Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: long-term follow-up of a randomized controlled trial.
(2008) In Surgery 143(3). p.313-317- Abstract
- BACKGROUND: We have conducted a randomized controlled trial of totally extraperitoneal hernia repair (TEP) versus tension-free open repair (Lichtenstein repair); we have presented the results previously up to 1 year after the operation. The aim of this study was to compare patient outcome in both groups at a median follow-up of 7.3 years after operation. METHODS: Of 168 patients included in a prospective, randomized controlled trial designed to compare TEP with an open tension-free technique, 154 patients (92%) answered a questionnaire and 147 patients (88%) were followed up at an outpatient clinic after a minimum of 6 years after operation. RESULTS: Overall, 89% of patients in the TEP group and 95% of patients in the open group reported... (More)
- BACKGROUND: We have conducted a randomized controlled trial of totally extraperitoneal hernia repair (TEP) versus tension-free open repair (Lichtenstein repair); we have presented the results previously up to 1 year after the operation. The aim of this study was to compare patient outcome in both groups at a median follow-up of 7.3 years after operation. METHODS: Of 168 patients included in a prospective, randomized controlled trial designed to compare TEP with an open tension-free technique, 154 patients (92%) answered a questionnaire and 147 patients (88%) were followed up at an outpatient clinic after a minimum of 6 years after operation. RESULTS: Overall, 89% of patients in the TEP group and 95% of patients in the open group reported complete long-term recovery (P = .23). Permanent impaired inguinal sensibility was more common in the open group (P = .004), whereas the proportion of patients with reported testicular pain was higher in the TEP group (P = .003). Three recurrences were found in the TEP group, and 4 recurrences were found in the open group (P = .99). Four patients in the TEP group underwent operations for complications related to the hernia repair (small bowel obstruction, umbilical hernia, testicular pain, and neuralgia). CONCLUSION: Overall, both groups showed good long-term results with low rates of recurrences. However, the TEP group was associated with a higher proportion of patients with long-term testicular pain, whereas impaired inguinal sensibility was more common in the open group. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1041638
- author
- Hallén, Magnus LU ; Bergenfelz, Anders LU and Westerdahl, Johan LU
- organization
- publishing date
- 2008
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Surgery
- volume
- 143
- issue
- 3
- pages
- 313 - 317
- publisher
- Elsevier
- external identifiers
-
- pmid:18291251
- wos:000253783700002
- scopus:39149120256
- pmid:18291251
- ISSN
- 1532-7361
- DOI
- 10.1016/j.surg.2007.09.028
- language
- English
- LU publication?
- yes
- id
- a27d479e-129b-47b9-9519-b74c717dc9e8 (old id 1041638)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/18291251?dopt=Abstract
- date added to LUP
- 2016-04-04 09:38:20
- date last changed
- 2022-03-15 20:13:08
@article{a27d479e-129b-47b9-9519-b74c717dc9e8,
abstract = {{BACKGROUND: We have conducted a randomized controlled trial of totally extraperitoneal hernia repair (TEP) versus tension-free open repair (Lichtenstein repair); we have presented the results previously up to 1 year after the operation. The aim of this study was to compare patient outcome in both groups at a median follow-up of 7.3 years after operation. METHODS: Of 168 patients included in a prospective, randomized controlled trial designed to compare TEP with an open tension-free technique, 154 patients (92%) answered a questionnaire and 147 patients (88%) were followed up at an outpatient clinic after a minimum of 6 years after operation. RESULTS: Overall, 89% of patients in the TEP group and 95% of patients in the open group reported complete long-term recovery (P = .23). Permanent impaired inguinal sensibility was more common in the open group (P = .004), whereas the proportion of patients with reported testicular pain was higher in the TEP group (P = .003). Three recurrences were found in the TEP group, and 4 recurrences were found in the open group (P = .99). Four patients in the TEP group underwent operations for complications related to the hernia repair (small bowel obstruction, umbilical hernia, testicular pain, and neuralgia). CONCLUSION: Overall, both groups showed good long-term results with low rates of recurrences. However, the TEP group was associated with a higher proportion of patients with long-term testicular pain, whereas impaired inguinal sensibility was more common in the open group.}},
author = {{Hallén, Magnus and Bergenfelz, Anders and Westerdahl, Johan}},
issn = {{1532-7361}},
language = {{eng}},
number = {{3}},
pages = {{313--317}},
publisher = {{Elsevier}},
series = {{Surgery}},
title = {{Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: long-term follow-up of a randomized controlled trial.}},
url = {{http://dx.doi.org/10.1016/j.surg.2007.09.028}},
doi = {{10.1016/j.surg.2007.09.028}},
volume = {{143}},
year = {{2008}},
}