Comparison of the effects of laparoscopic hernia repair and Lichtenstein tension-free hernia repair

To compare the effects of laparoscopic inguinal hernia repair (LIHR) and Lichtenstein tension-free inguinal hernia repair and to explore the safety and feasibility of LIHR as well as the advantages and disadvantages of these procedures. In total, 252 patients with inguinal hernia were equally random...

Full description

Saved in:
Bibliographic Details
Published inJournal of laparoendoscopic & advanced surgical techniques. Part A Vol. 23; no. 4; p. 301
Main Authors Wang, Wei-Jun, Chen, Jun-Zhen, Fang, Qian, Li, Jian-Feng, Jin, Peng-Fei, Li, Zhi-Tao
Format Journal Article
LanguageEnglish
Published United States 01.04.2013
Subjects
Female
Hernia, Inguinal - surgery
Herniorrhaphy - methods
Humans
Laparoscopy
Male
Middle Aged
Online AccessGet more information

Cover

More Information
Summary:To compare the effects of laparoscopic inguinal hernia repair (LIHR) and Lichtenstein tension-free inguinal hernia repair and to explore the safety and feasibility of LIHR as well as the advantages and disadvantages of these procedures. In total, 252 patients with inguinal hernia were equally randomized into the transabdominal preperitoneal (TAPP) repair, totally extraperitoneal (TEP) repair, and Lichtenstein tension-free hernia repair groups (n=84 each). Operating time, postoperative pain scores, postoperative scrotal seroma, postoperative local esthesiodermia, postoperative chronic pains, postoperative long-term hernia relapse, and costs of hospitalization were compared among the three groups. All laparoscopic operations were performed smoothly without intraoperative conversion to open surgery. The LIHR groups showed significantly better effects on postoperative pains and hernia recurrence than the Lichtenstein tension-free herniorrhaphy group (P<.05), but with a significantly higher hospitalization cost (P<.05). The occurrence rate of postoperative scrotal seroma or hydrops in the TAPP, TEP, and Lichtenstein groups was 11 (13.10%), 13 (15.48%), and 6 (7.14%), respectively. No significant differences among the operating time, postoperative local esthesiodermia, or postoperative chronic pains of the groups were observed (P>.05). LIHR is a safe and feasible procedure. It has significantly better effects on postoperative pains and hernia relapse than Lichtenstein tension-free hernia repair.
ISSN:1557-9034
DOI:10.1089/lap.2012.0217