| Autor: |
Yu Takeuchi, Tsuyoshi Etoh, Kosuke Suzuki, Tetsuji Ohyama, Takahiro Hiratsuka, Tetsuya Ishio, Mutsuhiro Kugimiya, Toshifumi Matsumoto, Seiichiro Kai, Toshio Bandoh, Kohei Shibata, Kentaro Iwaki, Kouichirou Tahara, Yuji Shigemitsu, Masafumi Inomata, the OITA Trial Group |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Annals of Gastroenterological Surgery, Vol 5, Iss 4, Pp 502-509 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2475-0328 |
| DOI: |
10.1002/ags3.12443 |
| Popis: |
Abstract Background Laparoscopic surgical approaches, including total extraperitoneal repair (TEP), have been widely accepted for inguinal hernia repair in Japan. However, there are limited data regarding recurrence after TEP in Japan, given the limited versatility of this procedure. This study retrospectively evaluated the rates of hernia recurrence after TEP and open mesh repair at multiple Japanese centers. Methods This retrospective study evaluated 1917 patients who underwent inguinal hernia repair at 32 institutions in the Oita prefecture between January 2014 and December 2015. Eligible patients were grouped according to whether they underwent TEP (1011 patients) or open mesh repair (636 patients). Propensity score matching was performed 1:1 (total: 1076 patients, 538 patients from each group). The outcomes of interest were recurrence, morbidity, and postoperative recovery. Results The TEP and open mesh repair groups had similar baseline characteristics. After propensity score matching, there was no significant difference between the two groups in terms of recurrence rate (TEP: 0.5% vs open mesh repair: 1.0%, P = .375). However, the TEP group had significantly longer operating times (median: 70.2 min vs 65.0 min, P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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