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Laparoscopic versus open preperitoneal prosthetic herniorrhaphy for recurrent inguinal hernia
1Department of Surgery, Veterans General Hospital-Kaohsiung, National Yang-Ming University, Taiwan, ROC.
International Surgery
|December 16, 1998
Summary
Laparoscopic herniorrhaphy (LH) offers comparable recurrence rates to open preperitoneal prosthetic herniorrhaphy (PPH) for recurrent inguinal hernias. LH also provides reduced postoperative pain and faster recovery.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Background:
- Laparoscopic herniorrhaphy (LH) and open preperitoneal prosthetic herniorrhaphy (PPH) share repair principles.
- PPH demonstrates a low recurrence rate (1.2-3%) for inguinal hernias.
Purpose of the Study:
- To compare the efficacy and outcomes of LH versus PPH for recurrent inguinal hernias.
- To evaluate recurrence rates, postoperative pain, and recovery times.
Main Methods:
- Retrospective study of 145 patients with recurrent inguinal hernias (1990-1994).
- Comparison of 42 patients undergoing LH with 103 patients undergoing PPH.
Main Results:
- No significant differences in operative time, hospital stay, morbidity, or recurrence rates between LH and PPH.
- LH group experienced significantly less postoperative pain and a 2-fold shorter convalescence period.
- LH identified unsuspected contralateral hernias in 4.8% of cases, with 11.9% undergoing simultaneous bilateral repair.
Conclusions:
- Laparoscopic herniorrhaphy (LH) is a viable option for recurrent inguinal hernias.
- Further research is needed to support the widespread adoption of LH for this indication.