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Related Experiment Videos

Should bilateral inguinal hernias be repaired during one operation?

Rami A Dakkuri1, Deron J Ludwig, L William Traverso

  • 1Section of General, Thoracic and Vascular Surgery, Virginia Mason Medical Center, 1100 9th Ave. (C6-GSUR), Seattle, WA 98111, USA.

American Journal of Surgery
|May 30, 2002
PubMed
Summary

Performing simultaneous bilateral inguinal hernia repair is as safe and effective as unilateral repair, with similar outcomes and potentially lower costs. This approach offers a viable option for patients needing bilateral hernia surgery.

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Area of Science:

  • Surgery
  • Hernia Repair
  • Surgical Outcomes

Background:

  • Assessing the efficacy of simultaneous bilateral inguinal hernia repair versus unilateral repair.
  • Investigating outcomes of open, tension-free hernia repair techniques.

Purpose of the Study:

  • To test the hypothesis that simultaneous bilateral inguinal hernia repair yields similar outcomes to unilateral repair.
  • To compare the safety and effectiveness of single-operation bilateral versus unilateral hernia repair.

Main Methods:

  • Prospective study of 243 patients undergoing inguinal hernia repair (197 unilateral, 46 simultaneous bilateral).
  • Standardized data collection during the first postoperative visit.
  • Long-term follow-up via telephone interview (62% at 28 months).

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Main Results:

  • Similar recurrence rates: 4.2% for unilateral vs. 3.0% for bilateral.
  • No significant differences in key postoperative outcomes like pain, recovery time, or admissions.
  • Bilateral repair had longer operating room time (114 vs. 76 min) and higher costs ($1,793 vs. $1,513).

Conclusions:

  • Tension-free technique enables simultaneous bilateral inguinal hernia repair with outcomes comparable to unilateral repair.
  • Single-operation bilateral repair is a cost-effective alternative to sequential bilateral repair.