Literature DB >> 10094741

A randomized comparison of driver reaction time after open and endoscopic tension-free inguinal hernia repair.

D M Wright1, M G Hall, C R Paterson, P J O'Dwyer.   

Abstract

BACKGROUND: The aim of this study was to assess whether prosthetic tension-free inguinal hernia repair would cause less impairment of reaction times, thus allowing an earlier return to driving than previously recommended after conventional hernia repair.
METHODS: Driver reaction times were measured in 64 patients randomized to open tension-free repair or totally extraperitoneal endoscopic inguinal hernia repair. Measurements were made preoperatively and on postoperation days 1, 3, and 6.
RESULTS: In the endoscopic group, there was a gradual improvement in hand and foot reaction times over the days tested. In the open group, there was a slowing in both hand and foot reaction times on postoperation days 1 and 3. The difference in foot reaction times between the open and endoscopic groups was significant on these days (p = 0.01 and 0.003, respectively). By day 6, the foot reaction times in the open group were slightly faster than before surgery.
CONCLUSIONS: After prosthetic tension-free inguinal hernia repair, patients can return to driving 1 week after the operation.

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Mesh:

Year:  1999        PMID: 10094741     DOI: 10.1007/s004649900983

Source DB:  PubMed          Journal:  Surg Endosc        ISSN: 0930-2794            Impact factor:   4.584


  8 in total

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2.  Advice on driving after groin hernia surgery in the United Kingdom: questionnaire survey.

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Review 3.  Open or endoscopic total extraperitoneal inguinal hernia repair? A systematic review.

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4.  Local or general anesthesia for open hernia repair: a randomized trial.

Authors:  Patrick J O'Dwyer; Michael G Serpell; Keith Millar; Caron Paterson; David Young; Alan Hair; Carol-Ann Courtney; Paul Horgan; Sudhir Kumar; Andrew Walker; Ian Ford
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5.  Comparison of endoscopic procedures vs Lichtenstein and other open mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials.

Authors:  C G Schmedt; S Sauerland; R Bittner
Journal:  Surg Endosc       Date:  2004-12-02       Impact factor: 4.584

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7.  'Doctor--when can I drive?'--Advice obstetricians and gynaecologists give on driving after obstetric or gynaecological surgery.

Authors:  Sanjaya Kalkur; Dan McKenna; Stephen P Dobbs
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8.  Bilateral cataract surgery improves neurologic brake reaction time and stopping distance in elderly drivers.

Authors:  Yvonne Nowosielski; Benedikt Leitner; Teresa Rauchegger; Reinhard Angermann; Angeliki Psomiadi; Christoph Palme; Johannes Laimer; Michael Liebensteiner; Claus Zehetner
Journal:  Acta Ophthalmol       Date:  2021-06-02       Impact factor: 3.761

  8 in total

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