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01-05-2004 | Original Article

Preperitoneal repair for recurrent inguinal hernia: Laparoscopic and open approach

Authors: X. Feliu, G. Torres, X. Viñas, F. Martínez-Ródenas, E. Fernández-Sallent, J. Pie

Published in: Hernia | Issue 2/2004

Abstract

Background: The aim of this study was to investigate the outcome of preperitoneal repair using laparoscopic (TEP) and open (OPM) approach in recurrent inguinal hernia. Methods: We performed a prospective controlled nonrandomized clinical study in 188 patients with 207 recurrent inguinal hernias over a period of 5 years. TEP repair was employed for 86 repairs, and OPM was used in 121 procedures. The main outcome measurements were: recurrence rate, operating time, hospital stay, and postoperative complications. Results: There were three recurrences (1.7%). Two in the OPM group (1.8%) and one (1.3%) in the TEP group [P=NS (not significant)]. The TEP procedure was faster than OPM for unilateral repair (40.8 vs 46.3 min) (P<0.001). Postoperative complications were more frequent in the OPM group (23.9%) than the TEP group (13.9%) (P=NS). Hospital stay was significantly shorter in the TEP group (1.2 vs 3.9 days) (P<0.001). Conclusions: Preperitoneal approach (open or laparoscopic) seems to be a good option in recurrent inguinal hernia when these procedures are done by experienced surgeons.

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Title: Preperitoneal repair for recurrent inguinal hernia: Laparoscopic and open approach
Authors: X. Feliu
G. Torres
X. Viñas
F. Martínez-Ródenas
E. Fernández-Sallent
J. Pie
Publication date: 01-05-2004
Publisher: Springer-Verlag
Published in: Hernia / Issue 2/2004
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-003-0179-0

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Preperitoneal repair for recurrent inguinal hernia: Laparoscopic and open approach

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