Top

Hernia

Published in:

01-06-2013 | Original Article

Health status one year after TransInguinal PrePeritoneal inguinal hernia repair and Lichtenstein’s method: an analysis alongside a randomized clinical study

Authors: G. G. Koning, J. de Vries, G. F. Borm, L. Koeslag, P. W. H. E. Vriens, C. J. H. M. van Laarhoven

Published in: Hernia | Issue 3/2013

Abstract

Background

The Lichtenstein technique is the treatment of first choice according to guidelines for primary inguinal hernia treatment. Postoperative chronic pain has been reported as complication in 15–40 % after Lichtenstein’s repair. The postoperative effects on health status after open preperitoneal hernia repair have hardly been examined. Development of an open technique that combines the safe anterior approach of the Lichtenstein with the ‘promising’ preperitoneal soft mesh position was done; the transinguinal preperitoneal (TIPP) mesh repair. A double-blind prospective randomized controlled trial (TULIP trial, ISRCTN93798494) was conducted to compare different outcome parameters after TIPP or Lichtenstein, one parameter is topic of evaluation in this paper; the health status after TIPP and Lichtenstein for inguinal hernia repair.

Methods

The study protocol has been published. It was hypothesized that the health status of inguinal hernia patients would be better after the TIPP repair compared with the Lichtenstein technique. The size of this study was based on chronic pain as primary outcome measure. Three hundred and two patients were randomized. Patients and the outcome assessors were blinded. Follow-up was scheduled after 14 days, 3 months, and 1 year. The three dimensions of possible errors were warranted.

Results

With regard to health status, significant differences were found in the dimensions ‘physical pain’ [difference: 6.1 (95 % CI 2.3–9.9, p = 0.002)] and ‘physical functioning’ [difference: 3.5 (95 % CI 0.5–6.7, p = 0.023)], favoring the TIPP patients after 1 year.

Conclusion

In conclusion, the SF-36 ‘physical function’ and ‘physical pain’ dimensions after TIPP show significant better patient outcomes at 1 year compared with the Lichtenstein patients in this trial. These differences are in line with reported significant differences in less patients with postoperative chronic pain after TIPP compared with Lichtenstein at 1 year.

Source (2009) Statline, Centraal Bureau voor de Statistiek (http://statline.cbs.nl/statweb)

Official Dutch Inguinal Hernia Guideline (NVvH) (2003) ISBN 90-8523-001-2 (http://www.heelkunde.nl/uploads/xt/UD/xtUDdTOMwNlhcxalg-WJHQ/Richtlijnliesbreuk.pdf)

Simons MP, de Lange D, Beets GL, van Geldere D, Heij HA, Go PM (2003) The ‘inguinal hernia’ guideline of the association of surgeons of the Netherlands. Ned Tijdschr Geneesk 147:2111–2117

McCormack K, Scott N, Go PM, Ross SJ, Grant A (2008) Collaboration the EU Hernia Trialists. The Cochrane Collaboration and published in The Cochrane Library, Issue, Laparoscopic techniques versus open techniques for inguinal hernia repair 4

Bay-Nielsen M, Perkins FM, Kehlet H (2001) Pain and functional impairment 1 year after inguinal herniorrhaphy: a nationwide questionnaire study. Ann Surg 233:1–7PubMedCrossRef

Poobalan AS, Bruce J, Smith WC, King PM, Krukowski ZH, Chambers WA (2001) Chronic pain and quality of life following open inguinal hernia repair. Br J Surg 88:6–1122CrossRef

Hair A, Duffy K, Mclean J, Taylor S, Smith H, Walker A et al (2000) Groin hernia repair in Scotland. Br J Surg 87:1722–1726PubMedCrossRef

Bay-Nielsen M, Nilsson E, Nordin P, Kehlet H (2004) Chronic pain after open mesh and sutured repair of indirect hernia in young males. Br J Surg 91:1372–1376PubMedCrossRef

Koning GG, Koole D, de Jongh MAC, de Schipper JP, Verhofstad MHJ, Oostvogel HJM, Vriens PWHE (2011) The transinguinal preperitoneal hernia correction vs Lichtenstein's technique; is TIPP top? Hernia 15(1):19–22PubMedCrossRef

10.

Langeveld HR, van’t Riet M, Weidema WF, Stassen LPS, Steyerberg EW, Lange J, Bonjer HJ, Jeekel J (2010) Total extraperitoneal inguinal hernia repair compared with Lichtenstein (the LEVEL-Trial). A randomized controlled trial. Ann Surg 251:819–824PubMedCrossRef

11.

Lawrence K, Jenkinson C, McWhinnie D, Coulter A (1997) Quality of life in patients undergoing inguinal hernia repair. Ann R Coll Surg Engl 79:40–45PubMed

12.

Koning GG, Wetterslev J, van Laarhoven CJHM, Keus F (2011) PROTOCOL for: the totally extraperitoneal—(TEP) versus Lichtenstein's technique for inguinal hernia repair; a systematic review. www.ctu.dk/protocols

13.

Koning GG, Wetterslev J, van Laarhoven CJHM, Keus F (2011). The totally extraperitoneal—(TEP) versus Lichtenstein’s technique for inguinal hernia repair; a systematic review of clinical trials Submitted to PLoS ONE Journal

14.

Pélissier EP, Blum D, Marre D, Damas JM (2001) Inguinal hernia: a patch covering only the myopectineal orifice is effective. Hernia 5:84–87PubMedCrossRef

15.

Pélissier EP (2006) Inguinal hernia: preperitoneal placement of a memory-ring patch by anterior approach. Preliminary experience. Hernia 10:248–252PubMedCrossRef

16.

Berrevoet F, Maes L, Reyntjens K, Rogiers X, Troisi R, de Hemptinne B (2010) Transinguinal preperitoneal memory ring patch versus Lichtenstein repair for unilateral inguinal hernias. Lang Arch Surg 395(5):557–562CrossRef

17.

Koning GG, de Schipper HJ, Oostvogel HJM, Verhofstad MHJ, van Laarhoven CJHM, Vriens PWHE (2009) The Tilburg double blind randomized controlled trial comparing inguinal hernia repair according to Lichtenstein and the transinguinal preperitoneal technique. Trials. doi:10.1186/1745-6215-10-89 PubMed

18.

Nienhuijs SW, van Oort I, Keemers-Gels MEL, Strobbe JA, Rosman C (2005) Randomized clinical trial comparing the prolene hernia system, mesh plug repair and lichtenstein method for open inguinal hernia repair. Br J Surg 92:33–38PubMedCrossRef

19.

Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483PubMedCrossRef

20.

Aaronson NK, Muller M, Cohen PD, Essink-Bot ML, Fekkes M, Sanderman R, Sprangers MA, te Velde A, Verrips E (1998) Translation, validation and norming of the dutch language version of the sf-36 health survey in community and chronic disease populations. J Clin Epidemiol 51:1055–1068PubMedCrossRef

21.

Brazier JE, Harper R, Jones NMB, O’Cathain A, Thomas KJ, Usherwood T (1992) Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ 305:160–164PubMedCrossRef

22.

Ware JE, Snow KK, Kosinski M, Gandek B (1993) The SF36 health survey manual and interpretation guide. Health Institute, New England Medical Centre, Boston

23.

McHoraey CA, Ware JE, Raczek AE (1993) The MOS 36-item health survey (SF-36). Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care 31:247–263CrossRef

24.

Jenkinson C, Coulter A, Wright L (1993) Short form 36 (SF36) health survey questionnaire. Normative data for adults of working age. Br Med J 306:1437–1440CrossRef

25.

Amid PK, Shulman AG, Lichtenstein IL (1996) Open “tension-free” repair of inguinal hernias: the Lichtenstein technique. Eur J Surg 162:447–453PubMed

26.

Koch A, Bringman S, Myrelid P, Smeds S, Kald A (2008) Randomized clinical trial of groin hernia repair with titanium-coated lightweight mesh compared with standard polypropylene mesh. Br J Surg 95:1226–1231PubMedCrossRef

27.

Koning GG, Keus F, Koeslag L, Cheung CL, Avci M, van Laarhoven CJHM, Vriens PWHE (2012) Randomised clinical trial on chronic pain after the transinguinal preperitoneal technique compared to Lichtenstein’s method for inguinal hernia repair. Accepted for publication in Br J Surg 2012

28.

Higgins JPT, Green S (2008) Cochrane handbook for systematic reviews of interventions. The cochrane collaboration

29.

Miserez M, Alexandre JH, Campanelli G, Corcione F (2007) The European hernia society groin hernia classification: simple and easy to remember. Hernia 11:113–116PubMedCrossRef

30.

Schulz KF, Altman DG, Moher D, CONSORT Group (2010) CONSORT 2010 statement: updated guidelines for reporting parallel group randomized trials. PLoS Med 7(3):e1000251. doi:10.1371/journal.pmed.1000251 PubMedCrossRef

31.

Guyatt GH, Oxman AD, Kunz R, Vist GE, Falck-Ytter Y, Schünemann HJ (2008) GRADE working group: what is “quality of evidence” and why is it important to clinicians? BMJ 336:995–998PubMedCrossRef

32.

Katherine EM, Browne M, Kavanagh DO, Hurley M (2010) Laparoscopic (TEP) versus lichtenstein inguinal hernia repair: a comparison of quality-of-life outcomes. World J Surg 34:3059–3064CrossRef

33.

Barrat C, Seriser F, Arnoud R, Trouette P, Champault G (2004) Inguinal hernia repair with beta glucan-coated mesh: prospective multicenter study (115 cases)—preliminary results. Hernia 8:33–38PubMedCrossRef

34.

Keus F, Wetterslev J, Gluud C, van Laarhoven CJHM (2010) Evidence at a glance: error matrix approach for overviewing available evidence. BMC Med Res Meth 10:90CrossRef

35.

Keus F, Wetterslev J, Gluud C, Gooszen HG, van Laarhoven CJHM (2010) Trial sequential analyses of meta-analyses of complications in laparoscopic vs. small-incision cholecystectomy: more randomized patients are needed. J Clin Epidemiol 63:246–256PubMedCrossRef

Title: Health status one year after TransInguinal PrePeritoneal inguinal hernia repair and Lichtenstein’s method: an analysis alongside a randomized clinical study
Authors: G. G. Koning
J. de Vries
G. F. Borm
L. Koeslag
P. W. H. E. Vriens
C. J. H. M. van Laarhoven
Publication date: 01-06-2013
Publisher: Springer-Verlag
Published in: Hernia / Issue 3/2013
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-012-0963-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Health status one year after TransInguinal PrePeritoneal inguinal hernia repair and Lichtenstein’s method: an analysis alongside a randomized clinical study

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 3/2013

Surgical treatment of chronic pain after inguinal hernia repair

Open preperitoneal mesh repair of inguinal hernias using a mesh with nitinol memory frame

Should we be wary of hernia mesh devices with reinforcement?

An enigma of spontaneous combined transdiaphragmatic, intercostal and abdominal wall hernia

Internal hernias: a brief review

The secondary external inguinal ring and associated fascial planes: surgical anatomy, embryology, applications