Perioperative outcomes and costs of laparoscopic versus open inguinal hernia repair

Tadaki, Carl; Lomelin, Daniel; Simorov, Anton; Jones, Rachel; Humphreys, M. M. Smilgin; DaSilva, Marcelo C.; Choudhury, Songita A.; Shostrom, Valerie; Boilesen, Eugene; Kothari, Vishal; Oleynikov, Dmitry; Goede, Matthew R.

doi:10.1007/s10029-016-1465-y

Cited by 37 publications

(18 citation statements)

References 25 publications

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“…Overall, there were more male patients and more open procedures performed, which is consistent with the literature [7]. There were significant differences in patient comorbidities between the nonsmoking and the historical smoking group which may indicate that smokers, even if remote in their history of smoking, were ''more sick'' than non-smokers and were at greater risk of complications postoperatively.…”

Section: Discussionsupporting

confidence: 79%

The effect of tobacco use on outcomes of laparoscopic and open inguinal hernia repairs: a review of the NSQIP dataset

et al. 2016

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Section: Discussionsupporting

confidence: 79%

The effect of tobacco use on outcomes of laparoscopic and open inguinal hernia repairs: a review of the NSQIP dataset

et al. 2016

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“…A recent study comparing laparoscopic vs open surgery found that laparoscopic repair was superior to open one in terms of surgical outcome and complications. 3 , 5 Another meta-analysis found that the frequency of complications was 1.76 times higher in open repair than laparoscopic repair. 13 Our findings did not correlate to their results in terms of complications.…”

Section: Discussionmentioning

confidence: 99%

“…4 However, its operative cost is higher than open techniques despite the overall cost favoring laparoscopic approaches in terms of postoperative outcomes. 5 Total extraperitoneal (TEP) is the most frequently preferred method among laparoscopic hernia repair techniques. Unlike other techniques, TEP does not require the intraperitoneal cavity to be entered meaning that intra-abdominal complications such as organ injury and postoperative ileus can be avoided.…”

Section: Introductionmentioning

confidence: 99%

Open mesh and laparoscopic total extraperitoneal inguinal hernia repair under spinal and general anesthesia

Sunamak

Dönmez²,

Dogan

et al. 2018

TCRM

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IntroductionMesh placement is the main standard in repair of inguinal hernia, and laparoscopic repair is the standard of care via spinal, epidural, or combined anesthesia. Here, we compared open and laparoscopic total extraperitoneal (TEP) repairs under general (GA) and spinal anesthesia (SA).MethodsInguinal hernia patients (n=440) were analyzed retrospectively. There were four groups: Group 1 was TEP under GA (TEP-GA) (n=111); Group 2 was open mesh repair (OM) under SA (n=116) (OM-SA); Group 3 was open mesh repair under GA (n=117) (OM-GA); Group four was TEP under SA (n=96) (TEP-SA). The age, body mass index, duration of operation, hospital stay, postoperative Visual Analog Scale scores, recurrence, postoperative pain, urinary retention, headache, and patient satisfaction were all recorded.ResultsThere was no significant difference in terms of hypotension, vomiting, seroma and scrotal edema, recurrence, and wound infection incidence between the groups. However, the operation duration, hospital stay period, headache, urinary retention, postoperative Visual Analog Scale scores, chronic pain, and patient satisfaction showed significant differences between groups.ConclusionLaparoscopic TEP hernia repair is a safe and effective method along with its advantages of shorter hospital stay, less recurrence, less postoperative pain, higher patient satisfaction, and similar postoperative complication rates. SA has the disadvantage of higher incidence of headache and urinary retention compared to GA.

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“…The next work may be to select a particular technique among both (open technique and laparoscopic technique) for specific hernia operation and also to find a cost-effective method. The results favored the outcomes for laparoscopic technique as compared to open mesh surgery in inguinal hernia repair, but the overall cost was higher in laparoscopic technique because of preference, advancement and surgeons’ level of skills [125]. Richards et al.…”

Section: Mesh Advancementsmentioning

confidence: 99%

Physical structure and mechanical properties of knitted hernia mesh materials: A review

Sanbhal

Miao

et al. 2017

Journal of Industrial Textiles

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Mesh implantation for hernia repair is one of the common surgical techniques. The goal of this review is to highlight the basic requirements of mesh in order to select the most appropriate hernia mesh considering mesh type, physical properties and mechanical properties. Textile warp-knitted synthetic meshes have significantly decreased recurrence rate of hernia. Polypropylene light weight mesh with antimicrobial coating is taking attention of researchers due to its improved compliance, infection resistance, hydrophobicity, inert nature and strong material. Composite meshes have better tissue incorporation, reduced shrinkage and improved mechanical properties. The mesh porosity is an important factor to predict the biocompatibility of all meshes. Usually, large pore size meshes are better than small pore size meshes because of their flexibility, decreased shrinkage, reduced scar bridging and increased tissue ingrowth. All synthetic and composite meshes have higher strength than the human abdominal wall. Mesh type, mesh structure, mechanical properties and mesh implantation techniques are important factors for hernia repair. It is critical to understand the physical structure and mechanical properties of mesh material in relation to human abdominal wall. Moreover, mesh surface functionalization and grafting with plasma is a new development technique to enhance the loading of antimicrobial agent for the prevention of mesh infection.

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Perioperative outcomes and costs of laparoscopic versus open inguinal hernia repair

Abstract: This study demonstrates the LOS and perioperative outcomes were superior in the LIHR group; however, the overall cost was higher due to the supplies. Advancement in technology, surgeons' skill level and preference of supplies are all factors in decreasing the overall cost of LIHR.

Cited by 37 publications

References 25 publications

The effect of tobacco use on outcomes of laparoscopic and open inguinal hernia repairs: a review of the NSQIP dataset

The effect of tobacco use on outcomes of laparoscopic and open inguinal hernia repairs: a review of the NSQIP dataset

Open mesh and laparoscopic total extraperitoneal inguinal hernia repair under spinal and general anesthesia

Physical structure and mechanical properties of knitted hernia mesh materials: A review

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