Evidence map›Paper›PMID 40330367›Full record

ArticleCureus2025

Transabdominal Preperitoneal Repair Versus Lichtenstein's Open Hernia Repair for Inguinal Hernias: A Retrospective Study of 120 Cases.

Supriya Bhondve, Kashif F Ansari, Rajalakshmi Venkateswaran, Balakrishan Menon, Ajay H Bhandarwar, Snehal M Dandge, Ravi A Landge

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Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Supriya BhondveGeneral Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, IND.
Kashif F AnsariGeneral Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, IND.
Rajalakshmi VenkateswaranGeneral Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, IND.
Balakrishan MenonGeneral Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, IND.
Ajay H BhandarwarGeneral Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, IND.
Snehal M DandgeGeneral Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, IND.
Ravi A LandgeGeneral Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInguinal hernia repair is one of India's most common procedures in general surgery. The advent of minimally invasive surgery for this condition has revolutionized its treatment. This study compares the outcomes of transabdominal preperitoneal (TAPP) repair and Lichtenstein's open hernia repair, focusing on specific intraoperative and perioperative outcomes. MATERIALS AND

methodsA retrospective analysis was conducted on patients who underwent either TAPP repair or open hernia repair at a single tertiary care center between June 2021 and June 2024. A total of 120 patients were included, with Group A comprising 60 patients who underwent TAPP repair and Group B comprising 60 patients who underwent open hernia repair. In addition to demographic data, parameters such as operative time, length of hospital stay, postoperative pain score using the Visual Analogue Scale (VAS), and incidence of postoperative complications were analyzed. Statistical comparisons were made using chi-square and t-tests, with a significance level set at p < 0.05.

resultsThe mean operative time for Group A and Group B was 137.43 ± 24.41 minutes and 108.91 ± 36.73 minutes, respectively, which was statistically significant (p < 0.001). Although individual complications varied, the complications were 11.66% (seven patients) in Group A and 38.33% (23 patients) in Group B. The VAS revealed that the average pain score at 24-48 hours was 4.05 ± 0.80 in Group A and 4.3 ± 0.74 in Group B, indicating a statistically significant lower pain level in Group A (p = 0.03). At the end of one week, the average pain score was significantly lower in Group A (1.18 ± 0.42 vs. 1.55 ± 0.67, p < 0.001). The average duration of hospital stay was 2.3 ± 0.64 days for Group A and 3.01 ± 0.911 days for Group B. An unpaired t-test showed statistically significant differences between the two groups' hospital stay duration and time taken to return to normal work (t = 4.98, p < 0.001 and t = 14.041, p < 0.001, respectively). The average number of days for which analgesics were required was 1.1 in Group A and 1.6 in Group B.

conclusionsTAPP repair offers significant advantages in terms of postoperative pain and recovery time compared to traditional open hernia repair. Although TAPP repair requires a longer operative time, its benefits, such as reduced recovery duration and lower postoperative pain, could lead to better patient outcomes and reduced strain on healthcare resources. Both techniques showed comparable complications and hernia recurrence rates, suggesting that TAPP repair is a safe and effective alternative to open hernia repair. Future studies with larger sample sizes and longer follow-up periods are recommended to further assess the long-term efficacy and cost-effectiveness of TAPP repair compared to open hernia repair.

Indexed as

intraoperative outcomeslichtenstein's open hernia repairperioperative outcomestransabdominal preperitoneal repairvisual analogue scale

Identifiers

PMID40330367
PMCPMC12054987

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