Which operative technique is associated with higher levels of stress at inguinal hernia patients?

Basit Öğe Kaydı
dc.authorscopusid36993719700
dc.authorscopusid6602090538
dc.contributor.authorGökçe F.S.
dc.contributor.authorCoşkun İ.
dc.date.accessioned2024-06-12T10:25:57Z
dc.date.available2024-06-12T10:25:57Z
dc.date.issued2019
dc.description.abstractPurpose: Inguinal hernia is a prevalent condition among people of every sex, age and race and the treatment is surgery (1). One of the main goals during the surgery is to minimize surgical trauma. In this study, we aimed at finding out whether the intensity of surgical trauma and incision size differ between open inguinal hernia repair surgery and laparoscopic total extraperitoneal inguinal hernia repair surgery by measuring preoperative and postoperative levels of certain blood parameters that might reflect the intensity of trauma and response to trauma. Materials and Methods: A total of 40 patients who underwent inguinal hernia repair surgery were included in the study. 20 out of 40 patients underwent a laparoscopic total extraperitoneal inguinal hernia repair and 20 underwent open inguinal hernia repair. Blood samples were taken from the antecubital vein before the surgery, during the surgery, at hour 2 and hour 24 after the surgery and blood growth hormone, cortisol and malonyldialdehyde levels were measured. Results: No intergroup differences were found in age, sex and body mass index (p=0.78, p=0.429, p=0.616). Incision sizes were statistically smaller in laparoscopic technique (p<0.001). Elevated growth hormone levels were detected during the surgery by either technique. Growth hormone levels continued to increase at hour 2 in patients who underwent open surgery while a significant decrease was detected at hour 2 in patients who underwent laparoscopic surgery (p=0.005). Preoperative blood cortisol levels were found to be significantly elevated in both groups and significant reductions were detected at hour 2 after the surgery in patients who underwent laparoscopic repair (p=0.07) while significant reductions were detected in patients who underwent open repair at hour 24 after the surgery (p=0.006). No significant differences were detected among blood malonyldialdehyde concentrations measured before the surgery, during the surgery and at hour 2 and hour 24 after the surgery. However intergroup comparisons revealed that blood malonyldialdehyde concentrations were significantly higher in the open surgery group (p=0.038). Conclusion: Although laparoscopic surgery is not considered a gold standard for inguinal hernia repair, this approach may be the surgery of choice for inguinal hernia repair, particularly in cases of recurrent and bilateral inguinal hernia, as this technique is associated with lower levels of stress and trauma. © 2019, Pamukkale University. All rights reserved.en_US
dc.identifier.doi10.31362/patd.442558
dc.identifier.endpage59en_US
dc.identifier.issn1309-9833
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85160905208en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage55en_US
dc.identifier.trdizinid513911en_US
dc.identifier.urihttps://doi.org/10.31362/patd.442558
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/513911
dc.identifier.urihttps://hdl.handle.net/20.500.14551/16589
dc.identifier.volume12en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isotren_US
dc.publisherPamukkale Universityen_US
dc.relation.ispartofPamukkale Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGrafted Open Hernia Repair; Inguinal Hernia; Laparoscopic Hernia Repair; Stress Hormonesen_US
dc.titleWhich operative technique is associated with higher levels of stress at inguinal hernia patients?en_US
dc.title.alternativeInguinal herni hastalarında açık mı kapalı teknik mi daha fazla stres yaratır?en_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu
TR-Dizin İndeksli Yayınlar Koleksiyonu