Comparison of laparoscopic and open tension-free repair of recurrent inguinal hernias: a prospective randomized study

Abstract

Laparoscopic inguinal hernia repair (TAPP or TEP) is the method of choice for dealing with recurrent inguinal hernia.

Comparison of Lichtenstein and Laparoscopic Transabdominal Preperitoneal Repair of Recurrent Inguinal Hernias

“…Our study has shown that operation time is shorter in the Lichtenstein group (59.6 6 9.9 minutes) than in the TAPP group (64.4 6 8.4 minutes), although because of the small sample size, this trend did not reach a statistical significance (P 5 0.068). Our data are similar to the data from several other investigations, 15,19,25 although Eklund et al 16 found no difference in the operation time between the laparoscopic and Lichtenstein methods.…”

“…The same advantages of the laparoscopic method in comparison with the Lichtenstein approach are documented also by other authors. [14][15][16]19,25 There were no differences found in the total number of early complications between the open and laparoscopic methods (33.3% versus 14.3% for TAPP and Lichtenstein, respectively; P 5 0.19). Authors of some previous studies have shown that laparoscopic methods are characterized by fewer postoperative complications than Lichtenstein operations.…”

“…The Schmedt et al 15 meta-analysis and data from several other randomized trials indicate that this complication is equally frequent for both methods. 14,25 Different patterns in our study can be explained by the fact that all laparoscopic operations were done under general anesthesia, whereas for the Lichtenstein approach, all 28 operations were performed using local anesthesia. The impact of general anesthesia on the development of urinary retention is reviewed by Jensen et al 26 As mentioned above, all Lichtenstein operations were performed using local anesthesia.…”

“…Authors of some previous studies have shown that laparoscopic methods are characterized by fewer postoperative complications than Lichtenstein operations. 16,25 Based on their investigations, Neumayer et al 14 came to the opposite conclusion-that open surgical interventions have fewer postoperative complications than laparascopy. Schmedt et al 15 conducted a meta-analysis in which they showed that wound infection and hematoma are less frequent in cases of endoscopic surgery, whereas seroma is less frequent in cases of the Lichtenstein method.…”

TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

“…The meta-analysis by Pisanu (8) contained the largest number of exclusively prospective randomized trials (RCTs) (11,12,13,14,15,16,17). All the RCTs included in that meta-analysis compared the laparo-endoscopic procedures with the open Lichtenstein technique.…”