Comparison of conventional anterior surgery and laparoscopic surgery for inguinal-hernia repair

The New England Journal of Medicine
M S LiemT J van Vroonhoven

Abstract

Inguinal hernias can be repaired by laparoscopic techniques, which have had better results than open surgery in several small studies. We performed a randomized, multicenter trial in which 487 patients with inguinal hernias were treated by extraperitoneal laparoscopic repair and 507 patients were treated by conventional anterior repair. We recorded information about postoperative recovery and complications and examined the patients for recurrences one and six weeks, six months, and one and two years after surgery. Six patients in the open-surgery group but none in the laparoscopic-surgery group had wound abscesses (P=0.03), and the patients in the laparoscopic-surgery group had a more rapid recovery (median time to the resumption of normal daily activity, 6 vs. 10 days; time to the return to work, 14 vs. 21 days; and time to the resumption of athletic activities, 24 vs. 36 days; P<0.001 for all comparisons). With a median follow-up of 607 days, 31 patients (6 percent) in the open-surgery group had recurrences, as compared with 17 patients (3 percent) in the laparoscopic-surgery group (P=0.05). All but three of the recurrences in the latter group were within one year after surgery and were caused by surgeon-related errors. In th...Continue Reading

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Citations

Jun 5, 2001·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H Lau, F Lee
May 12, 2007·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·S BrümmerP Gastmeier
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Jun 25, 2009·Surgical Endoscopy·Roland KocijanChristian Hollinsky
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Dec 13, 2005·Surgery Today·Emilio Prieto-Díaz-ChávezClemente Vásquez
Dec 29, 2009·Surgery Today·Mark Berner HansenMichael Edward Crawford
Dec 6, 2005·Hernia : the Journal of Hernias and Abdominal Wall Surgery·V CerianiD Sarli
Jul 5, 2006·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H PokornyG Bischof
Feb 7, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M J A LoosM R M Scheltinga
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Jul 5, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H Lau
Jul 25, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S MassaronR Rosati
Feb 20, 2008·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H PokornyM Scheyer
Nov 14, 2008·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M Ismail, P Garg
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Jun 26, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·G TzovarasD Zacharoulis
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