Surgical outcome of bilateral transabdominal preperitoneal(TAPP)repair for inguinal hernias Shunsuke HAYAKAWA 1 , Tetsushi HAYAKAWA 2 , Kaori WATANABE 1 , Koichi INUKAI 1 , Hirotaka MIYAI 1 , Minoru YAMAMOTO 1 , Yasunobu SHIMIZU 1 , Moritsugu TANAKA 1 1Department of Surgery, Kariya Toyota General Hospital 2Department of Laparoscopic Hernia Center, Kariya Toyota General Hospital Keyword: 鼠径ヘルニア , TAPP , 腹腔鏡下鼠径ヘルニア修復術 pp.321-327
Published Date 2018/5/15
DOI https://doi.org/10.11477/mf.4426200555
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[Aim]Short-term surgical outcome of transabdominal preperitoneal (TAPP) repair for bilateral inguinal hernias was assessed. [Methods]The study included 597 inguinal hernia patients with 677 lesions, excluding the complicated cases, who were treated by TAPP repair. The patients were divided into 2 groups : unilateral repair group (U group, 517 patients with 517 lesions) and bilateral group (B group, 80 patients with 160 lesions). The two groups were compared in terms of surgical outcome and the results of postoperative questionnaire survey. [Results]Operation time and intraoperative blood loss were significantly greater in group B, but there were no significant differences between the two groups in postoperative length of stay or proportion of patients who could be discharged the following day. No significant differences between the two groups were observed in recurrence rates (U group, 0%; B group, 1.3%), complication rates (U group, 1.9%; B group, 3.8%), number of postoperative analgesic doses administered, or results of postoperative patient questionnaire. [Conclusion]The short-term postoperative outcome of TAPP appeared to be favorable in patients who required bilateral repair.

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