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Laparoscopic and open inguinal hernia repair with alloplastic material: do the subjective and objective parameters differ in the long-term course?
Surg Laparosc Endosc Percutan Tech. 2008 Oct; 18(5):457-63.SL

Abstract

INTRODUCTION

Management with alloplastic materials has become the standard procedure in inguinal hernia surgery. The aim of this study was to evaluate the long-term results after laparoscopic and open groin hernia repair with alloplastic material in a large patient population.

MATERIALS AND METHODS

We included patients in the study who underwent elective laparoscopic total extraperitoneal (TEP) inguinal hernia repair or Lichtenstein surgery between January 1998 and December 2004 for either unilateral or bilateral inguinal hernia. Patient data were recorded by a prospective online data recording system and evaluated after a minimum follow-up time of 12 (12 to 103) months by standardized questionnaires. Both objective (chronic pain, chronic dysesthesia, recurrence, and postoperative recovery) and subjective (cosmetic result, scar formation, and the choice of surgical procedure) parameters were surveyed.

RESULTS

Seven hundred eighty-two patients with 923 inguinal hernias underwent surgery in the study period. Five hundred fifty-three patients returned the questionnaire; 62 died during the follow-up. In the remaining 491 patients, TEP was used in 292 patients (375 hernias) and the Lichtenstein procedure in 199 patients (206 hernias). TEP was significantly superior to the Lichtenstein procedure for 2 objective parameters: chronic dysesthesia and return to normal work. Regarding the subjective parameters, TEP was superior in the cosmetic results and the choice of surgical procedure. 3.1% of the patients after TEP versus 8.5% after Lichtenstein were dissatisfied with the cosmetic result (P=0.008). If secondary inguinal hernia surgery were required, 89.4% of the patients would choose TEP again versus 76.1% the Lichtenstein procedure (P<0.001).

CONCLUSIONS

Whereas the Lichtenstein procedure was not significantly better in any of the evaluated parameters, TEP was superior especially in the subjective parameters.

Authors+Show Affiliations

Department of General, Vascular and Thoracic Surgery, Campus Benjamin Franklin, Charité-Universitätsmedizin Berlin, Hindenburgdamm 30, Berlin, Germany. johannes.lauscher@charite.deNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18936666

Citation

Lauscher, Johannes Christian, et al. "Laparoscopic and Open Inguinal Hernia Repair With Alloplastic Material: Do the Subjective and Objective Parameters Differ in the Long-term Course?" Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, vol. 18, no. 5, 2008, pp. 457-63.
Lauscher JC, Yafaei K, Buhr HJ, et al. Laparoscopic and open inguinal hernia repair with alloplastic material: do the subjective and objective parameters differ in the long-term course? Surg Laparosc Endosc Percutan Tech. 2008;18(5):457-63.
Lauscher, J. C., Yafaei, K., Buhr, H. J., & Ritz, J. P. (2008). Laparoscopic and open inguinal hernia repair with alloplastic material: do the subjective and objective parameters differ in the long-term course? Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 18(5), 457-63. https://doi.org/10.1097/SLE.0b013e31817f4d70
Lauscher JC, et al. Laparoscopic and Open Inguinal Hernia Repair With Alloplastic Material: Do the Subjective and Objective Parameters Differ in the Long-term Course. Surg Laparosc Endosc Percutan Tech. 2008;18(5):457-63. PubMed PMID: 18936666.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic and open inguinal hernia repair with alloplastic material: do the subjective and objective parameters differ in the long-term course? AU - Lauscher,Johannes Christian, AU - Yafaei,Kamal, AU - Buhr,Heinz Johannes, AU - Ritz,Jörg-Peter, PY - 2008/10/22/pubmed PY - 2008/12/24/medline PY - 2008/10/22/entrez SP - 457 EP - 63 JF - Surgical laparoscopy, endoscopy & percutaneous techniques JO - Surg Laparosc Endosc Percutan Tech VL - 18 IS - 5 N2 - INTRODUCTION: Management with alloplastic materials has become the standard procedure in inguinal hernia surgery. The aim of this study was to evaluate the long-term results after laparoscopic and open groin hernia repair with alloplastic material in a large patient population. MATERIALS AND METHODS: We included patients in the study who underwent elective laparoscopic total extraperitoneal (TEP) inguinal hernia repair or Lichtenstein surgery between January 1998 and December 2004 for either unilateral or bilateral inguinal hernia. Patient data were recorded by a prospective online data recording system and evaluated after a minimum follow-up time of 12 (12 to 103) months by standardized questionnaires. Both objective (chronic pain, chronic dysesthesia, recurrence, and postoperative recovery) and subjective (cosmetic result, scar formation, and the choice of surgical procedure) parameters were surveyed. RESULTS: Seven hundred eighty-two patients with 923 inguinal hernias underwent surgery in the study period. Five hundred fifty-three patients returned the questionnaire; 62 died during the follow-up. In the remaining 491 patients, TEP was used in 292 patients (375 hernias) and the Lichtenstein procedure in 199 patients (206 hernias). TEP was significantly superior to the Lichtenstein procedure for 2 objective parameters: chronic dysesthesia and return to normal work. Regarding the subjective parameters, TEP was superior in the cosmetic results and the choice of surgical procedure. 3.1% of the patients after TEP versus 8.5% after Lichtenstein were dissatisfied with the cosmetic result (P=0.008). If secondary inguinal hernia surgery were required, 89.4% of the patients would choose TEP again versus 76.1% the Lichtenstein procedure (P<0.001). CONCLUSIONS: Whereas the Lichtenstein procedure was not significantly better in any of the evaluated parameters, TEP was superior especially in the subjective parameters. SN - 1534-4908 UR - https://www.unboundmedicine.com/medline/citation/18936666/Laparoscopic_and_open_inguinal_hernia_repair_with_alloplastic_material:_do_the_subjective_and_objective_parameters_differ_in_the_long_term_course L2 - http://dx.doi.org/10.1097/SLE.0b013e31817f4d70 DB - PRIME DP - Unbound Medicine ER -