Early Experience with Laparoscopic Inguinal Hernia Repair in a District General National Health Services Hospital

Singhal, Tarun; Balakrishnan, Santosh; Paix, A D; El-Hasani, Shamsi

doi:10.1089/lap.2005.15.285

Cited by 3 publications

(14 citation statements)

References 11 publications

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“…An unsuspected contralateral hernia was noted in one patient randomized to the TAPP group, which was repaired (Fig. 4) and has been an argument in favor of TAPP repairs by some groups, who report detecting unsuspected contralateral hernias in up to 18% of patients [15]. There were two recurrences noted in the laparoscopic group, for a recurrence rate of 4.5% (one in each study arm).…”

Section: Resultsmentioning

confidence: 97%

The economic impact of laparoscopic inguinal hernia repair: results of a double-blinded, prospective, randomized trial

et al. 2007

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For this study, 66 patients with a preoperative diagnosis of unilateral primary inguinal hernia were randomized to undergo laparoscopic totally extra peritoneal (TEP), laparoscopic transabdominal (TAPP), or open inguinal hernia repair with polypropylene mesh (Lichtenstein type). Both the operative team caring for the patient postoperatively and the patient were blinded to the operative approach by placement of a large dressing covering the abdomen, which was not removed until postoperative day 3. The patients recorded their pain level on a visual analog pain scale daily. Medication usage also was recorded. All patients were seen at 7-day intervals until they returned to work. The patients were interviewed during their postoperative visits by an investigator blinded to the operative approach and questioned regarding their ability to return to work and their pain levels. The average number of lost work days in all the groups was 12, and there was no significant difference between the three groups (p = 0.074). The average operating time for the TAPP procedure was 59 min, less than the time required to complete either the TEP or the Lichtenstein approach, which had equivalent operative times (p = 0.027). The material cost was significantly lower for the Lichtenstein repair (1,200 dollars less) than for either of the laparoscopic approaches, a saving primarily related to consumable operating room supplies. The TEP repair costs were minimally higher than those for the TAPP repair (125 dollars more). No significant differences were noted in the postoperative pain scales, and the use of postoperative oral analgesics was equivalent. The higher operative costs noted for the laparoscopic hernia repairs were not offset by a shortened convalescence. Postoperative pain appears to be equivalent regardless of the operative approach chosen and is easily managed with oral analgesics.

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Section: Resultsmentioning

confidence: 97%

The economic impact of laparoscopic inguinal hernia repair: results of a double-blinded, prospective, randomized trial

et al. 2007

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“…The bias assessment for the RCTs is presented in the Figure and the bias assessment for the cohort studies is presented in Table 2. [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] For the RCTs, the overall risk of bias was either low or unknown, with most RCTs at low risk of selection bias, performance bias, and attrition bias. High risks of other biases were mainly owing to recurrence being the secondary outcome or a low number of participants.…”

Section: Resultsmentioning

confidence: 99%

“…Comparability was irrelevant in this review and therefore excluded from Table 2. [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] Fourteen studies received 1 star or less from outcome parameters, mainly owing to a short and inadequate follow-up. 23,24,29,41,45,46,49,51,[56][57][58]61,63,66 Most patients in this review arose from the large database studies, which all scored at least 5 of 6 stars.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 20 studies described recurrences after laparoscopic repairs. 16,17,20,[22][23][24]26,28,29,36,37,39,42,44,45,50,51,53,57,65 In 2525 women who underwent laparoscopic repair of primary inguinal hernia, the recurrence rate was 1.2% (27 of 2257). When including studies with a low risk of bias (ie, RCTs, prospective cohort studies, and prospective database studies), the recurrence rate was also 1.2% (18 of 1525).…”

Section: Recurrence Rate After Laparoscopic Repairsmentioning

confidence: 99%

“…16,17,[22][23][24]26,28,44,45,50,51,57,65 In 10 prospective studies, the recurrence rate ranged from 0.0% to 4.0% and the mean follow-up time in these studies ranged from 12 to 39 months. 20,[22][23][24]26,28,29,36,37,39 Six studies reported the recurrence rate after laparoscopic repair solely in female patients. 29,36,37,39,50,57 Five of these six studies 36,37,39,50,57 had a retrospective design, and the recurrence rate ranged from 0.0% to 3.0%.…”

Section: Recurrence Rate After Laparoscopic Repairsmentioning

confidence: 99%

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Recurrence Rates After Repair of Inguinal Hernia in Women

et al. 2018

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ach year, more than 20 million procedures to repair inguinal hernia are performed worldwide. 1 The lifetime risk of developing an inguinal hernia is 27% for men compared with only 3% for women. 2 However, studies have reported that 8% to 16% of patients with inguinal hernia are females. 3,4 Nevertheless, to our knowledge, no randomized controlled trial (RCT) or systematic review has specifically addressed repair of groin hernia in women. 5 Guidelines for repair of inguinal hernias in women are based mainly on subgroup analyses of national database studies in which most patients were men. [5][6][7] Differences regarding pelvic and inguinal anatomy between men and women 8 could mean that the recurrence rate of inguinal hernias may differ, and recurrences after repair of inguinal hernia in women may be a previously undiagnosed femoral hernia. 9,10 Therefore, the rate and type of recurrence for in-guinal hernias needs to be assessed specifically in women. This study investigates rates and types of recurrences in women who underwent repair of a primary inguinal hernia. MethodsThis study was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guideline. 11 A detailed protocol was registered at the PROSPERO systematic review registration site (registration CRD42017081152). 12 Participants in the study were women age 18 years or older who had undergone repair of a primary unilateral or bilateral inguinal hernia. Studies including participants with solely recurrent inguinal hernias or solely femor-IMPORTANCE To our knowledge, a systematic review has not yet been performed that specifically addresses the management of inguinal hernia in women. Recurrence after repair of inguinal hernia is not unusual in women and may be a previously undiagnosed femoral hernia, which is rarely seen in men. OBJECTIVE To investigate rates and types of recurrences in women who had undergone repair of primary inguinal hernia.EVIDENCE REVIEW PubMed, Embase, and the Cochrane databases were searched in September 2017 for studies reporting recurrences after repair of primary inguinal hernia in women. Crude rates of recurrence (number of recurrences/number of women) were calculated after open and laparoscopic repairs, and the type of recurrent hernia was registered, if noted in the studies. This review is reported according to the PRISMA guideline. FINDINGS A total of 55 studies were included, comprising 43 870 women (mean age, 42-69 years; median age, 57 years). Five studies were randomized clinical trials, 14 were prospective cohort studies, 7 were prospective database studies, and 29 were retrospective cohort studies. Twenty studies reported recurrence after laparoscopic repair, with a crude recurrence rate of 1.2% (27 of 2257) (range, 0%-5%) and a median follow-up of 24 months. Thirty-seven studies reported open repair, with a crude recurrence rate of 2.4% (818 of 33 971) (range, 0%-12.5%) and a median follow-up of 36 months. The crude recurrence rate in randomized clinical trials and prospectiv...

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Laparoscopic inguinal hernia repair: over a thousand convincing reasons to go on

Balakrishnan

Singhal

Samdani

et al. 2008

Hernia

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Early Experience with Laparoscopic Inguinal Hernia Repair in a District General National Health Services Hospital

Cited by 3 publications

References 11 publications

The economic impact of laparoscopic inguinal hernia repair: results of a double-blinded, prospective, randomized trial

The economic impact of laparoscopic inguinal hernia repair: results of a double-blinded, prospective, randomized trial

Recurrence Rates After Repair of Inguinal Hernia in Women

Laparoscopic inguinal hernia repair: over a thousand convincing reasons to go on

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