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Laparoscopic versus open inguinal hernia repair: randomised prospective trial
D L Stoker1, D J Spiegelhalter, R Singh
1Professorial Surgical Unit, St Bartholomew's Hospital, London, UK.
Lancet (London, England)
|May 21, 1994
Summary
Laparoscopic hernia repair significantly reduces post-operative pain and speeds recovery compared to open surgery. Patients undergoing laparoscopic procedures returned to normal activities and work much sooner.
Area of Science:
- Minimally Invasive Surgery
- Surgical Outcomes
- Hernia Repair
Background:
- Laparoscopic surgery offers benefits like reduced pain and earlier mobilization.
- Concerns exist regarding the unverified adoption of laparoscopic hernia repair into practice.
Purpose of the Study:
- To compare laparoscopic versus open inguinal hernia repair outcomes.
- To evaluate pain, analgesia use, and return to activity after both procedures.
Main Methods:
- A randomized prospective study of 150 patients undergoing day-case general anesthesia.
- Laparoscopic group (L) received transabdominal stapled preperitoneal mesh; Open group (O) had tension-free nylon darn repair.
- Postoperative pain, analgesia use, and time to return to domestic activity and work were assessed.
Main Results:
- Laparoscopic repair (Group L) showed significantly lower median tablet usage (6 vs 18) and mean pain scores (1.8 vs 3.1) compared to open repair (Group O).
- Patients in Group L returned to domestic activity significantly faster (median 3 days vs 7 days) and to work sooner (median 14 days vs 28 days).
Conclusions:
- Laparoscopic hernia repair results in less postoperative pain than open repair.
- Laparoscopic hernia repair facilitates a quicker return to normal activities and work.