Literature DB >> 9602004

Laparoscopic vs open inguinal hernia repair. A randomized, controlled trial.

C Tanphiphat1, T Tanprayoon, C Sangsubhan, K Chatamra.   

Abstract

BACKGROUND: The role of laparoscopic inguinal hernia repair is controversial. The aim of this study was to find out whether it is justified to switch from the predominantly modified Bassini repair which the authors had been using to laparoscopic repair.
METHODS: Randomized controlled trial in 120 eligible patients admitted for elective hernia repair in a university hospital.
RESULTS: Sixty patients underwent laparoscopic transabdominal preperitoneal mesh repair; the other 60 patients had an open repair, mostly with the modified Bassini technique. Operative time for laparoscopic repair was significantly longer, mean (s.d.) 95 (28) min vs 67 (27) min (p < 0.001). The mean analogue pain score during the first 24 h after surgery was 36.2 (20.2) in the laparoscopic group and 49.3 (24.9) in the open group (p = 0.006). The requirement for narcotic injections and postoperative disability in walking 10 m and getting out of bed were also significantly less following laparoscopic repair. The postoperative hospital stay was not significantly different, mean 2.6 (1.2) days for laparoscopic repair and 3.0 (1.5) days for open repair (p = 0.1). Patients were able to perform light activities without pain or discomfort sooner after laparoscopic repair, median interquartile range 8 (5-14) days vs 14 (8-19) days (p = 0.013). Patients also resumed heavy activities sooner, but not significantly, after laparoscopic repair, median 28 (17-60) days vs 35 (20-56) days (p = 0.25). The return to work was not significantly different, median 14 (8-25) days after laparoscopic repair and 15 (11-21) days after open repair (p = 0.14). After a mean follow-up of 32 months one patient developed a recurrent hernia 3 months after a laparoscopic repair. Laparoscopic repair was more costly than open repair by approximately $400.
CONCLUSIONS: Laparoscopic inguinal hernia repair was associated with less early postoperative pain and disability and earlier return to full activities than open repair, but there were no benefits regarding postoperative hospital stay and return to work; laparoscopic repair was also more costly.

Entities:  

Mesh:

Year:  1998        PMID: 9602004     DOI: 10.1007/s004649900727

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


  16 in total

1.  Primary inguinal hernia repair: open or laparoscopic, that is the question. Point.

Authors:  J D Mellinger
Journal:  Surg Endosc       Date:  2004-05-27       Impact factor: 4.584

Review 2.  Laparoscopic vs conventional tension free inguinal herniorrhaphy: 2005 society of American Gastrointestinal Endoscopic Surgeons (SAGES) annual meeting debate.

Authors:  V Puri; E Felix; R J Fitzgibbons
Journal:  Surg Endosc       Date:  2006-12       Impact factor: 4.584

3.  EAES Consensus Development Conference on endoscopic repair of groin hernias.

Authors:  M M Poelman; B van den Heuvel; J D Deelder; G S A Abis; N Beudeker; R R Bittner; G Campanelli; D van Dam; B J Dwars; H H Eker; A Fingerhut; I Khatkov; F Koeckerling; J F Kukleta; M Miserez; A Montgomery; R M Munoz Brands; S Morales Conde; F E Muysoms; M Soltes; W Tromp; Y Yavuz; H J Bonjer
Journal:  Surg Endosc       Date:  2013-05-25       Impact factor: 4.584

4.  Which causes more ergonomic stress: Laparoscopic or open surgery?

Authors:  Robert Wang; Zhe Liang; Ahmed M Zihni; Shuddhadeb Ray; Michael M Awad
Journal:  Surg Endosc       Date:  2016-12-06       Impact factor: 4.584

5.  Effect of Patient Body Mass Index on Laparoscopic Surgical Ergonomics.

Authors:  Zhe Liang; William D Gerull; Robert Wang; Ahmed Zihni; Shuddhadeb Ray; Michael Awad
Journal:  Obes Surg       Date:  2019-06       Impact factor: 4.129

6.  Repair of groin hernia with synthetic mesh: meta-analysis of randomized controlled trials.

Authors: 
Journal:  Ann Surg       Date:  2002-03       Impact factor: 12.969

7.  Raising the quality of hernia care: Is there a need?

Authors:  Adrian E Park; Hamid Reza Zahiri; Carla M Pugh; Melina Vassiliou; Guy Voeller
Journal:  Surg Endosc       Date:  2015-06-30       Impact factor: 4.584

8.  Comparison of endoscopic techniques vs Shouldice and other open nonmesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials.

Authors:  R Bittner; S Sauerland; C-G Schmedt
Journal:  Surg Endosc       Date:  2005-03-28       Impact factor: 4.584

9.  Assessment of systemic inflammatory response after total extraperitoneal repair and Lichtenstein repair for inguinal hernia.

Authors:  M Vats; D Pandey; S Saha; N Talwar; G Saurabh; M Andley; A Kumar
Journal:  Hernia       Date:  2016-11-12       Impact factor: 4.739

10.  Randomized clinical trial of fibrin glue versus tacked fixation in laparoscopic groin hernia repair.

Authors:  Mette A Tolver; Jacob Rosenberg; Poul Juul; Thue Bisgaard
Journal:  Surg Endosc       Date:  2013-01-26       Impact factor: 4.584

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