Page 33 - World Journal of Laparoscopic Surgeons
P. 33

Maulana M Ansari
              Table 7: Anatomy of PRS in the consecutive bilateral inguinal hernias (n = 8) in patients who underwent TEPP hernioplasty
               PRS extent          PRS extent subtypes          PRS morphology          PRS extent and morphology
           Right side  Left side  Right side  Left side     Right side    Left side    Right side      Left side
           IC         IC         NIC          NIC           PT            PT           NPT             NPT
           IC         1C         NIC          NIC           WT            WT           NWT             NWT
           C          C          C            C             GA            PT*          CGA             CPT*
           C          IC*        C            NIC*          WT            WT           CWT             NWT*
           C          IC*        C            NIC*          WT            GA*          CWT             NGA*
           IC         IC*        LIC          NIC*          WT            WT           LWT             NWT*
           IC         IC         NIC          NIC           PT            WT*          NPT             NWT*
           IC         IC         LIC          NIC*          WT            WT           LWT             NWT*
           *Different PRS type on contralateral side

              Table 8: Age of patients with mirror and nonmirror anatomy of PRS on two sides of the body in patients with bilateral hernias
           Anatomy       Type      n   %    Age, mean ± SD (range) years CID         t-value  Sig. (2-tailed)    p-value
           PRS extent    Mirror    4   50   47.5 ± 10.40 (35–60)    −24.925 to 7.9253  1.2663 0.2524    >0.05
                         Nonmirror  4  50   56.00 ± 8.49 (45–65)
           PRS morphology  Mirror  5   62.5  56.00 ± 8.49 (45–65)   −22.754 to 23.4139  0.0350 0.9732   >0.05
                         Nonmirror  3  37.5  55.67 ± 18.88 (35–72)
           PRS extent and   Mirror  7  87.5  53.57 ± 10.83 (35–65)     NA            NA     NA             NA
           morphology    Nonmirror  1  12.5  72
           NA: t-test not applicable due to n < 2 in one group; CID: Confidence interval of difference; t: independent-sample t-test value; Sig.:
           Significance value; p > 0.05: not significant

            Table 9: The BMI of patients with mirror and nonmirror anatomy of PRS on two sides of the body in patients with bilateral hernias
           Anatomy       Type     n   %    BMI, mean ± SD (range) kg/m 2  CID       t- value  Sig. (2-tailed)    p-value
           PRS extent    Mirror   4   50   21.38 ± 0.80 (20.5–22.4)  −3.285 to 1.4453  0.9517  0.3780  >0.05
                         Nonmirror 4  50   22.30 ± 1.76 (202–24.4)
           PRS morphology Mirror  5   62.5  21.88 ± 1.74 (20.2–24.4)  −2.550 to 2.7701  0.1012  0.9227  >0.05
                         Nonmirror 3  37.5  21.77 ± 0.77 (21.1–22.4)
           PRS extent and   Mirror  7  87.5  21.77 ± 0.65 (21.1–22.4)     NA        NA     NA             NA
           morphology    Nonmirror 1  12.5  21.84
           NA: t-test not applicable due to n < 2 in one group; CID: Confidence interval of difference; t: independent-sample t-test value; Sig.:
           Significance value; p > 0.05: not significant


          classical incomplete (NIC) in 2 cases, and long incomplete  his BMI was comparable with mean BMI (21.77 ± SD 0.65;
                                                                           2
          (LIC) vs classical incomplete (NIC) in 2 cases) (Table 7).  21.1–22.4 kg/m ) (Tables 8 and 9).
             In only 5 out of 8 cases, the PRS morphology was
          mirror image on the two sides of the body (WT both   Relation of PRS Anatomy with Profession
          sides in 4 cases, and PT in 1 case), and in the remaining   Distribution of various types of the PRS among the
          3 cases, the PRS morphology was not mirror image (GA   different kinds of professional workers is shown in the
          vs PA in 1 case; tendinous vs GA in 1 case; and PA vs WT  Graph 2. Pearson Chi-squared analysis did not reveal
          in 1 case) (Table 7).                               any significant correlation between the classical/variant
             In terms of both the PRS extent and morphology, the  PRS and the nature of work (R = 3.466, df 5, Sig. 0.629,
          mean age and BMI of patients did not differ significantly  p > 0.05). Further, Pearson chi-squared analysis also did
          (p > 0.05) between the two subgroups of the mirror and  not reveal any significant correlation between the 12
          nonmirror anatomy (Tables 8 and 9). In other words, the  PRS subtypes (the classical 1, and the variant 11) and
          PRS anatomy did not tend to differ on the two sides of the  the nature of patients’ work (R = 46.685, df 55, Sig. 0.780,
          body with respect to the age or BMI of the individuals.  p > 0.05) (Graph 3).
             In patients undergoing bilateral TEPP hernioplasty,   Moreover, the likelihood ratio and linear-by-linear
          asymmetry of both the PRS extent and morphology was  association were also found statistically insignificant
          seen in only one case of a 72-year-old retired person with  among the 12 subtypes of the PRS with respect to the
                         2
          BMI of 21.8 kg/m . The patient with twin asymmetry of  patients’ occupation (likelihood ratio: R = 42.283, df 55,
          PRS extent and morphology was much older than the  Sig. 0.895, p > 0.05; linear-by-linear association: R = 0.330,
          age (mean age 53.57 ± SD 10.83; 35–65 years), although  df 1, Sig. 0.566, p > 0.05) (Graph 3).
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