{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T06:46:15Z","timestamp":1791960375001,"version":"4.3.4"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>This study aimed to compare the Lichtenstein technique and the transabdominal pre-peritoneal (TAPP) approach regarding safety and patient comfort in geriatric patients with inguinal hernia, and to evaluate the safety of laparoscopic surgery in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>This prospective study included patients aged \u226565 years who were hospitalised with an inguinal hernia and underwent surgical repair. Pre-operative complete blood count and biochemical parameters, operation and anaesthesia durations, and length of hospital stay were recorded through retrospective chart review. Post-operative patient satisfaction was assessed using the ODOMS questionnaire during outpatient follow-up. Patients were divided into two groups according to surgical technique: Lichtenstein repair and TAPP procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 125 patients developed complications. Among these, 110 cases (25.3%) occurred in the Lichtenstein group and 15 cases (3.4%) in the TAPP group, indicating a significantly lower complication rate with the laparoscopic approach (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). There were no statistically significant differences between groups in terms of ASA scores, anaesthesia duration or operative time (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.196 and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.082,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.147). However, the length of hospital stay was significantly shorter in the TAPP group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.014). In addition, patient satisfaction scores measured by the ODOMS questionnaire were significantly higher in the TAPP group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.003).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Laparoscopic TAPP repair appears to be a safe and effective alternative to open Lichtenstein repair in geriatric patients. It is associated with fewer complications, shorter hospitalisation, and higher patient satisfaction, without increasing operative or anaesthesia duration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_228_26","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T06:00:12Z","timestamp":1791957612000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of the Lichtenstein technique and transabdominal pre-peritoneal hernia repair in geriatric patients"],"prefix":"10.4103","author":[{"given":"Onur","family":"A\u011f","sequence":"first","affiliation":[{"name":"Department of General Surgery, Elazi\u011f Fethi Sekin City Hospital, University of Health Sciences, Elazi\u011f, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Bugra","family":"Bozan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Elazig Fethi Sekin City Hospital, University of Health Sciences, Elazi\u011f, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nizamettin","family":"Kutluer","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Turkish Ministry of Health, Fethi Sekin City Hospital, Elazi\u011f, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ay\u015fe Azak","family":"Bozan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Elazig Fethi Sekin City Hospital, Elazi\u011f, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bekir","family":"Saricik","sequence":"additional","affiliation":[{"name":"Department of Surgery, Elazig Fethi Sekin City Hospital, Elazi\u011f, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Zeki","family":"Ogut","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Elazi\u011f Fethi Sekin City 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