Low Recurrence Rate After Laparoscopic (TEP) and Open (Lichtenstein) Inguinal Hernia Repair A Randomized, Multicenter Trial With 5-Year Follow-Up
(2009) In Annals of Surgery 249(1). p.33-38- Abstract
- Objectives: To compare a laparoscopic (totally extraperitoneal patch (TEP)) and an open technique (Lichtenstein) for inguinal hernia repair regarding recurrence rate and possible risk factors for recurrence. Summary Background Data: Laparoscopic hernia repair has been introduced as an alternative to open repair. Short-term follow-tip suggests benefits for those patients operated with a laparoscopic approach compared with open techniques; ie, less postoperative pain and a shorter convalescence period. Long-term results, however, arc less well known. Methods: The study was conducted as a Multicenter randomized trial with a 5-year follow-up. A total of 1512 men aged 30 to 70 years, with a primary unilateral inguinal hernia, were randomized to... (More)
- Objectives: To compare a laparoscopic (totally extraperitoneal patch (TEP)) and an open technique (Lichtenstein) for inguinal hernia repair regarding recurrence rate and possible risk factors for recurrence. Summary Background Data: Laparoscopic hernia repair has been introduced as an alternative to open repair. Short-term follow-tip suggests benefits for those patients operated with a laparoscopic approach compared with open techniques; ie, less postoperative pain and a shorter convalescence period. Long-term results, however, arc less well known. Methods: The study was conducted as a Multicenter randomized trial with a 5-year follow-up. A total of 1512 men aged 30 to 70 years, with a primary unilateral inguinal hernia, were randomized to either TEP or Lichtenstein repair. Results: Overall, 665 patients in the TEP group and 705 patients in the Lichtenstein group were evaluable. The cumulative recurrence rate was 3.5% in the TEP group and 1.2% in the Lichtenstein group (P = 0.0081). Test For heterogeneity revealed significant differences between individual Surgeons. The exclusion of 1 surgeon, who was responsible for 33% (7 of 21) of all recurrences in the TEP group, lowered the cumulative recurrence rate to 2.4% in this group, which was not statistically different front that of the Lichtenstein group. Conclusions: The recurrence rate for both TEP and Lichtenstein repair was low. A higher cumulative recurrence rate in the TEP group was seen at 5 years. Further analysis revealed that this could be attributable to incorrect surgical technique. (Less)
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https://lup.lub.lu.se/record/1313471
- author
- Eklund, Arne S. ; Montgomery, Agneta LU ; Rasmussen, Ib C. ; Sandbue, Rune P. ; Bergkvist, Leif A. and Rudberg, Clues R.
- organization
- publishing date
- 2009
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Annals of Surgery
- volume
- 249
- issue
- 1
- pages
- 33 - 38
- publisher
- Lippincott Williams & Wilkins
- external identifiers
-
- wos:000262219300007
- scopus:58749087101
- pmid:19106673
- ISSN
- 1528-1140
- DOI
- 10.1097/SLA.0b013e31819255d0
- language
- English
- LU publication?
- yes
- id
- eb072add-62e9-4d37-9e53-b225fe70ea8a (old id 1313471)
- date added to LUP
- 2016-04-01 11:54:21
- date last changed
- 2022-03-28 17:22:54
@article{eb072add-62e9-4d37-9e53-b225fe70ea8a,
abstract = {{Objectives: To compare a laparoscopic (totally extraperitoneal patch (TEP)) and an open technique (Lichtenstein) for inguinal hernia repair regarding recurrence rate and possible risk factors for recurrence. Summary Background Data: Laparoscopic hernia repair has been introduced as an alternative to open repair. Short-term follow-tip suggests benefits for those patients operated with a laparoscopic approach compared with open techniques; ie, less postoperative pain and a shorter convalescence period. Long-term results, however, arc less well known. Methods: The study was conducted as a Multicenter randomized trial with a 5-year follow-up. A total of 1512 men aged 30 to 70 years, with a primary unilateral inguinal hernia, were randomized to either TEP or Lichtenstein repair. Results: Overall, 665 patients in the TEP group and 705 patients in the Lichtenstein group were evaluable. The cumulative recurrence rate was 3.5% in the TEP group and 1.2% in the Lichtenstein group (P = 0.0081). Test For heterogeneity revealed significant differences between individual Surgeons. The exclusion of 1 surgeon, who was responsible for 33% (7 of 21) of all recurrences in the TEP group, lowered the cumulative recurrence rate to 2.4% in this group, which was not statistically different front that of the Lichtenstein group. Conclusions: The recurrence rate for both TEP and Lichtenstein repair was low. A higher cumulative recurrence rate in the TEP group was seen at 5 years. Further analysis revealed that this could be attributable to incorrect surgical technique.}},
author = {{Eklund, Arne S. and Montgomery, Agneta and Rasmussen, Ib C. and Sandbue, Rune P. and Bergkvist, Leif A. and Rudberg, Clues R.}},
issn = {{1528-1140}},
language = {{eng}},
number = {{1}},
pages = {{33--38}},
publisher = {{Lippincott Williams & Wilkins}},
series = {{Annals of Surgery}},
title = {{Low Recurrence Rate After Laparoscopic (TEP) and Open (Lichtenstein) Inguinal Hernia Repair A Randomized, Multicenter Trial With 5-Year Follow-Up}},
url = {{http://dx.doi.org/10.1097/SLA.0b013e31819255d0}},
doi = {{10.1097/SLA.0b013e31819255d0}},
volume = {{249}},
year = {{2009}},
}