Patient-perspective quality of life after laparoscopic and open hernia repair: a controlled randomized trial

Abbas, Ashraf; Ellatif, Mohamed E. Abd; Noaman, Nashat; Negm, Ahmad; El-Morsy, Gamal Z.; Amin, Mahmoud A.; Moatamed, Ahmad

doi:10.1007/s00464-012-2212-9

Cited by 64 publications

(64 citation statements)

References 24 publications

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“…1) [12–21]. The three publications by Koeninger et al [16, 17] and Butters et al [18] described results of the same patient collective at different time points and were considered as one study.…”

Section: Resultsmentioning

confidence: 99%

Transabdominal Preperitoneal (TAPP) versus Lichtenstein operation for primary inguinal hernia repair – A systematic review and meta-analysis of randomized controlled trials

et al. 2017

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BackgroundTransabdominal Preperitoneal (TAPP) and Lichtenstein operation are established methods for inguinal hernia repair in clinical practice. Meta-analyses of randomized controlled studies, comparing those two methods for repair of primary inguinal hernia, are still missing. In this study, a systematic review and meta-analysis of published randomized controlled trials was performed to compare early and long term outcomes of the two methods.MethodsA literature search was carried out to identify randomized controlled trials, which compared TAPP and Lichtenstein repair for primary inguinal hernia. Outcome measures included duration of operation, length of hospital stay, acute postoperative and chronic pain, time to return to work, hematoma, wound infection, neuralgia, numbness, scrotal swelling, seroma and hernia recurrence. A quantitative meta-analysis was performed, using Odds Ratios (OR) or Standardized Mean Difference (SMD), and Confidence Interval (CI).ResultsEight controlled randomized studies were identified suitable for the analysis. The mean duration of the operation was shorter in Lichtenstein repair (SMD = 6.79 min, 95% CI, −0.68 – 14.25), without significant difference. Comparing both techniques, patients of the laparoscopic group showed postoperatively significantly less chronic inguinal pain (OR = 0.42; 95% CI, 0.23–0.78). Analyses of the remaining outcome measures did not show any significant differences between the two techniques.ConclusionThe results of this analysis indicate that complication rate and outcome of both procedures are comparable. TAPP operation demonstrated only one advantage over Lichtenstein operation with significantly less chronic inguinal pain postoperatively.

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Section: Resultsmentioning

confidence: 99%

Transabdominal Preperitoneal (TAPP) versus Lichtenstein operation for primary inguinal hernia repair – A systematic review and meta-analysis of randomized controlled trials

et al. 2017

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“…The same finding was found in studies conducted. 2,3,[7][8][9][10][11][12][13] We found no difference between the TAPP group and Lichtenstein group regarding the mean hospital stay (37.2±12.1 hours vs. 38.2±13.6 hours; p=0.7; CI=95%; Mann Whitney 'U' test). This was consistent with.…”

Section: Resultsmentioning

confidence: 53%

“…10,12 There was also an increased incidence of postoperative neuralgia in open Lichtenstein procedure compared to TAPP as per. 12,13 These findings suggest laparoscopic TAPP is superior to open Lichtenstein procedure regarding postoperative complications.…”

Section: Resultsmentioning

confidence: 97%

“…Found no difference between the two groups in terms intra-operative complications. 10,12,13 But a multicentre trial found intra-operative complications were more in a laparoscopic procedure. 3 Again, it's the surgeon's laparoscopic skill which makes a difference.…”

Section: Resultsmentioning

confidence: 99%

“…This was consistent with. 8,10,13 The laparoscopic TAPP patients were discharged early compared to open Lichtenstein group in studies. 2,11,12 The mean time to return to work was 12.1±11.8 days in TAPP group, which was significantly lesser than the Lichtenstein group (20.9±4 days; p=0.04; CI=95%; student 't' test).…”

Section: Resultsmentioning

confidence: 99%

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Laparoscopic transabdominal preperitoneal inguinal repair versus open Lichtenstein repair: a randomized control trial

Dandinarasaiah

Gurugunti²,

Radhakrishna

2017

Int Surg J

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Background: There have been a plenty of evolution in surgical techniques of hernia repair. The current standard technique is tension-free repair. The different studies show different results with the use of laparoscopy in performing tension-free hernia repair. Hence a study was conducted to compare the laparoscopic transabdominal preperitoneal repair with open Lichtenstein repair regarding operative complications, pain, analgesic usage, and time to return to normal activities.Methods: A randomized control trial was conducted in the Department of General Surgery in a tertiary center from December 2010 to May 2012. All patients underwent either open Lichtenstein repair or laparoscopic transabdominal preperitoneal repair (TAPP). Both the procedures included a recording of operative time, operative complications, pain, analgesic usage, hospital stay, surgical site infection (SSI), and time to return to normal activities. Mann Whitney U test, student ‘t’ test and Fisher’s exact test were used to study the significance of the difference. A p-value <0.05 was considered significant.Results: The open Lichtenstein procedure was found to have a significantly less operative time compared to TAPP procedure (54±15 minutes vs. 75.7±31.6 minutes; p=0.001; CI=95%; Mann Whitney ‘U’ test). TAPP group had a significantly low pain at 12hrs and 24hrs postoperatively. There was no difference between the TAPP group and Lichtenstein group regarding the mean hospital stay (37.2±12.1 hours vs. 38.2±13.6 hours; p=0.7; CI=95%; Mann Whitney ‘U’ test). The mean time to return to work was 12.1±11.8 days in TAPP group, which was significantly lesser than the Lichtenstein group (20.9±4 days; p= 0.04; CI=95%; student ‘t’ test). No recurrence was found.Conclusions: Laparoscopic TAPP was a safe and effective procedure for inguinal hernia repair, and it can replace open procedure.

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Meta-analysis of patient-reported outcomes after laparoscopic versus open inguinal hernia repair

Patterson

Beck

Currie

et al. 2019

British Journal of Surgery

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Background: Inguinal hernia repair is a common low-risk intervention. Patient-reported outcomes (PROs) are being used increasingly as primary outcomes in clinical trials. The aim of this study was to review and meta-analyse the PROs in RCTs comparing laparoscopic versus open inguinal hernia repair techniques in adult patients.Methods: A systematic review and meta-analysis was carried out in accordance with PRISMA guidelines. Only RCTs in peer-reviewed journals were considered. PubMed, Ovid Embase, Scopus and the Cochrane Library were searched. In addition, four trial registries were searched. The search interval was between 1 January 1998 and 1 May 2018. Identified publications were reviewed independently by two authors. The review was registered in the PROSPERO database (CRD42018099552). Bias was assessed using the Cochrane Collaboration risk-of-bias tool.Results: Some 7192 records were identified, from which 58 unique RCTs were selected. Laparoscopic hernia repair was associated with significantly less postoperative pain in three intervals: from 2 weeks to within 6 months after surgery (risk ratio (RR) 0⋅74, 95 per cent c.i. 0⋅62 to 0⋅88), 6 months to 1 year (RR 0⋅74, 0⋅59 to 0⋅93) and 1 year onwards (RR 0⋅62, 0⋅47 to 0⋅82). Paraesthesia (RR 0⋅27, 0⋅18 to 0⋅40) and patient-reported satisfaction (RR 0⋅91, 0⋅85 to 0⋅98) were also significantly better in the laparoscopic repair group. Conclusion:The data and analysis reported in this study reflect the most up-to-date evidence available for the surgeon to counsel patients. It was constrained by heterogeneity of reporting for several outcomes. Summary measures and synthesis of resultsPROs are shown as crude rates and, if appropriate, mean scores. Meta-analysisMeta-analysis was undertaken for each distinct outcome if there were two or more RCTs that examined the same

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Patient-perspective quality of life after laparoscopic and open hernia repair: a controlled randomized trial

Abstract: TAPP hernia repair technique is a safe technique with low complication rate, less postoperative body pain, and better quality-of-life outcomes compared with open technique, being well accepted from the patient's perspective for quality of life.

Cited by 64 publications

References 24 publications

Transabdominal Preperitoneal (TAPP) versus Lichtenstein operation for primary inguinal hernia repair – A systematic review and meta-analysis of randomized controlled trials

Transabdominal Preperitoneal (TAPP) versus Lichtenstein operation for primary inguinal hernia repair – A systematic review and meta-analysis of randomized controlled trials

Laparoscopic transabdominal preperitoneal inguinal repair versus open Lichtenstein repair: a randomized control trial

Meta-analysis of patient-reported outcomes after laparoscopic versus open inguinal hernia repair

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