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Quantitative assessment of the impacts of stoppa repair and total extraperitoneal repair on the lower extremity muscular functions in cases of unilateral inguinal hernia: a randomized controlled study

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Abstract

Purpose

Choosing the best operative technique for unilateral inguinal hernia is a challenge for surgeons. Therefore, anticipating loss of strength in the lower extremity muscles could be the initial step to make the right decision. To this end, this prospective randomized controlled study compared the physical activity parameters of the lower extremity muscles in patients who underwent total extraperitoneal repair (TEP) and Stoppa repair.

Methods

Fifty patients with unilateral inguinal hernia who were 18–65 years of age were admitted to a single institution in a metropolitan city in Turkey. Patients were randomized in a 1:1 ratio to parallel study arms of TEP and STOPPA repair. They were evaluated in the preoperative period and on the postoperative day 3 for an objective isometric and isokinetic assessment of the pain-related functional changes in the lower extremity muscles.

Results

The measurement results obtained with the Cybex device on the postoperative day 3 were presented as numeric parameters in the digital setting, where the Stoppa repair resulted in a higher loss of strength in the lower extremities compared to the TEP repair. With respect to the total workforce loss in isokinetic muscular measurements at 90 °C/s extension, 90 °C/s flexion, 180 °C/s extension and 180 °C/s flexion, the difference between the TEP repair and Stoppa repair was statistically significant in favor of TEP repair (p < 0.05).

Conclusion

This study is the first comparative study in the literature to demonstrate the favorable impact of the laparoscopic hernia repair on the physical activity on the same anatomic site compared to the open surgical procedure by using quantitative values.

Trial registration: Clinicaltrials.gov ID: NCT02813057.

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Author information

Authors and Affiliations

  1. Department of General Surgery, Agri State Hospital, Agri, Turkey

    N. Akgül

  2. Department of General Surgery, Akdeniz University School of Medicine, Antalya, Turkey

    M. Yaprak, V. Doğru, C. Arici & A. Mesci

  3. Department of Physical Medicine and Rehabilitation, Akdeniz University School of Medicine, Antalya, Turkey

    N. Balci

  4. Dumlupınar Bulvari, Akdeniz Universitesi Hastanesi, Genel Cerrahi AD, Kampus, 07059, Antalya, Turkey

    N. Akgül

Authors
  1. N. Akgül
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  2. M. Yaprak
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  3. V. Doğru
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  4. N. Balci
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  5. C. Arici
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  6. A. Mesci
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Corresponding author

Correspondence to N. Akgül.

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Conflict of interest

The authors declare that there is no conflict of interest.

Ethical approval

All the procedures performed in this study respect the ethical standards in the Helsinki Declaration of 1975, as revised in 2000 (5), as well as the national law.

Funding

This study was sponsored by Akdeniz University. All authors declare no financial interest in relation to the work described in this article.

Human and animal rights

All procedures performed in this study involving human participants were in accordance with the ethical standards of Akdeniz University at which the study was conducted. This article does not contain any studies with animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Akgül, N., Yaprak, M., Doğru, V. et al. Quantitative assessment of the impacts of stoppa repair and total extraperitoneal repair on the lower extremity muscular functions in cases of unilateral inguinal hernia: a randomized controlled study. Hernia 21, 377–382 (2017). https://doi.org/10.1007/s10029-016-1559-6

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  • DOI: https://doi.org/10.1007/s10029-016-1559-6

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