Comparing the clinical outcomes of Rutkow procedure and totally extraperitoneal hernioplasty repair in the treatment of inguinal hernia

Abstract

Objective To compare the clinical outcome of Rutkow procedure and totally extraperitoneal hernioplasty (TEP) for inguinalhernia.Methods Three hundred and fifty-three patients with inguinal hernia were divided into 2 groups according to the operation method:182 cases underwent Rutkow procedure (Rutkow procedure group) and 171 cases underwent TEP (TEP group).Operative time,overall blood loss,visual analogue score (VAS) on postoperative day 1 and day 3,rate of short-term comphcations,length of hospital stay,total cost,time to full recovery and hernia recurrence rate were compared between the 2 groups.Results TEP group had significantly lower VAS on postoperative day 3 [(2.6 ± 1.4) scores vs.(3.1 ± 1.5) scores],shorter length of hospital stay [(3.2 ± 2.4) d vs.(4.3 ± 2.7) d] and time to full recovery [(23.3 ± 17.8) d vs.(31.0 ± 15.9) d],lower hernia recurrence rate [1.8％(3/171) vs.6.6％ (12/182)],but had longer operative time [(45.6 ± 36.1) min vs.(35.2 ± 20.5) min],more overall blood loss [(27.7 ± 20.4) ml vs.(15.8 ± 10.7) ml],higher total cost [(9029.5 ± 683.4) yuan vs.(6782.7 ± 1076.3) yuan],there were statistical differences between the 2 groups (P ＜ 0.01 or ＜ 0.05).There were no statistical differences in VAS on postoperative day 1 and rate of short-term complications between the 2 groups (P ＞ 0.05).Conclusion TEP is recommendable because of the advantages of less postoperative pain,shorter length of hospital stay,faster to full recovery and lower recurrence rate,and it is worth to utilize in clinic. Key words: Hernia,inguinal; Rutkow procedure; Totally extraperitoneal prosthesis