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Laparoscopic vs open inguinal hernia repair. A randomized, controlled trial
C Tanphiphat1, T Tanprayoon, C Sangsubhan
1Department of Surgery, Faculty of Medicine, Chulalongkorn Hospital, Chulalongkorn University, Rama IV Road, Bangkok 10330, Thailand.
Surgical Endoscopy
|June 5, 1998
Summary
Laparoscopic inguinal hernia repair offers less pain and faster recovery than open surgery. However, it is more expensive and does not significantly improve hospital stay or return to work times.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Hernia Repair Techniques
Background:
- The efficacy of laparoscopic inguinal hernia repair compared to traditional open methods remains a subject of debate.
- This study evaluates the transition from modified Bassini repair to laparoscopic techniques.
Purpose of the Study:
- To determine if laparoscopic inguinal hernia repair is a justified alternative to open repair.
- To compare outcomes between laparoscopic transabdominal preperitoneal mesh repair and modified Bassini open repair.
Main Methods:
- A randomized controlled trial involving 120 patients undergoing elective hernia repair.
- Patients were divided into two groups: laparoscopic repair (n=60) and open repair (n=60).
Main Results:
- Laparoscopic repair had a longer operative time (95 vs 67 min) but significantly less early postoperative pain (36.2 vs 49.3) and disability.
- Patients undergoing laparoscopic repair returned to light activities sooner (8 vs 14 days) but hospital stay and return to work were not significantly different.
- Laparoscopic repair was associated with higher costs (approx. $400 more) and one recurrence after 32 months follow-up.
Conclusions:
- Laparoscopic inguinal hernia repair provides benefits in terms of reduced early postoperative pain and disability.
- Despite faster return to light activities, laparoscopic repair does not offer advantages in hospital stay or return to work and is more costly.