to investigate the superior mesh fixation method, single absorbable tacker versus conventional method, in patients undergoing bilateral inguinal hernia repair through the laparoscopic total abdominal preperitoneal (TAPP) approach.
UNASSIGNED: The current randomized clinical trial has been conducted on 81 patients undergoing bilateral hernia repair through TAPP. The patients were randomly assigned into one of the mesh fixation groups including single absorbable tacker (Group S) (n = 41) and conventional method (Group C) (n = 40). All patients were assessed during the hospital stay and 1 month postoperatively to assess the surgery-associated complications and days for return to daily activity. Eura-Hs questionnaire was applied to assess the quality of life (QOL) after hernia surgery during 12-month follow-up.
UNASSIGNED: The duration of bilateral inguinal hernia operation (P = 0.067), postoperative urinary catheterization (P = 0.813), and hospital stay duration (P = 0.779) did not differ between the groups; whereas Group C significantly required a longer time for returning to daily activity (P < 0.001). Only a patient in Group C represented hematoma (P = 0.494). Seroma incidence was not statistically different between the two groups (P = 0.712). Postoperative pain was statistically less in Group S (P < 0.001 for all the assessments). Postoperative QOL within a year after hernia repair revealed an insignificant difference between the groups in general (P > 0.05); however, a pain subscale was significantly less in Group S (P = 0.002).
UNASSIGNED: Based on the findings of this study, a single absorbable tacker was generally superior to the conventional method considering its less pre- and postoperative complications. However, the two methods did not differ regarding 1-year follow-up QOL.
UNASSIGNED: The current randomized clinical trial has been conducted on 81 patients undergoing bilateral hernia repair through TAPP. The patients were randomly assigned into one of the mesh fixation groups including single absorbable tacker (Group S) (n = 41) and conventional method (Group C) (n = 40). All patients were assessed during the hospital stay and 1 month postoperatively to assess the surgery-associated complications and days for return to daily activity. Eura-Hs questionnaire was applied to assess the quality of life (QOL) after hernia surgery during 12-month follow-up.
UNASSIGNED: The duration of bilateral inguinal hernia operation (P = 0.067), postoperative urinary catheterization (P = 0.813), and hospital stay duration (P = 0.779) did not differ between the groups; whereas Group C significantly required a longer time for returning to daily activity (P < 0.001). Only a patient in Group C represented hematoma (P = 0.494). Seroma incidence was not statistically different between the two groups (P = 0.712). Postoperative pain was statistically less in Group S (P < 0.001 for all the assessments). Postoperative QOL within a year after hernia repair revealed an insignificant difference between the groups in general (P > 0.05); however, a pain subscale was significantly less in Group S (P = 0.002).
UNASSIGNED: Based on the findings of this study, a single absorbable tacker was generally superior to the conventional method considering its less pre- and postoperative complications. However, the two methods did not differ regarding 1-year follow-up QOL.
摘要：
■当前的研究旨在研究优越的网片固定方法，与传统方法相比，单一可吸收粘着剂，通过腹腔镜全腹腹膜前（TAPP）方法进行双侧腹股沟疝修补术的患者。
■目前的随机临床试验已经在81例通过TAPP进行双侧疝修补术的患者中进行。患者被随机分配到网片固定组之一，包括单个可吸收固定器（S组）（n=41）和常规方法（C组）（n=40）。所有患者均在住院期间和术后1个月进行评估，以评估与手术相关的并发症和恢复日常活动的天数。在12个月的随访中，应用Eura-Hs问卷评估疝气手术后的生活质量（QOL）。
■双侧腹股沟疝手术时间（P=0.067），术后导尿（P=0.813），两组间住院时间(P=0.779)无差异;而C组需要更长的时间才能恢复日常活动(P<0.001).C组仅1例患者出现血肿(P=0.494)。两组血清瘤发生率无统计学差异(P=0.712)。S组术后疼痛在统计学上较少（所有评估均P<0.001）。疝修补术后一年内的术后生活质量总体上两组间无显著性差异(P>0.05);S组疼痛分量表显著较少(P=0.002).
■根据本研究的结果，考虑到其较少的术前和术后并发症，单一的可吸收粘着剂通常优于常规方法。然而,两种方法在1年随访QOL方面没有差异.
■目前的随机临床试验已经在81例通过TAPP进行双侧疝修补术的患者中进行。患者被随机分配到网片固定组之一，包括单个可吸收固定器（S组）（n=41）和常规方法（C组）（n=40）。所有患者均在住院期间和术后1个月进行评估，以评估与手术相关的并发症和恢复日常活动的天数。在12个月的随访中，应用Eura-Hs问卷评估疝气手术后的生活质量（QOL）。
■双侧腹股沟疝手术时间（P=0.067），术后导尿（P=0.813），两组间住院时间(P=0.779)无差异;而C组需要更长的时间才能恢复日常活动(P<0.001).C组仅1例患者出现血肿(P=0.494)。两组血清瘤发生率无统计学差异(P=0.712)。S组术后疼痛在统计学上较少（所有评估均P<0.001）。疝修补术后一年内的术后生活质量总体上两组间无显著性差异(P>0.05);S组疼痛分量表显著较少(P=0.002).
■根据本研究的结果，考虑到其较少的术前和术后并发症，单一的可吸收粘着剂通常优于常规方法。然而,两种方法在1年随访QOL方面没有差异.
