Abstract
Hernia repair is one of the most frequent procedures in surgery. The aim of this study is to compare the early and long-term health status and clinical outcomes of patients in the postoperative period of Stoppa and bilateral Lichtenstein hernia repair in bilateral groin hernias. The Stoppa group consisted of 22 patients, and the bilateral Lichtenstein group had 23 patients. Both groups were similar with respect to age, gender, ASA score, and postoperative follow-up periods. A multidimensional measure of health status, the Short Form-36 (SF-36), was administered at 15 days and 6 months postoperatively. Although there is no difference between the two groups in the early postoperative period, three of eight health concepts measured with SF-36 (physical functioning, role limitation-physical, general health perception) showed a significant difference in long-term health status. We conclude that long-term quality of life following Stoppa operations is superior to bilateral Lichtenstein hernia repair in bilateral groin hernias.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Sachs M, Damm M, Encke A (1997) Historical evolution of inguinal hernia repair. World J Surg 21:218–23
Sayad P, Ferzli G (1999) Laparoscopic preperitoneal repair of recurrent inguinal hernias. J Laparoendosc Adv Surg Tech A 9:127–30
Stoppa RE (1989) The treatment of complicated groin and incisional hernias. World J Surg 13:545–510
Stoppa RE (2003) Wrapping the visceral sac into a bilateral mesh prosthesis in groin hernia repair. Hernia 7:2–12
Jenkinson C, Coulter A, Wright L (1999) Short form 36 (SF 36) health survey questionnaire: normative data for adults of working age. BMJ 306:1437–40
Ware JE, Sherbourne CD (1992) The MOS –36-item short form health survey (SF-36): I. Conceptual framework and item selection. Med Care 30:473–83
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 305:160–4
Knook MT, Weidema WF, Stassen LP, Boelhouwer RU, van Steensel C (1999) Endoscopic totally extraperitoneal repair of bilateral inguinal hernias. Br J Surg 86:1312–6
Huang CS (1999) Surgical treatment of recurrent groin hernia. J Formos Med Assoc 98:122–7
Wantz GE (1998) Giant prosthetic reinforcement of visceral sac. The Stoppa groin hernia repair. Surg Clin North Am 78:1075–87
Gorog D, Perner F, Kovacs J, Alfoldy F, Mathe Z, Peter A (1997) Our preliminary results in application of Stoppa technique for recurrent groin hernia. Acta Chir Hung 36:108–109
Topal B, Hourlay P (1997) Totally preperitoneal endoscopic inguinal hernia repair. Br J Surg 84:61–3
Amid PK (2003) The Lichtenstein repair in 2002: an overview of causes of recurrence after Lichtenstein tension-free hernioplasty. Hernia 7:13–16
Bauer JJ, Harris MT, Gorfine SR, Kreel I (2002) Rives-Stoppa procedure for repair of large incisional hernias: Experience with 57 patients. Hernia 6:120–123
Malazgirt Z, Ozkan K, Dervisoğlu A, Kaya E (2000) Comparison of Stoppa and Lichtenstein techniques in the repair of bilateral inguinal hernias. Hernia 4:264–267
Champault G, Barrat C, Catheline JM, Rizk N (1998) Groin hernias: Four-year results of two randomized prospective studies comparing the Shouldice operation and the Stoppa procedure using a totally pre-peritoneal laparoscopic approach (461 patients). Hernia 2:19–23
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Koc, M., Aslar, A.K., Yoldas, O. et al. Comparison of quality-of-life outcomes of Stoppa vs bilateral Lichtenstein procedure. Hernia 8, 53–55 (2004). https://doi.org/10.1007/s10029-003-0165-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10029-003-0165-6