scholarly journals Factors that predict urinary retention in patients who underwent inguinal hernia repair

2020 ◽  
Vol 7 (11) ◽  
pp. 3735
Author(s):  
Haydar Celasin ◽  
Faraj Afandiyev ◽  
Serdar Culcu
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Urinary Retention ◽  
Fluid Replacement ◽  
Predicting Factors ◽  
Duration Of Surgery ◽  
Clavien Grade ◽  
History Of ◽  
Group 2

Background: Some of the patients that undergo inguinal hernia repair develop urinary retention. We aimed to determine the rate of development of urinary retention and predicting factors after inguinal hernia repair.Methods: Patients who underwent inguinal hernia in our center from January 2017 to January 2020 were included in the study. Patients were examined in 2 groups; group1 (developed urinary retention after inguinal hernia repair) and group 2 (did not develop urinary retention after inguinal hernia repair). We investigated the relationship between the development of urinary retention with age, perioperative history of benign prostate obtruction, hernia type and localization, duration of surgery and anesthesia, perioperative non-steroidal anti-inflammatory drug (NSAID), narcotic analgesic and antispasmolytic use, having diabetus mellitus (DM) and rheumatoid diseases, and perioperative fluid replacement.Results: in group 1 and group 2, urinary retention developed in 11 (7.6%) of the patients. Patients who developed post-urinary retention were older than those without urinary retention (p=0.007). The BPO, DM rates were higher (p=0.0001), anesthesia and operation times were longer (p=0.003; p=0.0001); perioperative antispasmolytic use was higher (p=0.0001); we determined that postoperative fluid replacement rate was higher (p=0.003) and the rate of preoperative NSAID use was lower (p=0.0001). Clavien grade 4 and grade 5 complications were not observed in patients.Conclusions: Elderliness, DM history, antispasmolytic use, long operation and anesthesia duration, excessive postoperative fluid replacement and, not using perioperative NSAID increases the risk of urinary retention.

scholarly journals Does inguinal hernia repair increase urinary retention? Our 10-year results

2021 ◽  
Vol 8 (2) ◽  
pp. 449
Author(s):  
Ferec Efendiye ◽  
Haydar Celasin
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Urinary Retention ◽  
Operative Time ◽  
Fluid Replacement ◽  
Advanced Age ◽  
Number Of Patients ◽  
History Of ◽  
Group 1

Background: This study aimed to determine the incidence of urinary retention in patients undergoing inguinal hernia repair at our hospital as well as the predictors of urinary retention.Methods: Patients who underwent inguinal hernia repair at Lokman Hekim university Akay hospital between January 2010 and January 2020 were included in the study. The total number of patients was 578. The patients were divided into two groups: group-1 (patients who developed urinary retention following inguinal hernia repair) and group-2 (patients who did not develop urinary retention following inguinal hernia repair). The relationship between urinary retention and age, history of preoperative BPH, type and localization of hernia, operative and anesthesia time, perioperative NSAID, narcotic analgesic and antispasmodic use, presence of DM and rheumatic diseases and perioperative fluid replacement was investigated. Results: The median ages were 57.7±15.1 (20-74) and 48.8±17.5 (18-89) in groups 1 and 2, respectively (p<0.001).   5.36% (31/578) of the patients developed urinary retention. The group-1 were found to be at a more advanced age (p<0.001), have higher rates of BPH and DM (p<0.001), longer operative time (p<0.001), higher rate of perioperative antispasmodic use (p<0.001), higher rate of perioperative fluid replacement (p<0.001) and a lower rate of perioperative NSAID use (p<0.001) compared to those who did not develop postoperative urinary retention. Conclusions: According to the results of this study, advanced age, history of DM and BPH, antispasmodic use, longer operative time, high amount of postoperative fluid replacement and no perioperative use of NSAIDs lead to an increased risk of urinary retention.

scholarly journals Factors that predict testicular atrophy in patients who underwent inguinal hernia repair

2020 ◽  
Vol 7 (11) ◽  
pp. 3550
Author(s):  
Faraj Afandiyev ◽  
Haydar Celasin ◽  
Serdar Culcu
Keyword(s):  
Diabetes Mellitus ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Open Repair ◽  
Testicular Atrophy ◽  
Predicting Factors ◽  
Number Of Patients ◽  
Duration Of Surgery ◽  
Rheumatological Disease

Background: Some of the patients that undergo inguinal hernia repair develop testicular atrophy. Testicular atrophy development also brings about a lot of problems. In our study, we aimed to determine the rate of development of testicular atrophy and predicting factors in patients that undergo inguinal hernia repair in our hospital.Methods: Patients who underwent inguinal hernia repair in our centre from January 2017 to January 2020 were included in our study. Total number of patients was 158 divided into 2 groups i.e. group-1 (those who developed testicular atrophy after inguinal hernia repair) and group-2 (those who did not develop testicular atrophy after inguinal hernia repair). We investigated the relationship between the development of testicular atrophy and age, hernia type and localization, duration of surgery and anesthesia, perioperative non-steroidal anti-inflammatory drugs (NSAID) and antispasmolytic use, diabetes mellitus and rheumatological disease and, perioperative fluid replacement.Results: Testicular atrophy developed in 6 of the patients (3.79%). We found that testicular atrophy was mostly secondary and mostly visible in cases underwent open repair (p=0.0001); and in which left and bilateral inguinal hernia repair was performed (p=0.014); and in cases with DM and rheumatological diseases (p=0.0001). We also found that the use of perioperative antispasmolytic and NSAID was lower in patients with testicular atrophy (p=0.0001).Conclusions: According to the results of our study, advanced age, secondary and open repair, diabetes mellitus, rheumatological disease history, not using antispasmolytic and NSAID increases the risk of testicular atrophy.

Paravertebral blocks reduce the risk of postoperative urinary retention in inguinal hernia repair

Hernia ◽  
2018 ◽  
Vol 22 (5) ◽  
pp. 871-879 ◽  
Author(s):  
E. Bojaxhi ◽  
J. Lee ◽  
S. Bowers ◽  
R. D. Frank ◽  
S. H. Pak ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Urinary Retention ◽  
Postoperative Urinary Retention

scholarly journals Postoperative urinary retention after inguinal hernia repair: a single institution experience

Hernia ◽  
2017 ◽  
Vol 21 (6) ◽  
pp. 895-900 ◽  
Author(s):  
A. B. Blair ◽  
A. Dwarakanath ◽  
A. Mehta ◽  
H. Liang ◽  
X. Hui ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Urinary Retention ◽  
Single Institution ◽  
Postoperative Urinary Retention

scholarly journals Laparoscopic inguinal hernia repairs: comparison between TAPP and TEP at a tertiary center of Nepal

2018 ◽  
Vol 5 (11) ◽  
pp. 3719
Author(s):  
Komal B. Gurung ◽  
Niroj Banepali ◽  
Rakesh R. Sthapit ◽  
Baikuntha Adhikari
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Postoperative Complications ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Tep Repair ◽  
Laparoscopic Inguinal Hernia ◽  
Inguinal Hernias ◽  
Tertiary Center ◽  
Duration Of Surgery

Background: Laparoscopic inguinal hernia repair has been proven to be a safe and effective procedure for groin hernias. In recent years, many of the tertiary centers in Nepal have started performing laparoscopic hernia repair. With the availability of resources and the facilities, the laparoscopic repairs for inguinal hernias are going to be more accessible in near future in Nepal. The aim of this study was to compare the intraoperative events and postoperative complications of transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) techniques of laparoscopic inguinal hernia repairs.Methods: Out of 56 patients, 30 underwent TAPP and 26 TEP repairs for primary unilateral inguinal hernias and were prospectively analyzed. Patient demographics, past medical and surgical history, intraoperative, and postoperative events were recorded. Patients were followed-up for two years.Results: Demographic parameters were comparable in both the groups. The difference in mean operating time was statistically significant (longer in the TAPP group). Intraoperative events such as port-site bleeding and peritoneal tear were comparable in both groups. The immediate postoperative complications like skin ecchymosis, cord hematoma, and scrotal edema were comparable in both repairs.  Immediate postoperative pain was significantly lesser in TEP repair whereas the hospital stays and time to return to the normal physical activity were comparable in both groups.Conclusions: Both TAPP and TEP laparoscopic techniques are safe and effective for inguinal hernia repair. However, there are few advantages of TEP repair such as shorter duration of surgery and less postoperative pain.

The history of open inguinal hernia repair

2004 ◽  
Vol 61 (1) ◽  
pp. 49-52 ◽  
Author(s):  
James Johnson ◽  
J.Scott Roth ◽  
Jeffrey Hazey ◽  
Walter Pofahl
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
History Of ◽  
Open Inguinal Hernia Repair

scholarly journals Inguinal hernia repair – TEP or TAPP?? A comparative analysis between both the laparoscopic procedures in a tertiary care center

2020 ◽  
Vol 11 (6) ◽  
pp. 84-88
Author(s):  
Atia Zaka Ur Rab ◽  
Sheikh Saif Alim ◽  
Wasif Mohammad Ali ◽  
Syed Amjad Ali Rizvi
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Prospective Study ◽  
Hospital Stay ◽  
Inguinal Hernia Repair ◽  
Tertiary Care ◽  
Number Of Patients ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
Normal Work

Background: Inguinal hernia surgery is one of the most common elective procedures performed by the surgeons and has evolved from open to the laparoscopic technique. Aims and Objectives: This prospective study was conducted to find out intra-operative and post-operative outcomes in patients undergoing TEP and TAPP for inguinal hernia repair. Materials and Methods: A prospective study was conducted on 50 adult patients who underwent laparoscopic inguinal hernia repair between November 2017 to November 2018. It was a randomized study and equal number of patients were allocated to TAPP and TEP group based on the surgeon’s preference. Results: Operative time [p<0.0001], intensity of pain (VAS) was significantly higher in TAPP compared to TEP in the immediate post-operative period (6 hours) and during hospital stay [p=0.0299]. No significant difference observed in VAS between TEP and TAPP during follow up [after 1 week (p=0.2298), 2 weeks (p=0.2337), and 4 weeks (p=0.3944)]. Both TEP and TAPP were comparable in terms of Intra-operative and Post-operative complications {seroma [during hospital stay (p=0.1573), after 1 week (p=0.6375), after 2 weeks (p=0.5513)]; haematoma [during hospital stay (p=0.1492), after 1 week (p=0.3125)]} and Conversion (p=0.3125), and Length of hospital stay (p=0.3960). Time to resume normal work [p<0.0001] was significantly more in TAPP than TEP. Conclusion: TEP has a definite edge over TAPP taking into consideration the lesser intensity of post-operative pain during hospital stay, shorter duration of surgery and relatively early return to normal work associated with the former procedure. TEP should therefore be regarded as the procedure of choice for inguinal hernia repair.

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