Randomized controlled trial of laparoscopic transabdominal preperitoneal hernioplasty vs Shouldice repair

Tschudi, J.; Wagner, Markus; Klaiber, C; Brugger, J.-J.; Frei, E.; Krähenbühl, L.; Inderbitzi, Rolf; Boinski, J.; Schmitz, Shu Fang Hsu; Hüsler, Jürg

doi:10.1007/s00464-001-9047-0

Cited by 42 publications

(30 citation statements)

References 12 publications

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“…Sixteen trials compared endoscopic techniques with the Shouldice repair [11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28]. These studies represent a total collective of 2,498 operated patients and are summarized in table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Due to the separate publication of partial aspects [40, 45]and late results [11, 12, 14, 18], a total of 36 publications was analyzed. Four studies were published as abstracts only [16, 29, 35, 42].…”

Section: Resultsmentioning

confidence: 99%

“…Thirty-three randomized controlled trials with a total of 5,053 random patients were used for the evaluation [11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45]. Due to the separate publication of partial aspects [40, 45]and late results [11, 12, 14, 18], a total of 36 publications was analyzed.…”

Section: Resultsmentioning

confidence: 99%

“…In comparison to previously published literature reviews, only studies which use the Shouldice or the Lichtenstein repair techniques as a control group have been included, defining them as being the two major standardized and established representatives of open operation techniques. Recently published studies and initial long-term results [11, 12]have also been taken into consideration.…”

Section: Aimsmentioning

confidence: 99%

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Endoscopic Inguinal Hernia Repair in Comparison with Shouldice and Lichtenstein Repair

Schmedt¹,

Leibl²,

Bittner³

2002

Dig Surg

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Aims: This article provides an overview of randomized studies which compare endoscopic hernia repair techniques (TAPP/TEP) with the Shouldice and Lichtenstein repair. Methods: Systematic analysis of 33 published studies which meet the criteria of a randomized controlled trial with a high evidence level. Results: The majority of the studies document statistically significant advantages of the endoscopic repair techniques in relation to wound pain (15/22), need for analgesics (16/21), return-to-work time (16/22) and physical activity (18/25), although only one study showed significant advantages of the Lichtenstein method. Six of 28 studies showed a lower morbidity in comparison to open approaches, although 22 of 28 studies documented no significant difference. The first long-term studies with follow-up periods between 5 and 6 years also show advantages of the endoscopic techniques. Conclusion: Even with cautious interpretation of the data, it is clear that endoscopic techniques are more comfortable for patients and that morbidity is no higher than for open procedures. Due to the short follow-up periods final evaluation regarding long-term complications and recurrence is not yet possible.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Aimsmentioning

confidence: 99%

See 2 more Smart Citations

Endoscopic Inguinal Hernia Repair in Comparison with Shouldice and Lichtenstein Repair

Schmedt¹,

Leibl²,

Bittner³

2002

Dig Surg

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“…At 3 months after surgery there were greater improvements in mean scores from baseline in the laparoscopic group for all scales except general health, but none of these differences reached significance. Tschudi et al [125] compared laparoscopic abdominal with Shouldice repair (1b). They used an ad hoc questionnaire and followed 84 patients over 5 years.…”

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

confidence: 99%

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

et al. 2004

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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.

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Laparoscopic Abdominal Wall Hernias: Incisional, Parastomal, and Inguinal Hernia Repairs

Nguyen

Winfield

2012

Smith's Textbook of Endourology

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Randomized controlled trial of laparoscopic transabdominal preperitoneal hernioplasty vs Shouldice repair

Abstract: The TAPP hernia repair yields comparable or better results than Shouldice herniorrhaphy in terms of postoperative pain, recovery, and recurrence rate.

Cited by 42 publications

References 12 publications

Endoscopic Inguinal Hernia Repair in Comparison with Shouldice and Lichtenstein Repair

Endoscopic Inguinal Hernia Repair in Comparison with Shouldice and Lichtenstein Repair

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

Laparoscopic Abdominal Wall Hernias: Incisional, Parastomal, and Inguinal Hernia Repairs

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