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Recurrent inguinal hernia: randomized multicenter trial comparing laparoscopic and Lichtenstein repair

Eklund, A.; Rudberg, C.; Leijonmarck, C. -E.; Rasmussen, I.; Spangen, L.; Wickbom, G.; Wingren, U. and Montgomery, Agneta LU (2007) In Surgical Endoscopy 21(4). p.634-640
Abstract
Background: The optimal treatment for recurrent inguinal hernia is of concern due to the high frequency of recurrence. Methods: This randomized multicenter study compared the short- and long-term results for recurrent inguinal hernia repair by either the laparoscopic transabdominal preperitoneal patch (TAPP) procedure or the Lichtenstein technique. Results: A total of 147 patients underwent surgery (73 TAPP and 74 Lichtenstein). The operating time was 65 min (range, 23-165 min) for the TAPP group and 64 min (range, 25-135 min) for the Lichtenstein group. Patients who underwent TAPP reported significantly less postoperative pain and shorter sick leave (8 vs 16 days). The recurrence rate 5 years after surgery was 19% for the TAPP group and... (More)
Background: The optimal treatment for recurrent inguinal hernia is of concern due to the high frequency of recurrence. Methods: This randomized multicenter study compared the short- and long-term results for recurrent inguinal hernia repair by either the laparoscopic transabdominal preperitoneal patch (TAPP) procedure or the Lichtenstein technique. Results: A total of 147 patients underwent surgery (73 TAPP and 74 Lichtenstein). The operating time was 65 min (range, 23-165 min) for the TAPP group and 64 min (range, 25-135 min) for the Lichtenstein group. Patients who underwent TAPP reported significantly less postoperative pain and shorter sick leave (8 vs 16 days). The recurrence rate 5 years after surgery was 19% for the TAPP group and 18% for the Lichtenstein group. Conclusion: The short-term advantage for patients who undergo the laparoscopic technique is less postoperative pain and shorter sick leave. In the long term, no differences were observed in the chronic pain or recurrence rate. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
recurrence, pain, Lichtenstein, inguinal hernia, laparoscopy
in
Surgical Endoscopy
volume
21
issue
4
pages
634 - 640
publisher
Springer
external identifiers
  • wos:000245593200025
  • scopus:33947331745
ISSN
0930-2794
DOI
10.1007/s00464-006-9163-y
language
English
LU publication?
yes
id
08df700f-3536-4423-b79c-1f1776759f04 (old id 666200)
date added to LUP
2007-12-06 13:09:57
date last changed
2017-11-05 04:29:27
@article{08df700f-3536-4423-b79c-1f1776759f04,
  abstract     = {Background: The optimal treatment for recurrent inguinal hernia is of concern due to the high frequency of recurrence. Methods: This randomized multicenter study compared the short- and long-term results for recurrent inguinal hernia repair by either the laparoscopic transabdominal preperitoneal patch (TAPP) procedure or the Lichtenstein technique. Results: A total of 147 patients underwent surgery (73 TAPP and 74 Lichtenstein). The operating time was 65 min (range, 23-165 min) for the TAPP group and 64 min (range, 25-135 min) for the Lichtenstein group. Patients who underwent TAPP reported significantly less postoperative pain and shorter sick leave (8 vs 16 days). The recurrence rate 5 years after surgery was 19% for the TAPP group and 18% for the Lichtenstein group. Conclusion: The short-term advantage for patients who undergo the laparoscopic technique is less postoperative pain and shorter sick leave. In the long term, no differences were observed in the chronic pain or recurrence rate.},
  author       = {Eklund, A. and Rudberg, C. and Leijonmarck, C. -E. and Rasmussen, I. and Spangen, L. and Wickbom, G. and Wingren, U. and Montgomery, Agneta},
  issn         = {0930-2794},
  keyword      = {recurrence,pain,Lichtenstein,inguinal hernia,laparoscopy},
  language     = {eng},
  number       = {4},
  pages        = {634--640},
  publisher    = {Springer},
  series       = {Surgical Endoscopy},
  title        = {Recurrent inguinal hernia: randomized multicenter trial comparing laparoscopic and Lichtenstein repair},
  url          = {http://dx.doi.org/10.1007/s00464-006-9163-y},
  volume       = {21},
  year         = {2007},
}