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

Liem, Mike S L; Graaf, Y. van der; Zwart, R. C.; Geurts, I.

doi:10.1046/j.1365-2168.1997.02459.x

Cited by 9 publications

(7 citation statements)

References 10 publications

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“…In the present study the functional test after 1 week showed significantly less impairment in the laparoscopic group. Similar results were obtained by Berndsen et al 8 , and also by Liem et al 24 who compared curled sit-up and straight leg raising at 1 and 6 weeks after surgery.…”

Section: Discussionsupporting

confidence: 79%

Short-term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair

Eklund¹,

Rudberg²,

Smedberg

et al. 2006

British Journal of Surgery

131

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Background: Laparoscopic herniorrhaphy has emerged as a recognized operative method for inguinal hernia repair. This study compared the short-term results of two tension-free methods of repair: totally extraperitoneal (TEP) laparoscopic patch repair and the open Lichtenstein mesh technique.Methods: A total of 1513 men from 11 hospitals who presented with a primary unilateral inguinal hernia were randomized to one of the two methods. Operating time, short-term complications, reoperations, postoperative pain, consumption of analgesics, sick leave and time to resumption of normal physical activities were recorded. Results: Some 1371 of the 1513 men underwent surgery, 665 in the TEP group and 706 in the Lichtenstein group. The median duration of operation was 55 min for both procedures and 91·0 per cent of the patients in both groups were discharged on the day of operation. Patients in the TEP group experienced less postoperative pain (P < 0·001), consumed fewer analgesics (P < 0·001), had a shorter period of sick leave (7 versus 12 days; P < 0·001) and a shorter time to resumption of normal physical activity (20 versus 31 days; P < 0·001). Conclusion:The TEP technique took no longer to perform, and was associated with less postoperative pain, a shorter period of sick leave and a faster recovery, compared with open Lichtenstein hernia repair.

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Section: Discussionsupporting

confidence: 79%

Short-term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair

Eklund¹,

Rudberg²,

Smedberg

et al. 2006

British Journal of Surgery

131

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show abstract

“…9 Straight leg raising and activities of daily living questionnaires have been used in other studies to assess physical performance following laparoscopic and open inguinal hernia repair. 2 In our elderly group of patients, assessment with voluntary straight leg raising was measured in the height from the horizontal rather than exercise testing since levels of preoperative fitness were likely to be poor. We found that there was no significant difference at day 7 following surgery, thus supporting the view that this type of hernia repair is associated with minimal postoperative pain and quick recovery.…”

Section: Discussionmentioning

confidence: 99%

Inguinal hernia repair with the Kugel patch

Reddy¹,

Humphreys²,

Chew³

et al. 2005

ANZ Journal of Surgery

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“…Complications related to laparoscopy, such as intestinal or vascular injury during trocar insertion, potential for adhesions, the need for general anesthesia, and increased cost, are potential downsides of laparoscopic repair. Prospective randomized trials have been performed showing advantages of laparoscopic repair for one or more of the above-cited parameters [23][24][25]. Larger randomized studies [26] have shown some benefit in terms of less pain and more rapid return to work, but the same authors have shown more recurrences and higher costs in the laparoscopic repair groups [27].…”

Section: Groin Herniasmentioning

confidence: 99%

Abdominal Cavity: Anatomy, Structural Anomalies, and Hernias

Parangi¹,

Hodin²

2008

Textbook of Gastroenterology

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During embryonic development, the foregut rotates 90°c lockwise around its longitudinal axis, causing the left side of the stomach to face anteriorly and its right side posteriorly ( Fig. 98.1). The foregut blood supply is the celiac artery.The development of the midgut is characterized by rapid elongation of the gut and its mesentery, resulting in the formation of the primary intestinal loop. Over its entire length, the midgut is supplied by the superior mesenteric artery. As a result of this rapid elongation and the simultaneous expansion of the liver, the abdominal cavity of the fetus becomes too small to contain all the intestinal loops. These loops enter the extraembryonic coelomic cavity in the umbilical cord, forming a physiological umbilical herniation during the sixth week of development ( Fig. 98.2). Coincident with this rapid growth, the midgut rotates 270°counterclockwise around the axis of the superior mesenteric artery. At about the third month, the herniated intestinal loops return to the abdominal cavity. The proximal portion of the jejunum is the first part to reenter, and it comes to lie on the left side, whereas the primitive cecum is the last to reenter and descends into the right iliac fossa.The hindgut gives rise to colon and rectum past the distal third of the transverse colon as well as the upper part of the anal canal. The junction of the endodermal and ectodermal parts of the anal canal is formed by the pectinate line, which is found just below the anal columns. The endoderm of the hindgut also gives rise to the internal lining of the bladder and urethra. The hindgut blood supply is the inferior mesenteric artery. Mesenteries of the abdominal cavityDuring the development of the peritoneal cavity, the splanchnic mesoderm covers the developing gut. Eventually, most of this ventral mesentery is resorbed, except for a small portion between the liver and the stomach that persists as the Embryology of the abdominal cavity Abdominal cavityKnowledge of the embryology of the abdominal contents is imperative to understanding the pathophysiology of the various congenital and structural anomalies of the abdominal cavity. The abdominal or peritoneal cavity is formed from a large intraembryonic coelomic cavity during the fourth week of embryonic development. The cells of the somatic mesoderm lining the intraembryonic coelomic cavity become mesothelial and form the parietal layer of the serous membranes lining the outside of the peritoneal, pleural, and pericardial cavities. In a similar manner, the cells of the splanchnic mesoderm layer form the visceral layer of the serous membranes covering the abdominal organs, lungs, and heart [1]. During the fifth to seventh weeks of development, the pleuroperitoneal folds fuse with the septum transversum, and the mesentery of the esophagus thus separates the thoracic cavity from the abdominal cavity. In the cephalic and caudal parts of the embryo, the primitive gut (an endodermal-lined cavity) forms a blind-ending tube, the foregut and the hindgut, respectively....

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

Abstract: Laparoscopic hernia repair results in a quicker recovery.

Cited by 9 publications

References 10 publications

Short-term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair

Short-term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair

Inguinal hernia repair with the Kugel patch

Abdominal Cavity: Anatomy, Structural Anomalies, and Hernias

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