Postoperative pulmonary dysfunction after bilateral inguinal hernia repair: a prospective randomized study comparing the Stoppa procedure with laparoscopic total extraperitoneal repair (TEPP).

Details

Serval ID
serval:BIB_22859
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Postoperative pulmonary dysfunction after bilateral inguinal hernia repair: a prospective randomized study comparing the Stoppa procedure with laparoscopic total extraperitoneal repair (TEPP).
Journal
Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
Author(s)
Suter M., Martinet O.
ISSN
1530-4515 (Print)
ISSN-L
1530-4515
Publication state
Published
Issued date
2002
Peer-reviewed
Oui
Volume
12
Number
6
Pages
420-425
Language
english
Notes
Publication types: Clinical Trial ; Comparative Study ; Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
Abstract
The infraumbilical incision required for open repair of bilateral inguinal hernia with a giant prosthesis is associated with postoperative pain and respiratory impairment. The aim of this study was to evaluate the postoperative respiratory dysfunction after bilateral hernia surgery. Thirty-nine patients were randomized into two groups: open repair according to the Stoppa technique and laparoscopic extraperitoneal repair (TEPP). Respiratory function tests were performed before and 24 hours after surgery. The two groups were well matched for age, American Society of Anesthesiologists (ASA) risk score, type of hernia, and preoperative lung function. The postoperative forced vital capacity (FVC), peak expiratory flow (PEF), and forced expiratory volume in 1 second (FEV 1.0) were significantly altered in both groups. The PEF dropped 15% in both groups. The FVC dropped 22% after Stoppa versus 25% after laparoscopy (P = 0.7). The FEV 1.0 dropped 21% after Stoppa versus 9% after laparoscopy (P = 0.12). We conclude that laparoscopic preperitoneal and open bilateral hernia repair are followed by similar ventilatory dysfunction, although a trend toward better postoperative FEV 1.0 was noted after laparoscopy. This might play a role in selected patients with severe pulmonary limitations. Overall, the limited drop in pulmonary function following bilateral hernia repair under general anesthesia may serve to explain the low pulmonary morbidity that follows these procedures.
Keywords
Adult, Aged, Aged, 80 and over, Female, Hernia, Inguinal/surgery, Humans, Laparoscopy, Male, Middle Aged, Prospective Studies, Respiratory Function Tests, Respiratory Mechanics
Pubmed
Web of science
Create date
19/11/2007 12:18
Last modification date
20/08/2019 12:59
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