A randomized comparison of physical performance following laparoscopic and open inguinal hernia repair

Abstract

Laparoscopic hernia repair results in a quicker recovery.

Laparoscopic inguinal hernia repair using an anatomically contoured three-dimensional mesh

“…Variation in published reports is related to the types of questions asked of patients, and comparison between reports is difficult. Our results certainly fall within the ranges published [1,7]. Our intent was not necessarily to compare recovery in these patients with that in other series.…”

“…We confess skepticism about reports showing 100% follow-up assessment. The potential skewing of recovery data by questionnaires administered more than 6 months after the procedure is real, but our results fall within the range of recovery from laparoscopic hernia repairs studied closer to the time of surgery [1,7].…”

Day case laparoscopic herniorraphy

“…Only 50% of respondents (217) required analgesics (co-proxamol) at home. The mean number of tablets consumed was 9.1 ± 0.50 (range, 1-70), and the mean duration for tablet consumption was 1.9 ± 0.11 days (range, [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. A total 58.3% of patients did not require any analgesia 24 h postsurgery.…”

“…By utilizing reusable laparoscopic equipment, reducing theater time, and treating herniorraphy patients as outpatients, there is undoubtedly a considerable reduction in hospital costs [17]. Of further considerable importance is the fact that these studies fail to consider true ''societal'' costs in relation to a quicker recovery period [11,12,14]. Cost savings from reduced time off work are reported to be in the range of $288-720 per patient per procedure [17].…”

“…Laparoscopic herniorraphy (LH) has been shown to be a safe and well-tolerated procedure [3,12,14,22]. As a consequence of reduced postoperative pain and minimal complications, it is more commonly being performed as a day case procedure [8,15].…”