Meta-analyses of randomized controlled trials of laparoscopic vs conventional inguinal hernia repairs

Chung, Raphael S.; Rowland, Douglas Y.

doi:10.1007/s004649901074

Cited by 127 publications

(82 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the meta-analysis, a significant reduction in persisting postoperative pain (overall 290/ 2101 versus 459/2399; Peto OR = 0.54; 95% CI, 0.46-0.64; p < 0.0001) and in sick leave (HR 0.56; 95% CI, 0.51-0.61; p < 0.0001; equivalent to 7 days) was found. The other systematic reviews by Chung and Rowland (1a) [21], Cheek et al (1a) [18], and Schmedt et al (1a) [113] gave very similar results since they mainly included the same primary studies.…”

Section: Long-term Restoration Of Qol Is Not Different (El 1a)mentioning

confidence: 70%

Evaluation of quality of life after laparoscopic surgery: evidence-based guidelines of the European Association for Endoscopic Surgery

et al. 2004

View full text Add to dashboard Cite

Background: Measuring health-related quality of life (QoL) after surgery is essential for decision making by patients, surgeons, and payers. The aim of this consensus conference was twofold. First, it was to determine for which diseases endoscopic surgery results in better postoperative QoL than open surgery. Second, it was to recommend QoL instruments for clinical research. Methods: An expert panel selected 12 conditions in which QoL and endoscopic surgery are important. For each condition, studies comparing endoscopic and open surgery in terms of QoL were identified. The expert panel reached consensus on the relative benefits of endoscopic surgery and recommended generic and disease-specific QoL instruments for use in clinical research. Results: Randomized trials indicate that QoL improves earlier after endoscopic than open surgery for gastroesophageal reflux disease (GERD), cholecystolithiasis, colorectal cancer, inguinal hernia, obesity (gastric bypass), and uterine disorders that require hysterectomy. For spleen, prostate, malignant kidney, benign colorectal, and benign non-GERD esophageal diseases, evidence from nonrandomized trials supports the use of laparoscopic surgery. However, many studies failed to collect long-term results, used nonvalidated questionnaires, or measured QoL components only incompletely.

show abstract

Section: Long-term Restoration Of Qol Is Not Different (El 1a)mentioning

confidence: 70%

Evaluation of quality of life after laparoscopic surgery: evidence-based guidelines of the European Association for Endoscopic Surgery

et al. 2004

View full text Add to dashboard Cite

show abstract

“…Laparoscopic TEP repair gains access to the preperi toneum without the associated pain and morbidity of a large incision, and it potentially allows for a more rapid recovery. [1][2][3][4] Nevertheless, many surgeons are concerned about laparoscopic TEP repair since it is difficult to learn the unfamiliar pelvic anatomy and, compared with that of other techniques, the working space is limited.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] Yet, many surgeons hesitate to perform laparoscopic TEP repair since the pelvic anatomy is unfamiliar and the working space is narrow. Moreover, the learning curve for laparoscopic TEP repair is steep, and the technique is difficult.…”

Section: Discussionmentioning

confidence: 99%

Learning curve for laparoscopic totally extraperitoneal repair of inguinal hernia

2012

View full text Add to dashboard Cite

“…Laparoscopic total extraperitoneal (TEP) repair gains access to the preperitoneum without the associated pain and morbidity of a larger incision, and it potentially allows for a more rapid recovery. [1][2][3][4] Recurrent hernia had previously been considered to be more challenging to manage than primary hernia, since performing a dissection for a recurrent hernia is more difficult due to the hard scar tissue and the frequently altered anatomy. 5 Schiller 6 reported recurrence rates for open procedures of up to 20% or more for primary hernia and up to 30% for recurrent hernia repair.…”

Section: Introductionmentioning

confidence: 99%

The Safety and Effectiveness of Laparoscopic Total Extraperitoneal (TEP) Repair for Recurrent Inguinal Hernia After Open Hernioplasty

Choi

Kim

Hur

2010

Journal of Laparoendoscopic & Advanced Surgical Techniques

View full text Add to dashboard Cite

Background: Many studies have reported that laparoscopic total extraperitoneal (TEP) repair for recurrent inguinal hernia after an open hernioplasy was safe and effective. This study was conducted to evaluate TEP repair for recurrent inguinal hernia through a retrospective analysis of our data. Materials and Methods: We performed a retrospective analysis of the medical records of patients who were scheduled for laparoscopic TEP repair from December 2000 to December 2008. A total of 1065 cases of laparoscopic TEP repairs were performed for 944 patients by a single surgeon, and 100 cases of recurrent inguinal hernias were enrolled. Results: The mean operation time was longer in the recurrent hernia group than that in the primary hernia group (P < 0.001), and peritoneal tearing occurred more frequently in the recurrent hernia group (P < 0.001). Direct hernia was more frequent in the recurrent hernia group (P < 0.001). The mean number of hospital days and complications, such as seroma and postoperative pain, were similar in both groups. Three cases of recurrence occurred (0.28%): 2 occurred in the recurrent hernia group (2%) and the other occurred in the primary hernia group (0.1%). Conclusions: Laparoscopic TEP repair is safe and effective for treating recurrent inguinal hernia after an open hernioplasty, because the recurrence rate was low (2%) and other complications were similar for both groups. Direct inguinal hernia was more frequent in patients who had recurrent inguinal hernia.

show abstract

Meta-analyses of randomized controlled trials of laparoscopic vs conventional inguinal hernia repairs

Abstract: Laparoscopic hernia repair has a modest advantage over conventional repairs. This advantage is more apparent when laparoscopic repairs are compared with sutured repairs rather than tension-free repairs.

Cited by 127 publications

References 18 publications

Evaluation of quality of life after laparoscopic surgery: evidence-based guidelines of the European Association for Endoscopic Surgery

Evaluation of quality of life after laparoscopic surgery: evidence-based guidelines of the European Association for Endoscopic Surgery

Learning curve for laparoscopic totally extraperitoneal repair of inguinal hernia

The Safety and Effectiveness of Laparoscopic Total Extraperitoneal (TEP) Repair for Recurrent Inguinal Hernia After Open Hernioplasty

Contact Info

Product

Resources

About