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Surgical Endoscopy
Published in: Surgical Endoscopy 4/2007

01-04-2007

Recurrent inguinal hernia: randomized multicenter trial comparing laparoscopic and Lichtenstein repair

Authors: A. Eklund, C. Rudberg, C. -E. Leijonmarck, I. Rasmussen, L. Spangen, G. Wickbom, U. Wingren, A. Montgomery

Published in: Surgical Endoscopy | Issue 4/2007

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Abstract

Background

The optimal treatment for recurrent inguinal hernia is of concern due to the high frequency of recurrence.

Methods

This randomized multicenter study compared the short- and long-term results for recurrent inguinal hernia repair by either the laparoscopic transabdominal preperitoneal patch (TAPP) procedure or the Lichtenstein technique.

Results

A total of 147 patients underwent surgery (73 TAPP and 74 Lichtenstein). The operating time was 65 min (range, 23–165 min) for the TAPP group and 64 min (range, 25–135 min) for the Lichtenstein group. Patients who underwent TAPP reported significantly less postoperative pain and shorter sick leave (8 vs 16 days). The recurrence rate 5 years after surgery was 19% for the TAPP group and 18% for the Lichtenstein group.

Conclusion

The short-term advantage for patients who undergo the laparoscopic technique is less postoperative pain and shorter sick leave. In the long term, no differences were observed in the chronic pain or recurrence rate.
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Metadata
Title
Recurrent inguinal hernia: randomized multicenter trial comparing laparoscopic and Lichtenstein repair
Authors
A. Eklund
C. Rudberg
C. -E. Leijonmarck
I. Rasmussen
L. Spangen
G. Wickbom
U. Wingren
A. Montgomery
Publication date
01-04-2007
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 4/2007
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-006-9163-y

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