Comparison of Lichtenstein and Laparoscopic Transabdominal Preperitoneal Repair of Recurrent Inguinal Hernias

Demetrashvili, Zaza; Qerqadze, Vakhtang; Kamkamidze, George; Topchishvili, Gega; Lagvilava, L.; Chartholani, T.; Archvadze, Vasil

doi:10.9738/cc53.1

Cited by 29 publications

(31 citation statements)

References 29 publications

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“…However, one of these studies used in the open group a preperitoneal mesh according to the Stoppa technique [16]. Therefore, we performed for the endpoints recurrence and chronic pain (C3 years) a new meta-analysis (random model) only including the 3 studies comparing Lichtenstein vs. endoscopic repair and including another RCT published recently [17]. This analysis shows that there is also an advantage for the endoscopic approach with respect to chronic pain (Fig.…”

Section: Recurrent Hernias After Conventional Open Repairmentioning

confidence: 99%

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Miserez

Peeters

Aufenacker

et al. 2014

Hernia

366

226

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Purpose: In 2009, the European Hernia Society published the EHS Guidelines for the Treatment of Inguinal Hernia in Adult Patients. The Guidelines contain recommendations for the treatment of inguinal hernia from diagnosis till aftercare. The guidelines expired January 1, 2012. To keep them updated, a revision of the guidelines was planned including new level 1 evidence. Methods: The original Oxford Centre for Evidence-Based Medicine ranking was used. All relevant level 1A and level 1B literature from May 2008 to June 2010 was searched (Medline and Cochrane) by the Working Group members. All chapters were attributed to the two responsible authors in the initial guidelines document. One new chapter on fixation techniques was added. The quality was assessed by the Working Group members during a 2-day meeting and the data were analysed, especially with respect to any change in the level and/or text of any of the conclusions or recommendations of the initial guidelines. In the end, all relevant references published until January 1, 2013 were included. The final text was approved by all Working Group members. Results: For the following topics, the conclusions and/or recommendations have been changed: indications for treatment, treatment of inguinal hernia, day surgery, antibiotic prophylaxis, training, postoperative pain control and chronic pain. The addendum contains all current level 1 conclusions, Grade A recommendations and new Grade B recommendations based on new level 1 evidence (with the changes in bold). Conclusions: Despite the fact that the Working Group responsible for it tried to represent most kinds of surgeons treating inguinal hernias, such general guidelines inevitably must be fitted to the daily practice of every individual surgeon treating his/her patients. There is no doubt that the future of guideline implementation will strongly depend on the development of easy to use decision support algorithms tailored to the individual patient and on evaluating the effect of guideline implementation on surgical outcome. At the 35th International Congress of the EHS in Gdansk, Poland (May 12-15, 2013), it was decided that the EHS, IEHS and EAES will collaborate from now on with the final goal to publish new joint guidelines, most likely in 2015

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Section: Recurrent Hernias After Conventional Open Repairmentioning

confidence: 99%

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Miserez

Peeters

Aufenacker

et al. 2014

Hernia

366

226

View full text Add to dashboard Cite

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“…All the RCTs included in that meta-analysis compared the laparo-endoscopic procedures with the open Lichtenstein technique. Three RCTs compared the Lichtenstein operation with TAPP (13,15,17), two RCTs compared it with TEP (11,16), and two RCTs compared it with both TEP and TAPP (12,14).…”

mentioning

confidence: 99%

“…The meta-analysis by Pisanu (8) contained the largest number of exclusively prospective randomized trials (RCTs) (11,12,13,14,15,16,17). All the RCTs included in that meta-analysis compared the laparo-endoscopic procedures with the open Lichtenstein technique.…”

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confidence: 99%

TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

et al. 2017

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with regard to the intraoperative complications, complication-related reoperations, re-recurrences, pain at rest, pain on exertion, or chronic pain requiring treatment. The only difference identified was a significantly higher postoperative seroma rate after TAPP, which was influenced by the surgical technique, previous open primary operation and EHS-classification medial and responded to conservative treatment. Conclusion TEP and TAPP are equivalent surgical techniques for recurrent inguinal hernia repair following previous open primary operation. The choice of technique should be tailored to the surgeon's expertise.

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“…A definition of CPIP was lacking in 31 (39%) of the studies (table 2) [8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38]. In the other 49 studies (61%), a total of 22 different definitions of CPIP were identified.…”

Section: Resultsmentioning

confidence: 99%

“…In half of the studies, the categorization consisted of reporting the effect of CPIP on daily life using 9 different validated or nonvalidated criteria (table 3) [33,40,48,52,58,61,62,68,73,79,86]. The remaining studies used a categorization of pain severity based on VAS or numerical analog scale measurements [8,10,19,22,23,50,56,71,73,81,87,88,89]. The subsequent categorization of PI was highly heterogeneous (fig.…”

Section: Resultsmentioning

confidence: 99%

Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature

2016

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Background: Chronic postoperative inguinal pain (CPIP) is the most common long-term complication of inguinal hernia repair. As such procedures are routinely performed, CPIP can be considered a significant burden to global health care. Therefore, adequate preventative measures relevant to surgical practice are investigated. However, as no gold standard research approach is currently available, study and outcome measures differ between studies. The current review aims to provide a qualitative analysis of the literature to seek out if outcomes of CPIP are valid and comparable, facilitating recommendations on the best approach to preventing CPIP. Methods: A systematic review of recent studies investigating CPIP was performed, comprising studies published in 2007-2015. Study designs were analyzed regarding the CPIP definitions applied, the use of validated instruments, the availability of a baseline score, and the existence of a minimal follow-up of 12 months. Results: Eighty eligible studies were included. In 48 studies, 22 different definitions of CPIP were identified, of which the definition provided by the International Association for the Study of Pain was applied most often. Of the studies included, 53 (66%) used 33 different validated instruments to quantify CPIP. There were 32 studies (40%) that assessed both pain intensity (PI) and quality of life (QOL) with validated tools, 41% and 4% had a validated assessment of only PI or QOL, respectively, and 15% lacked a validated assessment. The visual analog scale and the Short Form 36 (SF36) were most commonly used for measuring PI (73%) and QOL (19%). Assessment of CPIP was unclear in 15% of the studies included. A baseline score was assessed in 45% of the studies, and 75% had a follow-up of at least 12 months. Conclusion: The current literature addressing CPIP after inguinal hernia repair has a variable degree of quality and lacks uniformity in outcome measures. Proper comparison of the study results to provide conclusive recommendations for preventive measures against CPIP therefore remains difficult. These findings reaffirm the need for a uniform and validated assessment with uniform reporting of outcomes to improve the burden that CPIP poses to a significant surgical patient population.

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Comparison of Lichtenstein and Laparoscopic Transabdominal Preperitoneal Repair of Recurrent Inguinal Hernias

Cited by 29 publications

References 29 publications

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature

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