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Short-term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair

Eklund, A. ; Rudberg, C. ; Smedberg, S. ; Enander, L. K. ; Leijonmarck, C. E. ; Osterberg, J. and Montgomery, Agneta LU (2006) In British Journal of Surgery 93(9). p.1060-1068
Abstract
Background: Laparoscopic herniorrhaphy has emerged as a recognized operative method for inguinal hernia repair. This study compared the short-term results of two tension-free methods of repair: totally extraperitoneal (TEP) laparoscopic patch repair and the open Lichtenstein mesh technique. Methods: A total of 1513 men from 11 hospitals who presented with a primary unilateral inguinal hernia were randomized to one of the two methods. Operating time, short-term complications, reoperations, postoperative pain, consumption of analgesics, sick leave and time to resumption of normal physical activities were recorded. Results: Some 1371 of the 1513 men underwent surgery, 665 in the TEP group and 706 in the Lichtenstein group. The median duration... (More)
Background: Laparoscopic herniorrhaphy has emerged as a recognized operative method for inguinal hernia repair. This study compared the short-term results of two tension-free methods of repair: totally extraperitoneal (TEP) laparoscopic patch repair and the open Lichtenstein mesh technique. Methods: A total of 1513 men from 11 hospitals who presented with a primary unilateral inguinal hernia were randomized to one of the two methods. Operating time, short-term complications, reoperations, postoperative pain, consumption of analgesics, sick leave and time to resumption of normal physical activities were recorded. Results: Some 1371 of the 1513 men underwent surgery, 665 in the TEP group and 706 in the Lichtenstein group. The median duration of operation was 55 min for both procedures and 91.0 per cent of die patients in both groups were discharged on the day of operation. Patients in the TEP group experienced less postoperative pain (P < 0.001), consumed fewer analgesics (P < 0.001), had a shorter period of sick leave (7 versus 12 days; P < 0.001) and a shorter time to resumption of normal physical activity (20 versus 31 days; P < 0.001). Conclusion: The TEP technique took no longer to perform, and was associated with less postoperative pain, a shorter period of sick leave and a faster recovery, compared with open Lichtenstein hernia repair. (Less)
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publishing date
type
Contribution to journal
publication status
published
subject
in
British Journal of Surgery
volume
93
issue
9
pages
1060 - 1068
publisher
Oxford University Press
external identifiers
  • pmid:16862612
  • wos:000240394200006
  • scopus:33748427511
ISSN
1365-2168
DOI
10.1002/bjs.5405
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Emergency medicine/Medicine/Surgery (013240200)
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a396a59c-62e5-4578-846e-b243cc03b014 (old id 686178)
date added to LUP
2016-04-01 12:16:11
date last changed
2020-08-05 01:58:12
@article{a396a59c-62e5-4578-846e-b243cc03b014,
  abstract     = {Background: Laparoscopic herniorrhaphy has emerged as a recognized operative method for inguinal hernia repair. This study compared the short-term results of two tension-free methods of repair: totally extraperitoneal (TEP) laparoscopic patch repair and the open Lichtenstein mesh technique. Methods: A total of 1513 men from 11 hospitals who presented with a primary unilateral inguinal hernia were randomized to one of the two methods. Operating time, short-term complications, reoperations, postoperative pain, consumption of analgesics, sick leave and time to resumption of normal physical activities were recorded. Results: Some 1371 of the 1513 men underwent surgery, 665 in the TEP group and 706 in the Lichtenstein group. The median duration of operation was 55 min for both procedures and 91.0 per cent of die patients in both groups were discharged on the day of operation. Patients in the TEP group experienced less postoperative pain (P &lt; 0.001), consumed fewer analgesics (P &lt; 0.001), had a shorter period of sick leave (7 versus 12 days; P &lt; 0.001) and a shorter time to resumption of normal physical activity (20 versus 31 days; P &lt; 0.001). Conclusion: The TEP technique took no longer to perform, and was associated with less postoperative pain, a shorter period of sick leave and a faster recovery, compared with open Lichtenstein hernia repair.},
  author       = {Eklund, A. and Rudberg, C. and Smedberg, S. and Enander, L. K. and Leijonmarck, C. E. and Osterberg, J. and Montgomery, Agneta},
  issn         = {1365-2168},
  language     = {eng},
  number       = {9},
  pages        = {1060--1068},
  publisher    = {Oxford University Press},
  series       = {British Journal of Surgery},
  title        = {Short-term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair},
  url          = {http://dx.doi.org/10.1002/bjs.5405},
  doi          = {10.1002/bjs.5405},
  volume       = {93},
  year         = {2006},
}