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Comparison of open preperitoneal and transabdominal preperitoneal hernia repair for primary unilateral femoral hernia: a retrospective cohort study of 132 case

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Abstract

Background

Femoral hernia (FH) is traditionally treated by open surgery (OS). Laparoscopic treatment has also shown good results in treating FH. However, there have been few comparative studies of these two techniques. Therefore, our aim was to compare the outcomes of open and laparoscopic surgical FH treatment.

Methods

Adult patients with primary unilateral FH undergoing OS or transabdominal preperitoneal (TAPP) hernia repair at our hospital from January 2013 to June 2018 were included in this study. Patients with history of abdominal surgery, contraindications to general anesthesia and those not wishing to receive general anesthesia received OS. Demographics, operation details and complications were compared retrospectively between the two groups.

Results

A total of 132 patients were recruited to the study, 62 and 70 of whom underwent OS and TAPP, respectively. Compared to OS group, the TAPP group had a significantly shorter hospital stay (3.0 vs. 2.0 days, respectively, P < 0.05) and a lower postoperative pain score (3.0 vs. 1.0, P < 0.05), and took less time to return to normal activities (13.0 vs. 6.0 days, respectively, P < 0.05). The overall complication rates were equivalent between the groups (10 vs. 9.7%, OR = 1.037, 95% CI 0.329–3.270).

Conclusions

Both laparoscopic and open surgery appear to be safe and effective in a cohort of patients with femoral hernia and laparoscopic surgery might offer some advantages in reducing length of hospital stay, lower postoperative pain score and quicker return to activities.

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Acknowledgements

We thank Textcheck (http://www.textcheck.com), for editing the English text of a draft of this manuscript.

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Authors and Affiliations

  1. Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, 8 Gongren Tiyuchang Nanlu, Chaoyang, Beijing, 100020, China

    Jing Liu, Yingmo Shen & Jie Chen

  2. Director of the Surgical Clinic, Marienhospital Stuttgart, Supperstr. 19, 70565, Stuttgart, Germany

    Reinhard Bittner

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Contributions

JC and JL: developed the study concept, acquired, analyzed, interpreted the data, and drafted the manuscript. YS: acquired data and literature. JC and RB: acquired literature and revised the manuscript. All authors read and approved the final manuscript. Furthermore, all authors agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

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Correspondence to Jie Chen.

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Drs. Jing Liu, Reinhard Bittner, Yingmo Shen and Jie Chen have no conflicts of interest or financial ties to disclose.

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Liu, J., Bittner, R., Shen, Y. et al. Comparison of open preperitoneal and transabdominal preperitoneal hernia repair for primary unilateral femoral hernia: a retrospective cohort study of 132 case. Surg Endosc 37, 2712–2718 (2023). https://doi.org/10.1007/s00464-022-09759-w

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