Does the approach to the groin make a difference in hernia repair?

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dc.contributor.authorGünal, Ömer
dc.contributor.authorÖzer, Ş.
dc.contributor.authorGürleyik, Emin
dc.contributor.authorBahçebaşı, Talat
dc.date.accessioned2020-04-30T13:32:20Z
dc.date.available2020-04-30T13:32:20Z
dc.date.issued2007
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionPubMed ID: 17610024en_US
dc.description.abstractBackground: Laparoscopic and open preperitoneal hernia repair techniques both use the preperitoneal space. This study investigated whether the surgical approach to the inguinal canal affects outcome measures. Methods: One hundred sixty patients with inguinal hernia were assigned randomly into open anterior (42), open preperitoneal (39), laparoscopic transabdominal preperitoneal (39), and laparoscopic total extraperitoneal (40) groups according to the surgical method. The peroperative serum tumor necrosis factor-? (TNF-?) levels, interleukin-6 (IL-6) levels, VAS scores at 6 and 48 h, per- and postoperative complications, and recurrence rates were determined as main variables. Results: The serum IL-6 levels were 335 ± 1.8, 283 ± 1.8, 283 ± 1.4, and 269.3 ± 1.6 pg/ml in the open anterior, posterior, transabdominal preperitoneal, and total extraperitoneal groups, respectively (P < 0.01). The TNF-? levels were highest in the open anterior group. The pain scores were lower in groups undergoing the posterior approach than in the open anterior approach group. Conclusion: The approach to the inguinal canal through the preperitoneal space appears to be less invasive than the transinguinal anterior approach. © Springer-Verlag 2007.en_US
dc.identifier.doi10.1007/s10029-007-0252-1en_US
dc.identifier.endpage434en_US
dc.identifier.issn1265-4906
dc.identifier.issue5en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage429en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s10029-007-0252-1
dc.identifier.urihttps://hdl.handle.net/20.500.12684/238
dc.identifier.volume11en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofHerniaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectIL-6; Inguinal hernia; Laparoscopic; Preperitoneal; TNF-?en_US
dc.titleDoes the approach to the groin make a difference in hernia repair?en_US
dc.typeArticleen_US

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