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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Acknowledgments
We thank Stefan Sörensen, PhD, Mälardalen University, 721 23 Västerås, for statistical advice. Financial support was provided by Ethicon EndoSurgery, Johnson & Johnson Company, and Stig and Ragna Gorthon Foundation. Ethicon did not have any involvement in the design or performance of the study or in the data analysis. The following surgeons also participated in the study: L-K. Enander (Centralsjukhuset Karlstad), P. Almqvist, M. Bergenfeldt, and U. Petersson (Universitetssjukhuset, Malmö), L. G. Ekman, G. Rimbäck, and O. Thorén (Mölndals sjukhus, Mölndal), J. Ahlberg, L. Blomgren, and I. Svedberg (St Görans sjukhus, Stockholm), D. Arvidsson, J. Antonsson, and E. Lundgren (Akademiska sjukhuset, Uppsala), B. Sjögren and A. Hellberg (Centrallasarettet, Västerås), and L. G. Larsson, E. Jörtsö, and G. Ågren (Universitetssjukhuset, Örebro).
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Eklund, A., Rudberg, C., Leijonmarck, C.E. et al. Recurrent inguinal hernia: randomized multicenter trial comparing laparoscopic and Lichtenstein repair. Surg Endosc 21, 634–640 (2007). https://doi.org/10.1007/s00464-006-9163-y
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DOI: https://doi.org/10.1007/s00464-006-9163-y