TEP versus TAPP: comparison of the perioperative outcome in 17,587 patients with a primary unilateral inguinal hernia
| Autor: | D Adolf, Thomas Keller, B. Kraft, Reinhard Bittner, A. Kuthe, Ferdinand Köckerling, Dietmar Jacob, L. Seidelmann |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Adolescent Hernia Inguinal Article TAPP Young Adult Postoperative complications Inguinal hernia repair Humans Unilateral inguinal hernia Medicine Registries Intraoperative complications Herniorrhaphy Aged Aged 80 and over business.industry General surgery Perioperative Middle Aged medicine.disease Clinical routine Surgery Treatment Outcome TEP Seroma Multivariate Analysis Female Laparoscopy business Follow-Up Studies Abdominal surgery |
| Zdroj: | Surgical Endoscopy |
| ISSN: | 0930-2794 |
| DOI: | 10.1007/s00464-015-4150-9 |
| Popis: | Introduction More than 20 years since the introduction of TAPP and TEP into clinical routine, there is a lack of clarity due to conflicting comparative data. Therefore, more results from registries are needed. Patients and methods A total of 17,587 patients were enrolled prospectively between September 1, 2009, and April 15, 2013, in the Herniamed registry. Of these patients, 10,887 (61.9 %) had a TAPP and 6700 (38.1 %) a TEP repair. The dependent variables were intra- and postoperative complication rates, number of reoperations as well as absolute and relative frequencies. The results of unadjusted analyses were verified via multivariable analyses. Results Multivariable analysis verified the results of unadjusted analysis, indicating that the surgical technique did not have any significant impact, also while taking account of other factors, on occurrence of intraoperative [p = 0.1648; OR = 1.214 (0.923; 1.596)] and general postoperative complications [p = 0.0738; OR = 1.315 (0.974; 1.775)]. Postoperative surgical complications [OR = 2.323 (1.882; 2.866); p |
| Databáze: | OpenAIRE |
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