tailieunhanh - EAES Guidelines for Endoscopic Surgery - part 2

bao gồm 258 bệnh nhân, Liêm và cộng sự. [72] sử dụng các SF-36 so với sửa chữa extraperitoneal thoát vị nội soi với các thủ tục Lichtenstein (1b). QoL là tốt hơn ở nhóm nội soi Cả 1 và 6 tuần Sau khi phẫu thuật. Được sự khác biệt đáng kể cho chức năng vật lý, vai trò của vật chất, cơ thể bánh mì, chức năng xã hội. | 20 D. Korolija et al. ond RCT including 258 patients Liem et ill. 72 used the SF-36 to compare laparoscopic extraperitoneal hernia repair with the Lichtenstein procedure lb . QoL was better in the laparoscopic group both 1 and 6 weeks after surgery. The differences were significant for physical functioning role-physical bodily pain social functioning. In a smaller third trial of only 53 patients the Sickness Impact Profile SIP 8 and the Pain-O-Meter 40 were applied to compare the 6week results after TAPP or Lichtenstein repair lb 40 The laparoscopic group had less pain postoperatively and returned to work earlier but the differences were not significant. Barkun et al. 7 used the Nottingham Health Profile NHP 50 and the VAS to compare laparoscopic transabdominal with open tension and nontension repair lb . Ninety-two patients were followed over 3 months. One month after surgery the laparoscopic group had better QoL scores on the NHP p but there were no differences in pain. Another RCT from the United Kingdom by Wellwood et al. 142 used the SF-36 to compare laparoscopic transabdominal with Lichtenstein repair lb . The follow-up was 3 months and included 392 patients. One month after surgery the laparoscopic group had significantly better SF-36 scores for rolephysical bodily pain vitality social functioning and mental health. At 3 months after surgery there were greater improvements in mean scores from baseline in the laparoscopic group for all scales except general health but none of these differences reached significance. Tschudi et al. 125 compared laparoscopic abdominal with Shouldice repair lb . They used an ad hoc questionnaire and followed 84 patients over 5 years. The laparoscopic group had less postoperative pain and returned to work earlier but at 5 years postsurgery there was only 1 patient in each treatment arm who had persistent pain and impaired capability not statistically different . In a three-armed RCT Bringman et al. 15 compared TEP with .