Assesment of Inflammatory Response Intensity in Early Postoperative Period in Patients After Hernioplasty Operated on with Classic Stoppa Method and Videoscopic TEP Method

• Authors: Michał Libiszewski , Rafał Drozda , Jacek Białecki , Maria Wieloch , Masoud Hedayati , Krzysztof Kuzdak , Krzysztof Kołomecki
• Languages of publication: EN

Abstracts

EN

The aim of the study was comparison of inflammatory response intensity through estimation of CRP, IL-6 and WBC concentration in blood serum in patients before and after inguinal hernia operations with Stoppa and TEP method.Material and methods. The study involoved 117 patients operated on inguinal hernia between 2006-2008. The patients were divided into two groups. In the first group (group I - 56) Stopp'a method was used, in the second (group II - 61) TEP method. The patients selection was coincidental. All examined patients were men between 25-75 years old (mean age 54.3). Moreover, the operation's time, state of postoperative wound, the average hospitalization time and intensity of pain were estimated. The observations were directed over two weeks after operation.Results. The inflammatory response estimated with CRP, IL-6 concentration in blood serum was considerably higher in patients operated with Stoppa method. There wasn't observed a relevant difference in increase of white blood cells' concentration in both groups. Moreover, the patients operated on with TEP method experienced lower pain. In group, operated on with Stoppa method, 3 cases of wound healing complications were observed. The operation's time was considerably shorter in the first group. The hospitalization time, was considerably shorter in patients operated on with videoscopic method.Conclusions. The operation of inguinal hernia with TEP technique in comparison with Stopp'a method is connected with considerably lower inflammatory response of organism, what directly involve with postoperative pain abridgment and reduction of hospitalization time. Moreover it may have influence on frequency of postoperative complications related with wound healing.

Keywords

EN

inguinal hernia; inflammatory response; TEP; Stoppa technique

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2011
• Volume: 83
• Issue: 9
• Pages: 497-501

Dates

published

1 - 9 - 2011

online

5 - 10 - 2011

Contributors

author

Michał Libiszewski

• Department of General and Endocrynological Surgery, Medical University in Łódź

author

Rafał Drozda

• Department of General Surgery, Hospital in Poddębice

author

Jacek Białecki

• Department of General Surgery, H.C.P. Medical Center in Poznań

author

Maria Wieloch

• Department of General Surgery, III Municipal K. Jonscher Memorial Hospital in Łódź

author

Masoud Hedayati

• Department of General and Endocrynological Surgery, Medical University in Łódź

author

Krzysztof Kuzdak

• Department of General and Endocrynological Surgery, Medical University in Łódź

author

Krzysztof Kołomecki

• Department of General and Endocrynological Surgery, Medical University in Łódź

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Identifiers

DOI

10.2478/v10035-011-0077-6