title: Assesment of inflammatory response intensity in early postoperative period in patients after hernioplasty operated on with classic stoppa method and videoscopic TEP method.
abstract: 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.
authors.affiliation: Department of General and Endocrynological Surgery, Medical University in Łódź.
authors.forename: Michał
authors.initials: M
authors.lastname: Libiszewski
authors.forename: Rafał
authors.initials: R
authors.lastname: Drozda
authors.forename: Jacek
authors.initials: J
authors.lastname: Białecki
authors.forename: Maria
authors.initials: M
authors.lastname: Wieloch
authors.forename: Masoud
authors.initials: M
authors.lastname: Hedayati
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Kuzdak
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Kołomecki
mesh_terms: D000328:Adult; D000368:Aged; D002097:C-Reactive Protein / Q000378:metabolism*; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery; D059685:Herniorrhaphy / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D007249:Inflammation / Q000145:classification / Q000175:diagnosis* / Q000209:etiology / Q000378:metabolism; D015850:Interleukin-6 / Q000378:metabolism*; D007902:Length of Stay; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology / Q000378:metabolism; D020535:Video-Assisted Surgery
chemical_list: D015850:Interleukin-6; D002097:C-Reactive Protein