Is Kugel Herniorraphy Really Minimally Invasive?: A Prospective, Randomized Study

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Cuneyt Kirkil
Erhan Aygen
Nurullah Bulbuller
Osman Dogru
Ahmet Odekmerdan
Mustafa Girgin
Mehmet Sarac

Abstract

Background: Kugel herniorraphy had been advocated as a minimally invasive technique. The purpose of this study was to compare inflammatory responses and clinical outcomes after Kugel and Lichtenstein procedures.

Patients and methods: Thirty patients with unilateral inguinal hernia were randomized into Kugel and Lichtenstein repair groups. Peripheral venous blood samples were collected, to measure the levels of interleukin-6 and C-reactive protein, just prior to surgery and then 12 and 48 hours postoperatively. Postoperative acute and chronic pains were evaluated. Time to return normal activities and work was recorded.

Results: Interleukin-6 levels significantly increased after Lichtenstein procedure. C-reactive protein levels were significantly increased in both groups. Patients had less postoperative pain and they recovered earlier after the Kugel procedure.

Conclusions:In conclusion our data show that Kugel herniorraphy causes less inflammatory response, less postoperative acute pain and rapid recovery compared with Lichtenstein technique.

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How to Cite
Kirkil, C., Aygen, E., Bulbuller, N., Dogru, O., Odekmerdan, A., Girgin, M., & Sarac, M. (2021). Is Kugel Herniorraphy Really Minimally Invasive?: A Prospective, Randomized Study . Annals of Medical Research, 13(4), 0227–0230. Retrieved from https://annalsmedres.org/index.php/aomr/article/view/3414
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