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Published on: September 11, 2021
Recurrent inguinal hernia: randomized multicenter trial comparing laparoscopic and Lichtenstein repair.
A Eklund1, C Rudberg, C-E Leijonmarck
1Department of Surgery, Västerås Hospital, 721 89, Västerås, Sweden. arne.eklund@ltv.se
Surgical Endoscopy
|March 17, 2007
Summary
For recurrent inguinal hernia repair, laparoscopic transabdominal preperitoneal patch (TAPP) offers less pain and shorter sick leave. Long-term recurrence rates are similar to the Lichtenstein technique.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Background:
- Recurrent inguinal hernias present a significant clinical challenge due to high re-recurrence rates.
- Optimal surgical strategies for recurrent inguinal hernia repair remain a subject of ongoing investigation.
Purpose of the Study:
- To compare the short- and long-term outcomes of laparoscopic transabdominal preperitoneal patch (TAPP) versus the Lichtenstein technique for recurrent inguinal hernia repair.
Main Methods:
- A randomized multicenter study involving 147 patients (73 TAPP, 74 Lichtenstein).
- Comparison of operative time, postoperative pain, sick leave duration, and recurrence rates at 5 years.
Main Results:
- Operating times were comparable between TAPP (65 min) and Lichtenstein (64 min) groups.
- TAPP group experienced significantly less postoperative pain and shorter sick leave (8 days vs. 16 days).
- Five-year recurrence rates were similar: 19% for TAPP and 18% for Lichtenstein.
Conclusions:
- Laparoscopic TAPP provides short-term benefits including reduced pain and faster return to work.
- No significant differences in long-term chronic pain or recurrence rates were observed between TAPP and Lichtenstein techniques.
