Tension-Free Inguinal Hernia Repair: TEP Versus Mesh-Plug Versus Lichtenstein

Bringman, Sven; Ramel, Stig; Heikkinen, T.; Englund, Tord; Westman, Bo; Anderberg, B

doi:10.1097/00000658-200301000-00020

Cited by 193 publications

(143 citation statements)

References 29 publications

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“…The laparoscopic group had less postoperative pain and returned to work earlier, but at 5 years postsurgery there was only 1 patient in each treatment arm who had persistent pain and impaired capability (not statistically different). In a three-armed RCT, Bringman et al [15] compared TEP with Lichtenstein and open mesh-plug procedures (1b). There were 294 patients, who were followed for 3 months.…”

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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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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“…15 Gokalp A et al, also noted that operating time for totally extraperitoneal hernia repair was 16 minutes longer than Lichtenstein open tension free technique.…”

Section: Discussionmentioning

confidence: 99%

A comparative study between open lichtenstein mesh repair and laparoscopic totally extra peritoneal repair of inguinal hernia

et al. 2018

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INTRODUCTIONInguinal hernias constitute the most common form of abdominal wall hernias. The incidence of inguinal hernia remains indefinite; however, nearly about 500,000 cases come to medical attention each year. Twenty or more years ago, international and US surveys were conducted, wherein, the non-surgically treated inguinal hernia prevailed among 5% of men and similarly, same number of men had history of hernia repair.1 The lifetime risk of inguinal hernia is estimated to be 27% and 3% for men and women respectively. Inguinal hernia repair is one of the commonly performed general surgeries among both adults and children accounting for more than 95% of all groin hernia repairs. 3Collective Indian data are limited.4 However in few of the Indian studies, the prevalence of inguinal hernias among ABSTRACT Background: The study was conducted to compare and assess the duration of procedure, complications encountered, post-operative pain and recovery, duration of hospital stay, and time taken in resumption to work between two techniques of open Lichtenstein mesh repair (OLMR) and Totally extra peritoneal (TEP) repair in the low resource settings. Methods: A cross sectional comparative study was conducted among 50 male patients admitted for surgical repair of hernia. After considering the inclusion and exclusion criteria, the subjects were randomly assigned to the groups of OLMR and TEP and were assessed for pain in the post-operative period was rated using a Visual Analogue Scale. Total duration of the procedure, complications, duration of hospital stay, and time taken in resumption to work were elicited between two techniques. A p-value of <0.05 was taken as statistically significant. Results: The mean duration of surgery among the study participants in TEP (49.60+3.62 mins) group was significantly higher compared to OLMR (45.96+4.63 mins) group (p=0.003). The median of post-operative pain scores in TEP group was significantly lower compared to OLMR group. The mean duration of post-operative recovery time (3.08+0.4 days), for resumption to work (5.08+0.28 days) among the study participants in TEP group was significantly lower compared to OLMR (5.00+0.00 days), (10.08+0.76 days) (p<0.001) respectively. The complications were significantly higher among the OLMR group (100.0%) compared to the TEP group (p<0.05). Conclusions: Though the procedure of TEP repair for inguinal hernia takes a little longer time and complications of general anaesthesia cannot be ruled out, it is a better procedure compared to open type.

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“…The risk of damaging the genitofemoral and ilioinguinal nerves during the mesh repair has been considered as a risk factor in some studies (14). Supportive evidence has been provided in another study where the elective ilioinguinal and iliohypogastric nerve resection causing less postoperative persistent pain syndrome (15).…”

Section: Discussionmentioning

confidence: 99%

Chronic pain following Lichtenstein tension free inguinal hernia repair

Abeysekera¹,

Silva²,

Vithanage³

et al. 2013

Galle Med J

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Introduction & Objective: Chronic pain following the repair of inguinal hernia has been a topic of interest in the past few decades, probably due to its significant adverse impacts on the quality of life of the patients who undergo the procedure. In this study we assessed the site, severity and incidence of chronic pain following Lichtenstein tension free inguinal hernia repair and its association with preoperative duration of hernia, presence of preoperative groin pain, presence of inguinoscrotal hernia, type of hernia and several preoperative risk factors for inguinal hernia.

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Tension-Free Inguinal Hernia Repair: TEP Versus Mesh-Plug Versus Lichtenstein

Abstract: Laparoscopic hernioplasty is superior to tension-free open herniorrhaphy in terms of postoperative pain and rehabilitation.

Cited by 193 publications

References 29 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

A comparative study between open lichtenstein mesh repair and laparoscopic totally extra peritoneal repair of inguinal hernia

Chronic pain following Lichtenstein tension free inguinal hernia repair

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