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Surgical Endoscopy
Published in: Surgical Endoscopy 9/2005

01-09-2005 | Letter to the editor

Laparoscopic hernia in the light of the Veterans Affairs Cooperative Study 456: more rigorous studies are needed

Authors: S. D. Schwaitzberg, D. B. Jones, L. Grunwaldt, D. W. Rattner

Published in: Surgical Endoscopy | Issue 9/2005

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Excerpt

The recent article by Neumayer et al. in The New England Journal of Medicine reporting a comparison between laparoscopic mesh and open mesh inguinal hernia repairs [4] is an admirable contribution to the debate concerning these techniques, but it falls far short in its attempt to provide class I evidence for clinical therapy. Their terse conclusion as stated in both the abstract and the text, that open herniorrhaphy is superior to laparoscopic herniorrhaphy is not well supported by their own data. …
Literature
1.
Clinical Outcomes of Surgical Therapy Study Group (2004) A comparison of laparoscopically assisted and open colectomy for colon cancer N Engl J Med 350: 2050–2059
2.
McCormack K, Scott NW, Go PMNYH, Ross S, Grant AM on behalf of the EU Hernia Trialists Collaboration (2003) Laparoscopic techniques versus open techniques for inguinal hernia repair. The Cochrane Database of Systematic Reviews 2003, Issue 1. Art. No.: CD001785. DOI: 10.1002/14651858.CD001785
3.
Memon MA, Cooper NJ, Memon B, Memon MI, Abrams KR (2003) Meta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair Br J Surg 90:1479–1492CrossRefPubMed
4.
Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R Jr, Dunlop D, Gibbs J, Reda D, et al. (2004) Open mesh versus laparoscopic mesh repair of inguinal hernia N Engl J Med 350: 1819–1827CrossRefPubMed
Metadata
Title
Laparoscopic hernia in the light of the Veterans Affairs Cooperative Study 456: more rigorous studies are needed
Authors
S. D. Schwaitzberg
D. B. Jones
L. Grunwaldt
D. W. Rattner
Publication date
01-09-2005
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 9/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-004-8271-9

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