Laparoscopic versus open inguinal hernia repair: randomised prospective trial

Stoker, David L.; Spiegelhalter, David; Singh, Rameet; Wellwood, J. M.

doi:10.1016/s0140-6736(94)92148-2

Cited by 296 publications

(116 citation statements)

References 5 publications

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“…It is widely accepted and has been shown in numerous original articles and reviews that endoscopic hernia repair is associated with less postoperative pain and a reduced period of vocational and recreational downtime [18,20,[32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49]. Due to the aforementioned substantial variation of actual periods of return to work and ADL, the benefit cannot be determined exactly; however, the differences are sufficiently pronounced and homogenous to warrant the recommendation of endoscopic techniques with regard to convalescence.…”

Section: Recommendationsmentioning

confidence: 99%

Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society)

et al. 2014

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Section: Recommendationsmentioning

confidence: 99%

Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society)

et al. 2014

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“…Several studies and this study using pain scores have validated this advantage with low levels of pain. 11,16,17,18 Lower post-operative pain and no major complications were recorded beside the patients started oral intake within hours, all these factors helped decrease duration of hospital stay and to perform TAPP as day care procedure. Also TAPP patients returned early to their activities due to less pain, lower wound complications and minimal surgical trauma.…”

Section: Discussionmentioning

confidence: 91%

“…Causes of hernia recurrence after TAPP may be insufficient mesh size, incorrect placement, immediate or very early displacement by folding or lifting by a hematoma. 18 In this study, the mesh size that was used was 15X10 cm size to reduce the recurrence rate, generous dissection of pre-peritoneal space was done for proper placement of the mesh to cover the whole myopectineal orifice. So the recurrence rate in this study was 3.3% with TAPP and 1.7% with LR with no significant difference between both techniques.…”

Section: Discussionmentioning

confidence: 99%

Early and late outcomes of trans-abdominal pre-peritoneal and Lichtenstein repair for inguinal hernia, a comparative study

Latif Bahram

2017

Int Surg J

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Background: Surgical repair of inguinal hernia remains a common operation in general surgery. No consensus has been achieved on the best surgical technique of inguinal herniorrhaphy. Open repair has lower recurrence and complication rates. Laparoscopic approach has less postoperative pain, reduced recovery time, earlier return to activity and fewer wound complications but expose the patient to potential complications, mainly possibility of visceral injury. The aim was to compare early and late outcomes after TAPP and lichtenstein repair.Methods: Three hundreds patients with inguinal hernia were enrolled in this study, divided into two equal groups: Group I managed by trans-abdominal pre-peritoneal laparoscopic repair (TAPP) and Group II managed by open lichtenstein repair (LR).Results: The operative time was significantly lower in TAPP than LR (50±18.98 min and 75±24.54 min respectively). TAPP has a significant advantage to diagnose and repair contra-lateral inguinal hernia (11.5%) and to repair concomitant umbilical hernia (7.3%). No significant difference between both groups regarding intra-operative visceral injury, ileus, hospital stay or wound complications. TAPP significantly decreased post-operative pain and groin hypothesia, shorten the duration needed to return to activities (7±3 days and 16±5 days respectively). There was no significant difference between both groups regarding the recurrence (4.2% and 2% respectively).Conclusions: TAPP technique is an excellent approach for treatment of inguinal hernia in comparison to LR either unilateral or bilateral, primary or recurrent inguinal hernia with low morbidity and recurrence comparable to that of LR with advantages of less post-operative pain and early return to activities.

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“…4 Several other studies and systematic reviews have largely confirmed these results. 5,6 In UK, the National Institute for Clinical Excellence has published its guidance on the use of laparoscopic surgery for inguinal hernias.…”

mentioning

confidence: 73%

Managing bilateral inguinal hernia laparoscopically: is it gold standard?

2016

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Background:Even after many studies done in recent years, no consensus has been achieved on the surgical technique of inguinal hernia repair. It was believed that in bilateral inguinal hernia cases laparoscopic surgery is very much advantageous as it can be done through same incisions as unilateral laparoscopic inguinal hernia repair (no additional incision required), whereas in open surgery for bilateral case separate groin incision for each side required. Aim of this study is to evaluate and compare results of bilateral inguinal hernia patients operated by laparoscopic (transabdominal preperitoneal) or open (lichenstein) repair.Methods: A prospective comparative study was conducted in a tertiary care teaching hospital over the period of two years. 60 patients with bilateral inguinal hernia were taken up and randomly divided into two groups. Group I (study group) includes patients operated by bilateral laparoscopic hernia repair (TAPP) and Group II (control group) includes patients operated by open hernia repair (lichenstein tension free hernioplasty). All patients were followed up for 18 months post-operatively. All patients of both groups were monitored for operative time, conversion rate, length hospital stay, post-operative complications and recurrence, time to return to work.Results:Statistically there was significant difference between both groups in terms of length of hospital stay and time to return to work. Group I patients where TAPP surgery performed, 22 patients (73.33%) were discharged within 36 hours of surgery, whereas in Group II patients - control group where open surgery performed, only 4 patients (13.33%) discharged within 36 hours. All 30 patients (100%) in group I had joined their routine work within 10 days of surgery; whereas in Group II patients only 4 cases (13.33%) joined duties on or before 10 days and most of the patients 26 (86.67%) had taken more than 10 days to resume their duties. But there was no significant difference between operative time, complication rates and recurrence rates. All cases in group I were completed laparoscopically (no conversion to open repair).Conclusions:Simultaneous bilateral inguinal hernia repair laparoscopically does not increase the risk for the patient and has an equal morbidity compared with unilateral repair, length of hospital stay, and return to normal work and over all recovery after laparoscopic repair is faster than after open bilateral simultaneous repair. Laparoscopic inguinal hernia repair of bilateral hernias should be recommended as the gold standard.

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Laparoscopic versus open inguinal hernia repair: randomised prospective trial

Cited by 296 publications

References 5 publications

Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society)

Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society)

Early and late outcomes of trans-abdominal pre-peritoneal and Lichtenstein repair for inguinal hernia, a comparative study

Managing bilateral inguinal hernia laparoscopically: is it gold standard?

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