Hernioplasty and simultaneous laparoscopic cholecystectomy: a prospective randomized study of open tension-free versus laparoscopic inguinal hernia repair

Surgery
L SarliF Marchesi

Abstract

The laparoscopic repair of unilateral primary groin hernia remains controversial. This randomized study evaluates the outcome of the laparoscopic technique in hernia repair in patients undergoing simultaneous laparoscopic cholecystectomy (LC) and compares laparoscopic repair with tension-free open groin hernia repair. Sixty-four low-risk patients with symptomatic chronic calculous cholecystitis and synchronous unilateral primary inguinal hernia were randomized to undergo either laparoscopic transabdominal preperitoneal mesh hernia repair (TAPP) and LC or LC and open tension-free hernia repair. The operating time was longer in the TAPP and LC group (mean +/- SD = 121 +/- 32 minutes) than in the LC and open group (95 +/- 27 minutes) (P <.01). The mean operating costs were higher in the TAPP and LC group ($1235 versus $1080) (P <.03). The intensity of postoperative pain at rest was greater in the LC and open group at 24 hours (P <.01) and 48 hours (P <.05), with a greater consumption of pain medication (P <.01). No differences between the 2 groups were found in terms of postoperative complications, disability period before return to work, or hernia recurrences. The totally laparoscopic procedure does not result in a significant be...Continue Reading

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Citations

Jun 1, 1996·AORN Journal·C L CasonM Bushmiaer
Feb 2, 1999·American Journal of Surgery·D KingsleyD E Pitcher
Oct 10, 2003·The Surgical Clinics of North America·Chad J Davis, Maurice E Arregui
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Nov 15, 2003·Lancet·Andrew Kingsnorth, Karl LeBlanc
May 27, 2017·Asian Journal of Endoscopic Surgery·Anil Sharma, Priyank Chelawat
Jul 12, 2011·Surgical Innovation·Renato Micelli LupinacciRenato Arioni Lupinacci
Mar 10, 2011·Surgical Innovation·Peter LukovichMaria Tarjányi
Nov 10, 2018·Asian Journal of Endoscopic Surgery·Shunsuke HayakawaMoritsugu Tanaka
Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
May 18, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R AlMarzooqiM Rosen
Sep 28, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·N QuezadaF Pimentel

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