Randomised controlled trial of laparoscopic versus open repair of inguinal hernia: early results

Lawrence, Kate; McWhinnie, Douglas; Goodwin, Alex; Doll, Helen; Gordon, Andrew C.; Gray, Alistair; Britton, Julian; Collin, J.

doi:10.1136/bmj.311.7011.981

Cited by 165 publications

(82 citation statements)

References 10 publications

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“…However at 3 months of follow up, there was no difference in the activity level between the laparoscopic and open group. Lawrence et al 18 did not find any significant difference in return to normal activities in two groups.…”

Section: Time To Return To Normal Activitymentioning

confidence: 82%

Laparoscopic vs. open inguinal hernia repair: A systematic review of literature

Gupta

Kumar

et al. 2014

Asian J Med Sci

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Section: Time To Return To Normal Activitymentioning

confidence: 82%

Laparoscopic vs. open inguinal hernia repair: A systematic review of literature

Gupta

Kumar

et al. 2014

Asian J Med Sci

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“…Therefore, a definitive conclusion on the cost-effectiveness of OPPR may not be inferred from this study. However, there are several studies which reported the cost-effectiveness of laparoscopic inguinal hernia repair compared to conventional open repair [42][43][44]. The estimated cost of LPPR is US$1250 compared to US$600 for OPPR.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Versus Open Preperitoneal Mesh Repair of Inguinal Hernia: an Integrated Systematic Review and Meta-analysis of Published Randomized Controlled Trials

2015

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The objective of this article is to systematically analyse the randomized, controlled trials comparing open (OPPR) versus laparoscopic (LPPR) preperitoneal mesh repair of inguinal hernia. Randomized, controlled trials comparing OPPR versus LPPR of inguinal hernia were analysed systematically using RevMan®, and combined outcomes were expressed as odds ratio (OR) and standardized mean difference (SMD). Ten randomized trials evaluating 1286 patients were retrieved from the electronic databases. There were 606 patients in the OPPR repair group and 680 patients in the LPPR group. There was significant heterogeneity among trials (p < 0.0001). Therefore, in the random effects model, LPPR was associated with longer operative time and relatively lesser postoperative pain in the case of the trans-abdominal preperitoneal approach. Statistically, both OPPR and LPPR were equivalent in terms of developing chronic groin pain, recurrence and postoperative complications. OPPR of inguinal hernia is associated with shorter operative time and comparable with LPPR (both total extraperitoneal and trans-abdominal preperitoneal approaches) in terms of risk of chronic groin pain, recurrence and complications.

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“…Although we know the difficulty of measuring postoperative pain due to its subjective nature, we used two methods to quantify it: the numerical scale of pain and the patient's need for rescue analgesia 1,6,8,11,12,14,15,19 . Although there was no difference between the groups regarding the pain scale, with 97.5% of the patients reporting mild to moderate pain and only one patient with severe pain in both groups, we noticed that the patients in the SF group requested more doses of analgesics than in the VL group, although this fact is also devoid of statistical significance.…”

Section: Discussionmentioning

confidence: 99%

“…Technological advances have also allowed the development of different types of surgical mesh, such as with resorbable material, self-fixating adhesives, low weight and fixation with fibrin glue 3,11,12 . This large arsenal of available material, associated with a wide variety of techniques (open or laparoscopic), raises questions about the gold standard for the treatment of inguinal hernia.…”

mentioning

confidence: 99%

Herniorrafia inguinal convencional com tela autofixante versus videolaparoscópica totalmente extraperitoneal com tela de polipropileno: resultados no pós-operatório precoce

Cunha-e-Silva

Oliveira

Ayres

et al. 2017

Rev. Col. Bras. Cir.

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RESUMO Objetivo: avaliar o resultado no pós-operatório precoce do tratamento da hérnia inguinal pela técnica convencional com tela autofixante versus videolaparoscópica totalmente extraperitoneal com uso da tela de polipropileno. Foram comparados, sobretudo, dor, tempo cirúrgico e complicações precoces. Métodos: estudo prospectivo, de série de casos, realizado na Clínica Cirúrgica A, do Hospital Universitário Gaffrée e Guinle (HUGG), no qual 80 casos consecutivos foram estudados. Apenas pacientes com hérnia inguinal unilateral, não recidivada e operadas em caráter eletivo foram incluídas no estudo. Os pacientes foram divididos em dois grupos, de 40 pacientes cada; grupo AF (técnica convencional com uso de tela autofixante) e grupo VL (técnica videolaparoscópica com uso de tela de polipropileno). Os pacientes foram acompanhados até o 45º dia de pós-operatório. Resultados: dos 80 pacientes operados no estudo, 98,7% pertenciam ao sexo masculino e a maioria era portadora de hérnia inguinal direita indireta (Nyhus II). Não houve diferença entre os grupos estudados no que diz respeito à dor e tempo operatório. No entanto, ocorreram mais complicações (seroma e hematoma) no grupo da cirurgia aberta. Conclusão: as duas operações realizadas se mostraram factíveis, seguras e estão relacionadas à mínima dor pós operatório e a um baixo tempo cirúrgico.

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Randomised controlled trial of laparoscopic versus open repair of inguinal hernia: early results

Abstract: Objective-To establish the safety, short term outcome, and theatre costs of transabdominal laparoscopic repair of inguinal hernia performed as day surgery.Design-Randomised controlled trial.

Cited by 165 publications

References 10 publications

Laparoscopic vs. open inguinal hernia repair: A systematic review of literature

Laparoscopic vs. open inguinal hernia repair: A systematic review of literature

Laparoscopic Versus Open Preperitoneal Mesh Repair of Inguinal Hernia: an Integrated Systematic Review and Meta-analysis of Published Randomized Controlled Trials

Herniorrafia inguinal convencional com tela autofixante versus videolaparoscópica totalmente extraperitoneal com tela de polipropileno: resultados no pós-operatório precoce

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