SIMULTANEOUS TAPP AND CYSTECTOMY IN WOMEN WITH INGUINAL HERNIA AND OVARIAN CYST

Authors

DOI:

https://doi.org/10.11603/2414-4533.2025.3.15468

Keywords:

simultaneous surgery, inguinal hernia, ovarian cyst, TAPP, cystectomy

Abstract

The aim of the work: to increase the effectiveness of surgical treatment of combined inguinal hernias with ovarian cysts in patients by simultaneous transabdominal preperitoneal plasty (TAPP) and cystectomy.

Materials and Methods. An analysis was conducted of surgical treatment in 67 women with primary inguinal hernias combined with ovarian cysts, using simultaneous transabdominal preperitoneal repair (TAPP) with ovarian cystectomy. The patients’ ages ranged from 25 to 45 years (mean age – 35±1). All patients had a primary inguinal hernia combined with ovarian cysts of varying sizes. They were divided into two groups: the main group (n=33), who underwent simultaneous TAPP and cystectomy, and the comparison group (n=34), who underwent only TAPP without cyst removal. Before surgery, all patients underwent laboratory and instrumental examinations according to clinical protocols, including ultrasound and, if necessary, MRI of the pelvis and anterior abdominal wall. Additionally, the effectiveness of surgical treatment was assessed using the Euro-Qol-5D questionnaire, based on which the QALY (quality-adjusted life years) indicator was calculated, the number of quality years of life gained as a result of surgical intervention, the QALY indicator for 12 months was taken into account with the dynamics of its change in patients in the main and comparison groups and compared.

Results. In both groups, postoperative complications were rare and comparable: seromas – 6 %, hematomas – 2–6 %, with no infections or intraoperative complications. Long-term outcomes showed no hernia recurrence in the main group and a 2.9 % recurrence rate in the comparison group. Chronic groin pain was noted in 6 % of cases in both groups. According to the EQ-5D-5L questionnaire administered 12 months postoperatively, 54.5 % of patients in the main group reported no health complaints, whereas there were none in the comparison group. The mean health index (QALY) was 0.97 in the main group versus 0.79 in the comparison group. Statistically significant differences were observed in “self-care,” “usual activities,” and “anxiety/depression,” in favor of the simultaneous surgery group (p<0.05). Technically, simultaneous TAPP did not require additional trocar placement, and the increase in operative time was minimal. Simultaneous TAPP makes it possible to avoid repeated anesthesia, reduce surgical stress, accelerate recovery, and lower treatment costs.

Conclusions. Simultaneous TAPP with cystectomy is safe, effective, and advisable in cases of combined inguinal hernia and ovarian cyst, providing a better quality of life compared to separate operations.

Author Biographies

YA. P. FELESHTYNSKYI, Shupyk National Healthcare University of Ukraine, Kyіv, Ukraine

MD, DSc (Medicine), Professor, Head of the Department of Surgery No. 2

A. A. SHTAYER, Shupyk National Healthcare University of Ukraine, Kyіv, Ukraine

PhD (Medicine), Surgeon

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Published

2025-10-23

How to Cite

FELESHTYNSKYI, Y. P., & SHTAYER, A. A. (2025). SIMULTANEOUS TAPP AND CYSTECTOMY IN WOMEN WITH INGUINAL HERNIA AND OVARIAN CYST. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 83–91. https://doi.org/10.11603/2414-4533.2025.3.15468

Issue

No. 3 (2025)

Section

EXPERIENCE OF WORK

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Copyright (c) 2025 Я. П. ФЕЛЕШТИНСЬКИЙ, А. А. ШТАЄР

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