Meta-analysis and review of prospective randomized trials comparing laparoscopic and Lichtenstein techniques in recurrent inguinal hernia repair

Pisanu, Adolfo; Podda, Mauro; Saba, Alessandra; Porceddu, Giulia; Uccheddu, A

doi:10.1007/s10029-014-1281-1

Cited by 102 publications

(71 citation statements)

References 31 publications

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“…7 Laparoscopic and open hernia repairs fulfil this criterion. 8 However, the question about the most appropriate technique still confuses the community of surgeons. Several studies have compared the laparoscopic and open techniques for inguinal hernia repair.…”

Section: Discussionmentioning

confidence: 99%

Assessment and comparison of laparoscopic hernia repair versus open hernia: a non-randomized study

Murthy¹,

Ravalia²

2018

Int Surg J

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Background: Hernia is the abnormal exit of an organ or fatty tissue, such as the bowel, through the wall of the cavity in which it normally resides. Repair of inguinal hernia is one of the common surgical procedures done worldwide. Present study was performed with an aim to compare the effectiveness of laparoscopic hernia repair and Lichtenstein’s hernioplasty and to know for any special pre-operative/ intra operative requirements for surgery.Methods: Present study is a non-randomized comparative study. The study consisted 50 patients treated with Hernioplasty (20 cases of laparoscopic hernioplasty and 30 cases of open hernioplasty in the Department of General Surgery, during the study period of one year. Data were collected using a questionnaire.Results: Mean operating time in group A was 92.25 minutes while in group B was 43.5 minutes, which is significantly supplementary. Pain score was significantly less in group A with 75% patients giving score 1-2 (mild pain) and 3 patients with discomforting pain with p<0.05.Conclusions: laparoscopic pre-peritoneal mesh repair of inguinal hernia is safe and efficacious and offers definitive advantages over open mesh repair and should be an available option for all patients requiring elective Hernioplasty.

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Section: Discussionmentioning

confidence: 99%

Assessment and comparison of laparoscopic hernia repair versus open hernia: a non-randomized study

Murthy¹,

Ravalia²

2018

Int Surg J

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“…There was no high risk of bias in any of the included trials (8). The meta-analysis by Pisanu et al (8) detected for laparoendoscopic repair of recurrent hernias a significantly lower chronic pain rate and significantly earlier resumption of normal everyday activities.…”

mentioning

confidence: 99%

“…There are six meta-analyses available for comparison of laparo-endoscopic with open repair of recurrent inguinal hernias (5,6,7,8,9,10). The meta-analysis by Pisanu (8) contained the largest number of exclusively prospective randomized trials (RCTs) (11,12,13,14,15,16,17).…”

mentioning

confidence: 99%

“…The meta-analysis by Pisanu et al (8) detected for laparoendoscopic repair of recurrent hernias a significantly lower chronic pain rate and significantly earlier resumption of normal everyday activities. Compared with the Lichtenstein operation, the operative time for laparoendoscopic procedures was significantly longer (8). On the basis of the meta-analyses, the European Hernia Society recommends laparo-endoscopic inguinal hernia repair for recurrent hernias after conventional open repair (10,18).…”

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confidence: 99%

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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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“…Laparoscopic repair of inguinal hernia is mini-invasive and has confirmed effects (1)(2)(3). From the viewpoint of the myopectineal orifice concept and laparoscopic repair, the pathogenesis and treatment principles of femoral and inguinal hernias are basically the same.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic repair of femoral hernia

Yang¹,

Liu²

2016

Ann. Transl. Med.

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Laparoscopic repair of inguinal hernia is mini-invasive and has confirmed effects. Femoral hernia could be repaired through the laparoscopic procedures for inguinal hernia. These procedures have clear anatomic view in the operation and preoperatively undiagnosed femoral hernia could be confirmed and treated. Lower recurrence ratio was reported in laparoscopic procedures compared with open procedures for repair of femoral hernia. The technical details of laparoscopic repair of femoral hernia, especially the differences to laparoscopic repair of inguinal hernia are discussed in this article.

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Meta-analysis and review of prospective randomized trials comparing laparoscopic and Lichtenstein techniques in recurrent inguinal hernia repair

Cited by 102 publications

References 31 publications

Assessment and comparison of laparoscopic hernia repair versus open hernia: a non-randomized study

Assessment and comparison of laparoscopic hernia repair versus open hernia: a non-randomized study

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

Laparoscopic repair of femoral hernia

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