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Recurrent inguinal hernia: randomized multicenter trial comparing laparoscopic and Lichtenstein repair
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm , Centre for Clinical Research, County of Västmanland.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Upper Abdominal Surgery.
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2007 (English)In: Surgical Endoscopy, ISSN 0930-2794, E-ISSN 1432-2218, Vol. 21, no 4, 634-640 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2007. Vol. 21, no 4, 634-640 p.
Keyword [en]
Inguinal hernia, Laparoscopy, Lichtenstein, Pain, Recurrence
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-11466DOI: 10.1007/s00464-006-9163-yISI: 000245593200025PubMedID: 17364153OAI: oai:DiVA.org:uu-11466DiVA: diva2:39235
Available from: 2007-09-17 Created: 2007-09-17 Last updated: 2017-12-11Bibliographically approved

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Eklund, Arne

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