Bilateral inguinal hernia repair: robotic TAPP versus laparoscopic TEP

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dc.authoridMehmet Mahir Özmen / 0000-0003-0649-0111en_US
dc.authoridCem Emir Güldoğan / 0000-0003-0634-5619
dc.authoridEmre Gündoğdu / 0000-0002-2756-1372
dc.authorscopusidMehmet Mahir Özmen / 57211511111
dc.authorscopusidCem Emir Güldoğan / 55890565600
dc.authorscopusidEmre Gündoğdu / 36165504700
dc.authorwosidMehmet Mahir Özmen / AAO-2321-2020
dc.authorwosidCem Emir Güldoğan / K-3824-2016
dc.authorwosidEmre Gündoğdu / AAR-6328-2020
dc.contributor.authorGündoğdu, Emre
dc.contributor.authorGüldoğan, Cem Emir
dc.contributor.authorÖzmen, Mehmet Mahir
dc.date.accessioned2020-12-24T13:12:29Z
dc.date.available2020-12-24T13:12:29Z
dc.date.issued2020en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: As the advantages of minimally invasive techniques in general surgery have been shown, we prefer laparoscopic total extraperitoneal (LTEP) inguinal hernia repair or robotic transabdominal preperitoneal (RTAPP) inguinal hernia repair in patients diagnosed especially with a bilateral inguinal hernia in our practice. The present study aims to evaluate the early/midterm outcomes and complications in patients who underwent LTEP and RTAPP because of bilateral inguinal hernia. Materials and methods: In total, 189 patients underwent inguinal hernia repair between June 2016 and June 2019 in our department. Data of 49 (2F) patients (33 LTEP/16 RTAPP) who had undergone bilateral inguinal hernia repair were evaluated retrospectively. Univariate analysis was performed to identify the relations between the techniques (LTEP vs. RTAPP), outcomes, and complications. Results: Patient demographics and comorbidities were similar in both groups. There was no difference between the groups in terms of American Society of Anesthesiologists (ASA) scores (P=0.09). Operative time was longer in the RTAPP group (P=0.001). Length of hospital stay was similar in both groups (P=0.11). No recurrence was observed in both groups. Mean pain scores were significantly less for the RTAPP group (P=0.05). When general complications were compared, it was found that the RTAPP group had a statistically significant lower complication rate (P=0.02). Mean follow-up was longer in the LTEP group (P=0.04). Total hospital costs for RTAPP and LTEP were 3968$ and 2506$, respectively. Conclusions: We conclude that RTAPP seems to have better results in terms of general complications and postoperative pain score when compared with LTAPP. Robotic surgery might be safely recommended for bilateral inguinal hernia repair.en_US
dc.identifier.citationGundogdu, E., Guldogan, C. E., & Ozmen, M. M. (2020). Bilateral Inguinal Hernia Repair: Robotic TAPP Versus Laparoscopic TEP. Surgical laparoscopy, endoscopy & percutaneous techniques, Publish Ahead of Print, 10.1097/SLE.0000000000000890. Advance online publication. https://doi.org/10.1097/SLE.0000000000000890en_US
dc.identifier.doi10.1097/SLE.0000000000000890en_US
dc.identifier.issn1530-4515en_US
dc.identifier.pmid33347086en_US
dc.identifier.scopus2-s2.0-85113199106en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://www.doi.org/10.1097/SLE.0000000000000890
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1287
dc.identifier.wosWOS:000685228300011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorGündoğdu, Emre
dc.institutionauthorGüldoğan, Cem Emir
dc.institutionauthorÖzmen, Mehmet Mahir
dc.language.isoenen_US
dc.relation.ispartofSurgical Laparoscopy, Endoscopy & Percutaneous Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleBilateral inguinal hernia repair: robotic TAPP versus laparoscopic TEPen_US
dc.typeArticleen_US

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