Recurrent inguinal hernia: randomized multicenter trial comparing laparoscopic and Lichtenstein repair

Eklund, ArneUppsala universitet,Centrum för klinisk forskning, Västerås (author)

Recurrent inguinal hernia : randomized multicenter trial comparing laparoscopic and Lichtenstein repair

BACKGROUND: The optimal treatment for recurrent inguinal hernia is of concern due to the high frequency of recurrence. METHODS: This randomized multicenter study compared the short- and long-term results for recurrent inguinal hernia repair by either the laparoscopic transabdominal preperitoneal patch (TAPP) procedure or the Lichtenstein technique. RESULTS: A total of 147 patients underwent surgery (73 TAPP and 74 Lichtenstein). The operating time was 65 min (range, 23-165 min) for the TAPP group and 64 min (range, 25-135 min) for the Lichtenstein group. Patients who underwent TAPP reported significantly less postoperative pain and shorter sick leave (8 vs 16 days). The recurrence rate 5 years after surgery was 19% for the TAPP group and 18% for the Lichtenstein group. CONCLUSION: The short-term advantage for patients who undergo the laparoscopic technique is less postoperative pain and shorter sick leave. In the long term, no differences were observed in the chronic pain or recurrence rate.

Rudberg, C. (author)
Leijonmarck, C-E. (author)
Rasmussen, Ib ChristianUppsala universitet,Gastrointestinalkirurgi(Swepub:uu)ibrasmus (author)
Spangen, L. (author)
Wickbom, G. (author)
Wingren, U. (author)
Montgomery, AgnetaLund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups(Swepub:lu)kir-amo (author)
Uppsala universitetCentrum för klinisk forskning, Västerås (creator_code:org_t)

In:Surgical Endoscopy: Springer Science and Business Media LLC21:4, s. 634-6400930-27941432-2218

By the author/editor: Eklund, Arne; Rudberg, C.; Leijonmarck, C-E ...; Rasmussen, Ib Ch ...; Spangen, L.; Wickbom, G.; show more...; Wingren, U.; Montgomery, Agne ...; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

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