Primary inguinal hernia repair: open or laparoscopic, that is the question

Mellinger, John D.; Felix, Edward L.

doi:10.1007/s00464-004-8160-2

Cited by 12 publications

(8 citation statements)

References 37 publications

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“…The main reasons are reduced postoperative pain and wound complications, reduced risk of chronic pain and faster recovery as compared to the conventional techniques [4][5][6]. The laparoscopic approach clearly benefits quality of life, making it the preferred technique from the patient perspective [20].…”

Section: Discussionmentioning

confidence: 98%

“…Benefits of laparoscopic approach are less postoperative pain and complications, faster recovery, reduced chronic pain and recurrence rate [4][5][6]. A longer learning curve and higher costs are potential disadvantages of this approach [7,8].…”

Section: Abstract Inguinal Hernia á Laparoscopic á Tep á Mesh Fixationmentioning

confidence: 99%

“…However, the best surgical approach for inguinal hernia repair continues to be a subject of debate among surgeons. Laparoscopic repair (LIHR) is based on Stoppa's concept of preperitoneal reinforcement of the fascia transversalis over the myopectineal orifice with a large piece of mesh [3].Benefits of laparoscopic approach are less postoperative pain and complications, faster recovery, reduced chronic pain and recurrence rate [4][5][6]. A longer learning curve and higher costs are potential disadvantages of this approach [7,8].…”

mentioning

confidence: 99%

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Prospective, randomized and controlled study of mesh displacement after laparoscopic inguinal repair: fixation versus no fixation of mesh

et al. 2015

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Section: Discussionmentioning

confidence: 98%

Section: Abstract Inguinal Hernia á Laparoscopic á Tep á Mesh Fixationmentioning

confidence: 99%

mentioning

confidence: 99%

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Prospective, randomized and controlled study of mesh displacement after laparoscopic inguinal repair: fixation versus no fixation of mesh

et al. 2015

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“…Laparoscopic TAPP and TEP approaches have been documented as excellent choices in a number of studies. [7][8][9][10][11] For the surgeon, a surgical approach should be simple, not require preperitoneal dissection, and easy to handle. Further, the treatment should reduce recurrence and allow for fast recovery.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Inguinal Hernia Repair: A New Approach

Chen

Wang

Xiao

2010

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…New "tension-free" techniques were introduced, aiming to avoid tension by the use of implant mesh. 4 A further innovation was the development of a preperitoneal repair, first performed as an open repair and later employing various laparoscopic techniques.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of recurrence and postoperative pain in laparoscopic inguinal hernia repair with mesh fixation verses without mesh fixation

2018

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INTRODUCTIONInguinal hernia affects both men and women but is much more common in men who comprise over 90% of operated patients. 1 Considering both operated and nonoperated inguinal hernias, the lifetime prevalence rate is 47% for men up to and including the age of 75.2 From an aetiological point of view there are two types of inguinal hernia, congenital and acquired. An acquired inguinal hernia is generally not believed to be associated with a persistent processus vaginalis but develops in a secondary manner. Several risk factors for the development of this type of hernia have been suggested, among these various connective tissue factors. In order to compare the results of inguinal hernia repair, a standardized classification with respect to localisation and size is needed. Several classifications exist, of which the Nyhus classification is one of the most commonly used. 3Hernias can only be cured by surgery. The aim is to reduce the patient's symptoms and prevent possible negative events such as incarceration without causing ABSTRACT Background: Inguinal hernia affects both men and women but is much more common in men who comprise over 90% of operated patients. The purpose of this study was to determine whether elimination of tacking the mesh during endoscopic inguinal hernia repair results in decreased postoperative pain or complications, or both, without increasing the incidence of hernia recurrence. Methods: Patients age between 18 to 70 yrs, willing for laparoscopic surgery, suitable for elective laparoscopic surgery were included in the study. TEP or TAPP endoscopic inguinal hernia repairs would be performed with the patient under general anesthesia. Data collection have done by using a structured pre-prepared case performa. The patient evaluated both by radiological and laboratory investigations both pre-operatively and post-operatively. Results: There is no major significant difference in pain at 1 month after operation in both the group. Recurrence was higher among patient having mesh fixation and it was not statistically significant. Wound infection was occurring more among without fixation group and it was not statistically significant. Urinary retention was reported more among without fixation group and it was not statistically significant. Conclusions: Thus, it was concluded that there is no significant difference in recurrence rate in the both study group either with fixation or without fixation. There is no significant difference in pain at one month in the both study group either with fixation or without fixation. There is more pain (visual analogue scale more than two) at three months after operation in fixation group as compared to without fixation group. There is also high cost in fixation group as compared to without fixation group.

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Primary inguinal hernia repair: open or laparoscopic, that is the question

Cited by 12 publications

References 37 publications

Prospective, randomized and controlled study of mesh displacement after laparoscopic inguinal repair: fixation versus no fixation of mesh

Prospective, randomized and controlled study of mesh displacement after laparoscopic inguinal repair: fixation versus no fixation of mesh

Laparoscopic Inguinal Hernia Repair: A New Approach

Evaluation of recurrence and postoperative pain in laparoscopic inguinal hernia repair with mesh fixation verses without mesh fixation

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