PMID: 9632874Jun 20, 1998Paper

A randomized, controlled, clinical study of laparoscopic vs open tension-free inguinal hernia repair

Surgical Endoscopy
A M PaganiniA Taschieri

Abstract

The aim of this prospective, randomized, controlled clinical study was to compare laparoscopic transabdominal preperitoneal (TAPP) hernia repair with a standard tension-free open mesh repair (open). A total of 108 low-risk patients with unilateral (primary or recurrent) or bilateral hernias were randomized to TAPP (group 1 = 52 cases) or open (group 2 = 56 cases). The outcome measures included operating time, complications, postoperative pain, return to normal activity, operating theater costs, and recurrences. The mean operative time was longer for the TAPP than for the open group only in unilateral primary hernias. At rest, the median Visual Analog Scale (VAS) score was higher for group 1 than group 2 at 48 h postoperatively. Mild to discomforting pain in the inguinal region after 7 days, night pain after 30 days, and inguinal hardening after 3 months were more frequent in group 2 than group 1. No significant differences were observed in return to normal activities between the groups. One hernia recurrence was observed after 1 month in group 1. TAPP was significantly more expensive than open. TAPP was associated with less postoperative pain than open. The increase in operating theater costs, however, was dramatic and was not ...Continue Reading

Citations

Apr 26, 2007·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·J P RitzH J Buhr
Jul 5, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·O GünalT Bahçebaşi
Aug 11, 2006·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·David R UrbachDavid L Streiner
Feb 28, 2001·Current Surgery·J M. Nottingham
Jan 22, 2002·Journal of the American College of Surgeons·Stanley V DeTurrisGeorge S Ferzli
Jun 24, 2004·International Journal of Technology Assessment in Health Care·Luke ValeUNKNOWN EU Hernia Trialists Collaboration
Aug 10, 2000·The British Journal of Surgery·UNKNOWN EU Hernia Trialists Collaboration
Feb 13, 2001·The Australian and New Zealand Journal of Surgery·M Zib, J Gani
Mar 8, 2002·Annals of Surgery·UNKNOWN EU Hernia Trialists Collaboration
Nov 14, 2002·Regional Anesthesia and Pain Medicine·Peter JensenHenrik Kehlet
Jun 24, 2003·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Tahsin ColakSuha Aydin
Sep 10, 2003·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Benjamin E SchneiderDaniel B Jones
Oct 9, 2004·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jose BuenoDavid Rodero
Jan 28, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·E BollschweilerA H Hölscher
May 28, 2013·Surgical Endoscopy·M M PoelmanH J Bonjer
Mar 25, 2008·Current Problems in Surgery·R Douglas Matthews, Leigh Neumayer
Jan 21, 2012·Acta Anaesthesiologica Scandinavica·M A TolverT Bisgaard
Feb 13, 2008·The Surgical Clinics of North America·Mark C Takata, Quan-Yang Duh
Feb 6, 2015·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K TomaogluM Kucukyılmaz
May 27, 2017·Asian Journal of Endoscopic Surgery·Anil Sharma, Priyank Chelawat
Jul 22, 2005·Surgical Innovation·David R Urbach
Jan 22, 2003·The Cochrane Database of Systematic Reviews·K McCormackUNKNOWN EU Hernia Trialists Collaboration
Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
Apr 17, 2019·The British Journal of Surgery·T J PattersonG Spence

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.