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首页> 外文期刊>Surgical Endoscopy >A prospective, randomized comparison of long-term outcomes: chronic groin pain and quality of life following totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) laparoscopic inguinal hernia repair.
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A prospective, randomized comparison of long-term outcomes: chronic groin pain and quality of life following totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) laparoscopic inguinal hernia repair.

机译：长期结果的前瞻性，随机比较：完全腹膜外（TEP）和腹腔镜腹膜前疝（TAPP）腹股沟疝修补术后的慢性腹股沟疼痛和生活质量。

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Data are insufficient to compare transabdominal preperitoneal repair (TAPP) and total extraperitoneal (TEP) techniques of laparoscopic inguinal hernia repair. There is very scant data comparing the two techniques in terms of long-term outcomes, which include chronic groin pain, quality of life, and time to return to normal activity. This prospective, randomized, controlled trial compared TEP versus TAPP techniques of laparoscopic inguinal hernia repair in terms of these long-term outcomes.This study was conducted from May 1, 2007 to March 30, 2012. Patients with uncomplicated groin hernia were randomized to transabdominal preperitoneal (TAPP) or totally extraperitoneal (TEP) techniques. A total of 160 patients were randomized to group I (TEP) and 154 patients to group II (TAPP). Pain was assessed with Visual Analogue Scale (VAS) preoperatively and postoperatively at 24 h, 1 week, 6 weeks, 3, 6, and 12 months, and yearly thereafter. Quality of life was assessed with Short Form-36 version 2 (SF 36v2) preoperatively and postoperatively at 3 months follow-up.Demographic, clinical profiles, intraoperative, and early postoperative parameters were well matched. There was significantly higher acute pain following TAPP repair; however, the chronic groin pain was comparable in both TEP and TAPP. Preoperative pain and immediate postoperative pain had significant correlation with chronic groin pain. Significant improvement from preoperative to postoperative quality of life was seen in both TEP and TAPP repairs, but there was no difference between TEP and TAPP in postoperative period. Time to return to normal activity also was similar between the two groups.The TEP and TAPP techniques of laparoscopic repair of inguinal hernia have comparable long-term outcomes in terms of incidence of chronic groin pain, quality of life, and resumption of normal activities. Chronic groin pain had a significant correlation with preoperative pain and early postoperative pain. However, TAPP was associated with significantly higher incidence of early postoperative pain, longer operative time, and cord edema, whereas TEP was associated with a significant higher incidence of seroma formation. The cost was comparable between the two.
机译：数据不足以比较腹腔镜腹股沟疝修补术的经腹前腹膜修补（TAPP）和总腹膜外（TEP）技术。就长期结果而言，比较这两种技术的数据很少，这些数据包括慢性腹股沟疼痛，生活质量和恢复正常活动的时间。这项前瞻性，随机，对照试验从长期效果的角度比较了腹腔镜腹股沟疝修补术的TEP与TAPP技术。这项研究于2007年5月1日至2012年3月30日进行。无并发症腹股沟疝的患者被随机分配至经腹腹膜前（TAPP）或完全腹膜外（TEP）技术。共有160例患者被随机分配到I组（TEP），154例患者被随机分配到II组（TAPP）。术前和术后24小时，1周，6周，3、6和12个月以及之后每年使用视觉模拟量表（VAS）评估疼痛。在术后3个月的随访中，使用术前和术后用Short Form-36第2版（SF 36v2）评估生活质量，人口统计学，临床资料，术中和术后早期参数良好匹配。 TAPP修复后的急性疼痛明显增加;然而，在TEP和TAPP中，慢性腹股沟疼痛具有可比性。术前疼痛和术后即刻疼痛与慢性腹股沟疼痛显着相关。 TEP和TAPP修复均从术前到术后生活质量均有显着改善，但术后TEP和TAPP之间无差异。两组之间恢复正常活动的时间也相似。就慢性腹股沟疼痛的发生率，生活质量和恢复正常活动而言，腹腔镜腹股沟疝修补术的TEP和TAPP技术具有可比的长期结果。慢性腹股沟疼痛与术前疼痛和术后早期疼痛有显着相关性。但是，TAPP与术后早期疼痛，更长的手术时间和脐带水肿的发生率显着相关，而TEP与血清瘤形成的发生率显着相关。两者之间的成本相当。

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