Randomized clinical trial of laparoscopic <i>versus</i> open inguinal hernia repair

Juul, Per; Christensen, K. C.

doi:10.1046/j.1365-2168.1999.01053.x

Cited by 101 publications

(47 citation statements)

References 12 publications

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“…Sixteen trials compared endoscopic techniques with the Shouldice repair [11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28]. These studies represent a total collective of 2,498 operated patients and are summarized in table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Thirty-three randomized controlled trials with a total of 5,053 random patients were used for the evaluation [11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45]. Due to the separate publication of partial aspects [40, 45]and late results [11, 12, 14, 18], a total of 36 publications was analyzed.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic Inguinal Hernia Repair in Comparison with Shouldice and Lichtenstein Repair

Schmedt¹,

Leibl²,

Bittner³

2002

Dig Surg

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Aims: This article provides an overview of randomized studies which compare endoscopic hernia repair techniques (TAPP/TEP) with the Shouldice and Lichtenstein repair. Methods: Systematic analysis of 33 published studies which meet the criteria of a randomized controlled trial with a high evidence level. Results: The majority of the studies document statistically significant advantages of the endoscopic repair techniques in relation to wound pain (15/22), need for analgesics (16/21), return-to-work time (16/22) and physical activity (18/25), although only one study showed significant advantages of the Lichtenstein method. Six of 28 studies showed a lower morbidity in comparison to open approaches, although 22 of 28 studies documented no significant difference. The first long-term studies with follow-up periods between 5 and 6 years also show advantages of the endoscopic techniques. Conclusion: Even with cautious interpretation of the data, it is clear that endoscopic techniques are more comfortable for patients and that morbidity is no higher than for open procedures. Due to the short follow-up periods final evaluation regarding long-term complications and recurrence is not yet possible.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Endoscopic Inguinal Hernia Repair in Comparison with Shouldice and Lichtenstein Repair

Schmedt¹,

Leibl²,

Bittner³

2002

Dig Surg

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“…We defined chronic pain as any groin pain that have an impact on the quality of life at or beyond 3 months after surgery [19]. Six studies reported the incidence of chronic pain after inguinal hernia repair [1,8,9,12,13,14].…”

Section: Resultsmentioning

confidence: 99%

A Meta-Analysis Examining the Use of Fibrin Glue Mesh Fixation versus Suture Mesh Fixation in Open Inguinal Hernia Repair

Liu

Zheng

et al. 2014

Dig Surg

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Background: The aim of this study was to systematically analyze the randomized trials comparing fibrin glue mesh fixation with suture mesh fixation in open inguinal hernia repair. Methods: Information was collected from a literature search using PubMed, Springer, Cochrane Library database and reference lists. The methodological quality of included publications was evaluated. Statistical analysis was performed using Review Manager Version 5.2.5 software. Results: Nine articles were identified for inclusion: four randomized controlled trials (RCTs) and five prospective observational clinical studies. All the trials were considered to be of fair quality. The results showed that there was a lower incidence of chronic pain (RR 0.42, 95% CI 0.22-0.79, I² 11%; p < 0.01), and hematoma/seroma (RR 0.43, 95% CI 0.21-0.87, I² 0%; p < 0.05) in the fibrin glue mesh fixation group. However, the results of meta-analysis revealed that the incidence of recurrence or urinary problems between the two procedures were similar. Conclusions: During the 6-15 months follow-up, fibrin glue mesh fixation is a feasible alternative for mesh fixation with sutures in open inguinal hernia repair. However, the poor quality of the included trials limits the evidence; rigorously designed trials are warranted to confirm this conclusion.

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“…The laparoscopic-surgery group had less pain initially than the open-surgery group on the day of surgery and at two weeks (18) . In a study comparing open and laparoscopic inguinal hernia repairs, Juul P et al concluded that the complication rates in the two groups were similar (19) . In a study conducted by Bringman et al, the total complication rate in the laparoscopic group was seen to be 9.8% (wound hematoma 3.3%, seroma and superficial infection 1.1% each, urinary retention 2.2%, wound secretion and respiratory complication in 1.1% each) and in the open mesh group it was seen to be 20.4% (wound hematoma 7.8%, superficial infection 3.9%, prolonged pain and testicular swelling 1.9% each, wound secretion 2.9% and sensory loss 1.9%) (20) .…”

Section: Discussionmentioning

confidence: 99%

Randomised Controlled Study of Short Term Outcomes of Laparoscopic Inguinal Hernia Mesh Repair and Lichensteins Inguinal Hernia Mesh Repair

R¹

2018

jmscr

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Randomized clinical trial of laparoscopic versus open inguinal hernia repair

Abstract: This study shows that in patients with a primary unilateral hernia laparoscopic repair results in less postoperative pain and a quicker recovery than open repair.

Cited by 101 publications

References 12 publications

Endoscopic Inguinal Hernia Repair in Comparison with Shouldice and Lichtenstein Repair

Endoscopic Inguinal Hernia Repair in Comparison with Shouldice and Lichtenstein Repair

A Meta-Analysis Examining the Use of Fibrin Glue Mesh Fixation versus Suture Mesh Fixation in Open Inguinal Hernia Repair

Randomised Controlled Study of Short Term Outcomes of Laparoscopic Inguinal Hernia Mesh Repair and Lichensteins Inguinal Hernia Mesh Repair

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