Open mesh and laparoscopic total extraperitoneal inguinal hernia repair under spinal and general anesthesia

• DOI: 10.2147/tcrm.s175314
• Publication Date: 2018-09-30T18:31:40Z
• Authors: Oguzhan Sunamak; Turgut Donmez; Dogan Yildirim; Adnan Hut; Vuslat Muslu Erdem; Duygu Ayfer Erdem; Ibrahim Halil Ozata; Mikail Cakir; Sinan Uzman
• Keywords: Urinary retention; Seroma

Mesh placement is the main standard in repair of inguinal hernia, and laparoscopic care via spinal, epidural, or combined anesthesia. Here, we compared open total extraperitoneal (TEP) repairs under general (GA) spinal anesthesia (SA).Inguinal hernia patients (n=440) were analyzed retrospectively. There four groups: Group 1 was TEP GA (TEP-GA) (n=111); 2 mesh (OM) SA (n=116) (OM-SA); 3 (n=117) (OM-GA); (n=96) (TEP-SA). The age, body mass index, duration operation, hospital stay, postoperative Visual Analog Scale scores, recurrence, pain, urinary retention, headache, patient satisfaction all recorded.There no significant difference terms hypotension, vomiting, seroma scrotal edema, wound infection incidence between groups. However, operation duration, stay period, chronic showed differences groups.Laparoscopic a safe effective method along with its advantages shorter less higher satisfaction, similar complication rates. has disadvantage headache retention to GA.