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Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: long-term follow-up of a randomized controlled trial.
Surgery. 2008 Mar; 143(3):313-7.S

Abstract

BACKGROUND

We have conducted a randomized controlled trial of totally extraperitoneal hernia repair (TEP) versus tension-free open repair (Lichtenstein repair); we have presented the results previously up to 1 year after the operation. The aim of this study was to compare patient outcome in both groups at a median follow-up of 7.3 years after operation.

METHODS

Of 168 patients included in a prospective, randomized controlled trial designed to compare TEP with an open tension-free technique, 154 patients (92%) answered a questionnaire and 147 patients (88%) were followed up at an outpatient clinic after a minimum of 6 years after operation.

RESULTS

Overall, 89% of patients in the TEP group and 95% of patients in the open group reported complete long-term recovery (P = .23). Permanent impaired inguinal sensibility was more common in the open group (P = .004), whereas the proportion of patients with reported testicular pain was higher in the TEP group (P = .003). Three recurrences were found in the TEP group, and 4 recurrences were found in the open group (P = .99). Four patients in the TEP group underwent operations for complications related to the hernia repair (small bowel obstruction, umbilical hernia, testicular pain, and neuralgia).

CONCLUSION

Overall, both groups showed good long-term results with low rates of recurrences. However, the TEP group was associated with a higher proportion of patients with long-term testicular pain, whereas impaired inguinal sensibility was more common in the open group.

Authors+Show Affiliations

Department of Surgery, Lund University Hospital, Lund, Sweden.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

18291251

Citation

Hallén, Magnus, et al. "Laparoscopic Extraperitoneal Inguinal Hernia Repair Versus Open Mesh Repair: Long-term Follow-up of a Randomized Controlled Trial." Surgery, vol. 143, no. 3, 2008, pp. 313-7.
Hallén M, Bergenfelz A, Westerdahl J. Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: long-term follow-up of a randomized controlled trial. Surgery. 2008;143(3):313-7.
Hallén, M., Bergenfelz, A., & Westerdahl, J. (2008). Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: long-term follow-up of a randomized controlled trial. Surgery, 143(3), 313-7. https://doi.org/10.1016/j.surg.2007.09.028
Hallén M, Bergenfelz A, Westerdahl J. Laparoscopic Extraperitoneal Inguinal Hernia Repair Versus Open Mesh Repair: Long-term Follow-up of a Randomized Controlled Trial. Surgery. 2008;143(3):313-7. PubMed PMID: 18291251.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: long-term follow-up of a randomized controlled trial. AU - Hallén,Magnus, AU - Bergenfelz,Anders, AU - Westerdahl,Johan, Y1 - 2008/01/14/ PY - 2007/02/01/received PY - 2007/08/29/revised PY - 2007/09/01/accepted PY - 2008/2/23/pubmed PY - 2008/3/20/medline PY - 2008/2/23/entrez SP - 313 EP - 7 JF - Surgery JO - Surgery VL - 143 IS - 3 N2 - BACKGROUND: We have conducted a randomized controlled trial of totally extraperitoneal hernia repair (TEP) versus tension-free open repair (Lichtenstein repair); we have presented the results previously up to 1 year after the operation. The aim of this study was to compare patient outcome in both groups at a median follow-up of 7.3 years after operation. METHODS: Of 168 patients included in a prospective, randomized controlled trial designed to compare TEP with an open tension-free technique, 154 patients (92%) answered a questionnaire and 147 patients (88%) were followed up at an outpatient clinic after a minimum of 6 years after operation. RESULTS: Overall, 89% of patients in the TEP group and 95% of patients in the open group reported complete long-term recovery (P = .23). Permanent impaired inguinal sensibility was more common in the open group (P = .004), whereas the proportion of patients with reported testicular pain was higher in the TEP group (P = .003). Three recurrences were found in the TEP group, and 4 recurrences were found in the open group (P = .99). Four patients in the TEP group underwent operations for complications related to the hernia repair (small bowel obstruction, umbilical hernia, testicular pain, and neuralgia). CONCLUSION: Overall, both groups showed good long-term results with low rates of recurrences. However, the TEP group was associated with a higher proportion of patients with long-term testicular pain, whereas impaired inguinal sensibility was more common in the open group. SN - 1532-7361 UR - https://www.unboundmedicine.com/medline/citation/18291251/Laparoscopic_extraperitoneal_inguinal_hernia_repair_versus_open_mesh_repair:_long_term_follow_up_of_a_randomized_controlled_trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0039-6060(07)00570-3 DB - PRIME DP - Unbound Medicine ER -