BACKGROUND: The optimum method for inguinal hernia repair has not yet been determined. The recurrence rate for non-mesh methods varies between 0.2 and 33 per cent. The value of tension-free repair with prosthetic mesh remains to be confirmed. The aim of this study was to compare mesh and non-mesh suture repair of primary inguinal hernias with respect to clinical outcome, quality of life and cost in a multicentre randomized trial in general hospitals. METHODS:Between September 1993 and January 1996, all patients scheduled for repair of a unilateral primary inguinal hernia were randomized to non-mesh or mesh repair. The patients were followed up at 1 week and at 1, 6, 12, 18, 24 and 36 months. Clinical outcome, quality of life and costs were registered. RESULTS:Three hundred patients were randomized of whom 11 were excluded. Three-year recurrence rates differed significantly: 7 per cent for non-mesh repair (n = 143) and 1 per cent for mesh repair (n = 146) (P = 0.009). There were no differences in clinical variables, quality of life and costs. CONCLUSION:Mesh repair of primary inguinal hernia repair is superior to non-mesh repair with regard to hernia recurrence and is cost-effective. Postoperative complications, pain and quality of life did not differ between groups.
RCT Entities:
BACKGROUND: The optimum method for inguinal hernia repair has not yet been determined. The recurrence rate for non-mesh methods varies between 0.2 and 33 per cent. The value of tension-free repair with prosthetic mesh remains to be confirmed. The aim of this study was to compare mesh and non-mesh suture repair of primary inguinal hernias with respect to clinical outcome, quality of life and cost in a multicentre randomized trial in general hospitals. METHODS: Between September 1993 and January 1996, all patients scheduled for repair of a unilateral primary inguinal hernia were randomized to non-mesh or mesh repair. The patients were followed up at 1 week and at 1, 6, 12, 18, 24 and 36 months. Clinical outcome, quality of life and costs were registered. RESULTS: Three hundred patients were randomized of whom 11 were excluded. Three-year recurrence rates differed significantly: 7 per cent for non-mesh repair (n = 143) and 1 per cent for mesh repair (n = 146) (P = 0.009). There were no differences in clinical variables, quality of life and costs. CONCLUSION: Mesh repair of primary inguinal hernia repair is superior to non-mesh repair with regard to hernia recurrence and is cost-effective. Postoperative complications, pain and quality of life did not differ between groups.
Authors: Rodrigo Gonzalez; Kim Fugate; David McClusky; E Matt Ritter; Andrew Lederman; Dirk Dillehay; C Daniel Smith; Bruce J Ramshaw Journal: World J Surg Date: 2005-08 Impact factor: 3.352
Authors: J M Johnson; A M Carbonell; B J Carmody; M K Jamal; J W Maher; J M Kellum; E J DeMaria Journal: Surg Endosc Date: 2006-01-25 Impact factor: 4.584
Authors: Y T Wang; M M Meheš; H-R Naseem; M Ibrahim; M A Butt; N Ahmed; M A Wahab Bin Adam; A-W Issah; I Mohammed; S D Goldstein; K Cartwright; F Abdullah Journal: Hernia Date: 2014-04-29 Impact factor: 4.739
Authors: Theo J Aufenacker; Dirk van Geldere; Taco van Mesdag; Astrid N Bossers; Benno Dekker; Edo Scheijde; Roos van Nieuwenhuizen; Esther Hiemstra; John H Maduro; Jan-Willem Juttmann; Diederik Hofstede; Cunera T M van Der Linden; Dirk J Gouma; Maarten P Simons Journal: Ann Surg Date: 2004-12 Impact factor: 12.969