Abstract
Background: In February 1993 a prospective randomized multicenter trial was initiated to compare laparoscopic transabdominal preperitoneal hernioplasty to Shouldice herniorrhaphy as performed by surgeons of nonspecialized clinics.
Methods: Until January 1994, 87 patients with 108 hernias took part in the trial (43 Shouldice and 44 laparoscopic repairs).
Results: The laparoscopic procedure took significantly longer than did the open operation but caused less pain as measured by pain analogue score and consumption of paracetamol and narcotics. The postoperative complication rate was 26% in the open and 16% in the laparoscopic group. The patients in the laparoscopic group were discharged earlier and their convalescence was shorter than after open hernia repair. There has been one early recurrence in the laparoscopic and two in the open group to date with a mean follow-up of 201 days.
Conclusions: Laparoscopic hernia repair causes less pain than the conventional operation and enables the patient to return to full work and usual activities earlier. The recurrence rate will not be known for 5 years.
Similar content being viewed by others
References
Chesyln-Curtis S, Russell RCG (1993) Laparoscopic herniorrhaphy. Literature review. Endosc Surg 1: 188–192
Lichtenstein IL, Shulman AG, Amid PK (1990) Use of mesh to prevent recurrence of hernias. Postgrad Med 87(1): 155–160
Shearburn EW, Myers RN (1969) Shouldice repair of inguinal hernia. Surgery 66(2): 450–459
Stoker DL, Spiegelhalter DJ, Singh R, Wellwood JM (1994) Laparoscopic versus open inguinal hernia repair: randomised prospective trial. Lancet 343(5): 1243–1245
Stoppa RE, Warlaumont CR, Verhaeghe PJ, Romero ER, M'Balla-N'Di CJ (1986) Prosthetic repair in the treatment of groin hernias. Int Surg 71(3): 154–158
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tschudi, J., Wagner, M., Klaiber, C. et al. Controlled multicenter trial of laparoscopic transabdominal preperitoneal hernioplasty vs Shouldice herniorrhaphy. Surg Endosc 10, 845–847 (1996). https://doi.org/10.1007/BF00189547
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00189547