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ArticleWorld journal of surgery2021

Short- and Long-Term Outcomes of Transabdominal Preperitoneal, Open Mesh Plug and Open Tissue Inguinal Hernia Repair.

Yuichi Takayama, Yuji Kaneoka, Atsuyuki Maeda, Takamasa Takahashi, Muneyasu Kiriyama, Kazuaki Seita

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Article in World journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Yuichi TakayamaDepartment of Surgery, Ogaki Municipal Hospital, 4-86 minaminokawa-cho, Ogaki-shi, Gifu-ken, Japan. t-yuichi@rf6.so-net.ne.jp.
Yuji KaneokaDepartment of Surgery, Ogaki Municipal Hospital, 4-86 minaminokawa-cho, Ogaki-shi, Gifu-ken, Japan.
Atsuyuki MaedaDepartment of Surgery, Ogaki Municipal Hospital, 4-86 minaminokawa-cho, Ogaki-shi, Gifu-ken, Japan.
Takamasa TakahashiDepartment of Surgery, Ogaki Municipal Hospital, 4-86 minaminokawa-cho, Ogaki-shi, Gifu-ken, Japan.
Muneyasu KiriyamaDepartment of Surgery, Ogaki Municipal Hospital, 4-86 minaminokawa-cho, Ogaki-shi, Gifu-ken, Japan.
Kazuaki SeitaDepartment of Surgery, Ogaki Municipal Hospital, 4-86 minaminokawa-cho, Ogaki-shi, Gifu-ken, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere have been few comparisons of the postoperative outcomes of transabdominal preperitoneal (TAPP), open mesh plug (mesh plug) and open tissue (tissue) hernia repair. The objectives of this study were to compare these repair methods.

methodsThis was a retrospective study of 1813 inguinal hernia patients between January 2008 and December 2016. Of these patients, 474 underwent TAPP repair, 1293 underwent mesh plug repair, and 46 underwent tissue repair. The short-term and long-term outcomes determined by questionnaire were compared among the three groups. In addition, risk factors for patient dissatisfaction were assessed.

resultsIn the TAPP group, the postoperative complications rate was the lowest at 4.6% (7.4% and 6.5% in the mesh plug and the tissue groups, respectively, P = 0.07), and recurrence rate was lower compared to the mesh plug group (0.8% vs. 3.3%, P = 0.002). As long-term outcomes, 92%, 88% and 75% of patients were satisfied in the TAPP, mesh plug and tissue groups, respectively (P = 0.03). The rate of patients with numbness was 3.1% in the TAPP group, 5.2% in the mesh plug group and 14% in the tissue group (P = 0.04). Predictive independent risk factors for patient dissatisfaction were complications (OR: 3.99, 95% CI: 1.35-11.8, P = 0.012) and infection (OR: 16.9, 95% CI: 1.25-229, P = 0.003).

conclusionsTAPP repair is superior to mesh plug and tissue repairs in terms of complications, satisfaction and numbness, as determined by questionnaire. Complications and infection were independently associated with the patient dissatisfaction.

Indexed as

Hernia, InguinalLaparoscopyHerniorrhaphyHumansRecurrenceRetrospective StudiesSurgical MeshTreatment Outcome

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.