Full size table A global view of the risk factors, i. Up to That difference was attributable to a higher secondary bleeding rate 2. Because of the higher postoperative complication rate, more reoperations were also performed after the Lichtenstein operation 1.
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Only for the pain on exertion rate was a higher score identified for the Lichtenstein operation 9. As such, single lichtenstein was no evidence of the individual variables having single lichtenstein the intraoperative complication rate.
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The overall risk of a postoperative complication was significantly increased by the use of the Lichtenstein technique OR 2. With a prevalence of 3.
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Finally, the presence of a risk factor OR 1. Equally, higher age year OR 1. However, there was no evidence of the surgical technique having influenced the reoperation rate.
However, on 1-year follow-up, there was no evidence of the surgical single lichtenstein having impacted the recurrence rate. Equally, the BMI had a highly significant impact on pain at rest. Furthermore, the risk of pain at rest rose on using the Lichtenstein technique OR 1.
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With an overall prevalence of 4. But higher age reduced the risk of pain at rest OR 0. The use of the Lichtenstein technique OR 1. With an overall prevalence of 8.
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Higher age year OR 0. Discussion This paper reports on analysis of a non-selective patient group from the Herniamed Hernia Registry aimed at identifying whether there are any significant differences in the perioperative outcome and 1-year follow-up between the Single lichtenstein and Lichtenstein techniques when used to repair primary unilateral inguinal hernias in men.
The surgical technique was not found to have any significant influence on the intraoperative complication rate, complication-related reoperation rate, chronic pain rate requiring treatment, or recurrence rate. Hence, on comparing 10, primary unilateral inguinal single lichtenstein in men with Lichtenstein repair versus with TEP repair, multivariable analysis, which can rule out other single lichtenstein factors like higher patient age, higher ASA score, greater defect size, and risk factors, did not find any evidence that the surgical technique eine frau flirten any influence on the recurrence rate.
Nor was the surgical technique found to have any influence webseite der bekanntschaften onset of chronic pain requiring treatment; rather, this was negatively influenced by a high BMI and ASA score. Chronic pain requiring treatment occurred single lichtenstein often in patients with higher age and larger defects.
The complication-related reoperation rate was found single lichtenstein be associated with a high ASA score, higher patient age, and the presence of risk factors. Matters were different for the postoperative complications, pain at rest, and pain on exertion. The postoperative complications were also adversely affected by high age, higher ASA score, and the presence of risk factors.
However, since no significant difference was found between the TEP and Lichtenstein technique as regards the complication-related reoperation rate, the significant difference identified here between the TEP and Lichtenstein technique related only to the conservatively treated postoperative complications.
Pain at rest occurred significantly more often after repair of small defects, in the presence of a higher BMI and following Lichtenstein operation. That was also true for pain on exertion.
Besides, pain on exertion was significantly less common in older patients. The meta-analysis did not find any significant difference in the perioperative surgical risk or chronic pain rate between the TEP and Lichtenstein operation. That may be internetbekanntschaft treffen ausland due to the use of different definitions in the various studies included in the meta-analysis and the registry analysis presented here.
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In this present analysis, no significant difference was detected either between the TEP and Lichtenstein operation with regard to the postoperative complications necessitating reoperation or the chronic pain rates requiring treatment.
Significant differences, in favor of TEP operation, were identified only for the conservatively treated postoperative complications and the occasional pain at rest and pain on exertion not requiring treatment. In summary, it can single lichtenstein stated that the endoscopic TEP and the open Lichtenstein operation had comparable recurrence rates, reoperation rates for postoperative complications, and chronic pain requiring treatment.
Benefits were identified for TEP in terms of postoperative complications with the need for conservative treatment and pain at rest and pain on exertion.
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The findings of this present registry study thus confirm the validity of the decision taken by the Guidelines Group of the European Hernia Society to continue to recommend open Lichtenstein and endoscopic techniques for repair of unilateral primary inguinal hernias in men. References 1.
Chung RS, Rowland DY Meta-analyses of randomized controlled trials of laparoscopic vs conventional inguinal hernia repairs. Surg Endosc —