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document
Comparison of postoperative short-term complications after laparoscopic transabdominal preperitoneal ( TAPP ) versus Lichtenstein tension free inguinal hernia repair : a randomized trial study . AIM The aim of this randomized trial was to compare short-term postoperative complications of laparoscopic transabdominal preperitoneal ( TAPP ) and Lichtenstein tension free hernia repair . METHODS A total of 120 patients who went inguinal hernia repair at Shahid Sadoughi university training hospital from April 2011 to August 2013 were randomized into two TAPP ( N.=60 ) and Lichtenstein ( N.=60 ) repair group . Follow-up occurred within 6 weeks . The postoperative assessments included pain score ( VAS ) , hematoma/seroma , urinary retention , wound infection incidence , and duration of hospital stay . RESULTS Pain was the most common symptoms in both groups . The TAPP group patients significantly had experienced less postoperative pain than the Lichtenstein group in all moments ( P < 0.05 ) . TAPP group had lower incidence of hematoma ( TAPP , 6.6 % vs. Lichtenstein 13.3 % ; P=0.67 ) , seroma ( TAPP 10 % vs. Lichtenstein 13.3 % ; P=1.00 ) , and infection ( TAPP 0 vs. Lichtenstein 1.6 % ; P=0.67 ) . However , no differences between the 2 groups were found in terms of postoperative complications . In TAPP group mean of hospital stay significantly was less than Lichtenstein group ( TAPP , 8.13±2.19 vs. Lichtenstein , 13.15±1.5 days ; P < 0.001 ) . CONCLUSION The laparoscopic TAPP repair is safer and less complicated approach to inguinal hernia repair . The two main short-term advantages of the laparoscopic TAPP repair with the tension free Lichtenstein repair were less postoperative pain and earlier return to the normal life activities . No difference was seen in overall complications .
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Intervention_Physical
laparoscopic transabdominal preperitoneal ( TAPP ) versus Lichtenstein tension free inguinal hernia repair
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Intervention_Physical
laparoscopic transabdominal preperitoneal ( TAPP ) and Lichtenstein tension free hernia repair
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Intervention_Physical
inguinal hernia repair
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Intervention_Physical
TAPP
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Intervention_Surgical
Lichtenstein
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Intervention_Physical
Lichtenstein
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Intervention_Surgical
Lichtenstein
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Intervention_Surgical
Lichtenstein
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Intervention_Surgical
Lichtenstein
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Intervention_Surgical
Lichtenstein
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Outcome_Pain
pain score ( VAS )
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Outcome_Adverse-effects
hematoma/seroma
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Outcome_Physical
urinary retention
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Outcome_Adverse-effects
wound infection incidence
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Outcome_Other
duration of hospital stay
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Outcome_Pain
Pain
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Outcome_Pain
postoperative pain
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Outcome_Adverse-effects
hematoma
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Outcome_Adverse-effects
seroma
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Outcome_Adverse-effects
infection
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Outcome_Adverse-effects
postoperative complications
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Outcome_Other
mean of hospital stay
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Participant_Condition
laparoscopic transabdominal preperitoneal ( TAPP ) versus Lichtenstein tension free inguinal hernia repair :
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Participant_Condition
complications of laparoscopic transabdominal preperitoneal ( TAPP ) and Lichtenstein tension free hernia repair .
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Participant_Sample-size
120
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Participant_Condition
inguinal hernia repair