Lichtenstein Hernioplasty Versus Totally Extraperitoneal Laparoscopic Hernioplasty in Treatment of Recurrent Inguinal Hernia—A Prospective Randomized Trial

Kouhia, Sanna; Huttunen, R; Silvasti, S.; Heiskanen, J.T; Ahtola, Heikki; Uotila-Nieminen, Mirjami; Kiviniemi, Vesa; Hakala, Tapio

doi:10.1097/sla.0b013e318196d0b0

Cited by 84 publications

(56 citation statements)

References 21 publications

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“…In study conducted by Eklund et al, mean duration at which patient returned to routine work was 20 days. 7,9,[14][15][16] In present study mean duration at which patient returned to work is comparable to above mentioned studies. The patients who undergo laparoscopic surgery are able to resume routine early when compare open surgery.…”

Section: Return To Routine Work (Table 4)supporting

confidence: 77%

A study of laparoscopic total extraperitoneal endoscopic hernioplasty in cases of inguinal hernia - an experience of a tertiary care centre

Chauhan

Chheda

2016

Int Surg J

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Section: Return To Routine Work (Table 4)supporting

confidence: 77%

A study of laparoscopic total extraperitoneal endoscopic hernioplasty in cases of inguinal hernia - an experience of a tertiary care centre

Chauhan

Chheda

2016

Int Surg J

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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.…”

mentioning

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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“…They attributed this difference as a result of reduced pain in TIPP group as compared to Lichtenstein group. Similarly, while comparing extraperitoneal preperitoneal laparoscopic technique (TEP) with Lichtenstein hernioplasty, Kauhia et al (2009) (15) also reported shorter time taken for the return to work in TEP group as compared to Lichtenstein group, which might be attributed to use of the laparoscopic technique in TEP group. Our study found both the techniques comparable except for duration of surgery, which in itself can be improved with the cumulative practice of transinguinal preperitoneal approach for hernia repair.…”

Section: Age Groupmentioning

confidence: 99%

Transinguinal Preperitoneal Repair (Tipp) Versus Lichtenstein’s Repair for Inguinal Hernia- A Comparative Study

Ansari¹,

Shekhar²,

Musa³

et al. 2017

jemds

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BACKGROUNDThe concept of preperitoneal repair of inguinal hernia was an effort by Stoppa to reduce the high recurrence rates associated with anterior repairs popular at that time, most of the techniques were tissue based as against prosthetic repair. The Transinguinal Preperitoneal (TIPP) Procedure has been described as an alternative open preperitoneal mesh repair. Our study compared inguinal hernia repair by open transinguinal preperitoneal repair with Lichtenstein's repair. MATERIALS AND METHODSA total of 80 patients was included in this study with 40 patients in each group. Both the groups were operated under spinal anaesthesia and by a single competent surgeon. Randomisation was done through computerised random number generation. Both the procedures were performed as per standard guidelines. RESULTSThe proportional differences in age groups of patients in both the groups was not statistically significant. Proportion of patients with left inguinal hernia was higher in Group I (35.00%) as compared to Group II (32.50%), but this difference was not statistically significant. Mean duration of surgery in Group I (60.00 + 13.25 minutes) was found to be higher than that in Group II (54.00 + 8.49 minutes). This difference was found to be statistically significant (p = 0.018). CONCLUSIONTransinguinal preperitoneal mesh repair and Lichtenstein repair methods are comparable surgical techniques with respect to intraoperative as well as post-operative outcomes.

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Lichtenstein Hernioplasty Versus Totally Extraperitoneal Laparoscopic Hernioplasty in Treatment of Recurrent Inguinal Hernia—A Prospective Randomized Trial

Abstract: The laparoscopic technique with mesh in the treatment of recurrent inguinal hernia was proven superior to the open mesh repair in several important clinical aspects, with concomitant improvement in patient satisfaction.

Cited by 84 publications

References 21 publications

A study of laparoscopic total extraperitoneal endoscopic hernioplasty in cases of inguinal hernia - an experience of a tertiary care centre

A study of laparoscopic total extraperitoneal endoscopic hernioplasty in cases of inguinal hernia - an experience of a tertiary care centre

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

Transinguinal Preperitoneal Repair (Tipp) Versus Lichtenstein’s Repair for Inguinal Hernia- A Comparative Study

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