Page 46 - World Journal of Laparoscopic Surgery

Laparoscopic versus Open Mesh (Lichtenstein) Repair of Inguinal Hernia: Current Status from Literature Review

Table 1: Summary of results of the various studies reviewed: Laparoscopic versus open mesh hernia repair
(TAPP = Total abdominal;l preperitoneal repair OM = Open mesh repair )
MRC NEUMAYAR WELLWOOD DOUEK PAGANINI
1999 et al 2004 et al 1998 et al 2003 et al 1997
Parameter TAPP OM TAPP OM TAPP OM TAPP OM TAPP OM
Duration of OPS Longer Shorter Longer Shorter Longer Shorter Longer Shorter Longer Shorter
Anesthesia GA LA GA LA GA LA GA LA GA LA
Times of discharge Early Same Early Same Early Same Early Same Early Same
days days days day day
Intraoperative Serious Minor Serious Less Present Less
complication

Postoperative Less More Less More Less More Equal Equal Less More
complication
Time of resumption Earlier Early Earlier Early Earlier Early
of duties
Cost effective More Less More Less More Less More Less
expensive expensive
Quality of life Happy Happy Happy Happy Happy Better OK
Recurrence rate Recurr No recure More 10.10% Less 4.9% More Less
Chronic pain Less More Less More Less More Less More Less More

REFERENCES 5. Douek M, Smith G, Oshowo A, Stoker Dl, Wellwood JM.
Prospective randomized controlled trial of Laparoscopic versus
1. MRC Laparoscopic Groin Hernia Trial Group. Laparoscopy open inguinal hernia mesh repair: Five years follow-up. BMJ
versus open repair of groin hernia: A randomized comparison . 2003;326:1012-13.
Lancet 1999;345:185-90. 6. Paganini AM, Lezoche E, Carle F, et al. A rendomized controlled
2. Neumayer L, Giobbie-Hurder A , Jonasson O, et al. Open mesh clinical study of Laparoscopic versus open tension –free ingunial
versus Laparoscopic mesh repair of inguinal hernia New. Engl J hernia repair .Surg Endosc 1998;12:979-86.
Med 2004;350:1819-27. 7. Grant AM. Laparoscopic versus open groin repair: Meta-
3. Wellwood J, Sculpher MJ Stoker D, et al. Randomized controlled analysis of randomized trials based on individual patent data.
trial of laparoscopic versus open mesh repair for inguinal hernia: the Eu Hernia colibrate. Hernia 2002;6:2-10.
Outcome and cost BMJ 1998;317:103-10. 8. Eu Hernia trial list collaboration. Laparoscopic compared with
4. Lawerence K, McWhinnie D, Godwin A, et al. An economic open methods of groin hernia: Systematic review of randomized
evaluation of Laparoscopic versus open inguinal hernia repair. J control trials BJ Surge 2000;87:860-67.
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