Controlled multicenter trial of laparoscopic transabdominal preperitoneal hernioplasty vs Shouldice herniorrhaphy Early results

Abstract

Laparoscopic hernia repair causes less pain than the conventional operation and enables the patient to return to full work and usual activities earlier. The recurrence rate will not be known for 5 years.

Endoscopic Inguinal Hernia Repair in Comparison with Shouldice and Lichtenstein Repair

“…Sixteen trials compared endoscopic techniques with the Shouldice repair [11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28]. These studies represent a total collective of 2,498 operated patients and are summarized in table 1.…”

“…Due to the separate publication of partial aspects [40, 45]and late results [11, 12, 14, 18], a total of 36 publications was analyzed. Four studies were published as abstracts only [16, 29, 35, 42].…”

“…Thirty-three randomized controlled trials with a total of 5,053 random patients were used for the evaluation [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, 39, 40, 41, 42, 43, 44, 45]. Due to the separate publication of partial aspects [40, 45]and late results [11, 12, 14, 18], a total of 36 publications was analyzed.…”

Randomized controlled trial of laparoscopic transabdominal preperitoneal hernioplasty vs Shouldice repair

“…All patients received 2 g of cefazolin preoperatively in a single shot. The techniques used for laparoscopic and open hernia repair were described in detail previously [15].…”

Chronic pain after hernia repair: a randomized trial comparing Shouldice, Lichtenstein and TAPP

“…Nerve injury during laparoscopic hernia repair, especially to the nervus cutaneus femoris lateralis has also been reported, especially at the beginning of the laparoscopic repair era, but seems to be avoidable with the correct operating technique [21]. Tension-free techniques and especially laparoscopic repair, seem to be less painful in the early postoperative period [3, 12,26], but there is no evidence as to whether the presence of the prosthetic mesh itself may be the source of postoperative complaints [3,22,[27][28][29].…”