Özet:

Purpose: The use of laparoscopic methods in the repairs of the cranberries continues to increase every day. Studies have shown that laparoscopic spell repairs and open repairs have a similar nick rate. Other advantages of laparoscopic repairs can also be the lower risk of postoperative pain and infection, the earlier time of return to work of patients and the better cosmetic appearance. Laparoscopic spinal repairs are widely applied in total extraperitoneal (TEP) and trans-abdominal preperitoneal (TAPP) repairs methods. Tool and Method: 40 male patients applied laparoscopic TAPP were included in the study due to one-sided scratch between January 2018 and July 2019. During the surgery, we planned to investigate whether the shutdown of peritonum flebin (PF) with sulfur and tacker in both groups of patients is different in terms of the type of sputum, sputum side, seroma, visual pain scale (VAS), duration of the surgery, postoperative hemorrhage, scrotal hematom and body mass index (VKI). Results: The independent sample t test that differences between the groups and the relationship between the category variables and the groups was considered by the square test. In both groups, there was no difference in the side of the fist, seroma and scrotal hematoma, age and VKI, while in patients closed using PF tacker, the VAS values were observed significantly high at the end of the 24 hours compared to those used in milk. The result: in our study, we consider that tacker used patients postoperative early period VAS scores were statistically high according to those used because the tacker we use is non-absorbent and is related to acute trauma in the transversal muscle. Related to the experience of the surgeon during the laparoscopic TAPP, we believe that the closure of the PF using the absorption tacker is easier to apply and is a safer and effective method because it has a shorter duration of surgery.

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