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A randomized comparison of physical performance following laparoscopic and open inguinal hernia repair. The Coala
M S Liem1, Y van der Graaf, R C Zwart
1Department of General Surgery, University Hospital Utrecht, The Netherlands.
Background:
Return to normal activity after laparoscopic inguinal hernia repair has been reported to occur sooner than after conventional repair.
Methods:
As part of a randomized study, the ability of patients to return to normal activity was assessed by measuring abdominal muscular performance with an exercise test. In addition, patients completed a questionnaire concerning activities of daily life (ADL) and were asked when they returned to normal activities. All patients were given similar instructions for resumption of activities.
Results:
Patients who had a laparoscopic repair returned to normal activities sooner (6 versus 10 days; P = 0.0003). One week after operation, these patients were able to perform more repetitions of both exercise (14 versus two straight leg raises; 16 versus seven curled sit ups; both P < 0.0001) and their ADL scores were significantly better (89 versus 72; P = 0.0001).
Conclusion:
Laparoscopic hernia repair results in a quicker recovery.