Simultaneous repair of bilateral groin hernias: open or laparoscopic approach?

Details

Serval ID
serval:BIB_6CB315BF95CD
Type
Article: article from journal or magazin.
Collection
Publications
Title
Simultaneous repair of bilateral groin hernias: open or laparoscopic approach?
Journal
Surgical laparoscopy & endoscopy
Author(s)
Krähenbühl L., Schäfer M., Schilling M., Kuzinkovas V., Büchler M.W.
ISSN
1051-7200 (Print)
ISSN-L
1051-7200
Publication state
Published
Issued date
08/1998
Peer-reviewed
Oui
Volume
8
Number
4
Pages
313-318
Language
english
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: ppublish
Abstract
A persistent problem in hernia surgery concerns the repair of bilateral inguinal hernias. A retrospective analysis of 78 patients with bilateral inguinal hernias was performed. Hernia repair was performed either by an open anterior access (modified Shouldice repair) or a laparoscopic posterior approach (TAPP repair). The two patient groups were similar with regard to ASA classification, age, and sex. The intraoperative complication rate was low (2.6% to 7.8%), whereas postoperative complications occurred more frequently (7.7% to 15.4%). The recurrence rate was low in both groups: 5.1% for the open group and 1.3% for the laparoscopic group. The mean hospital stay was 4 days for both groups, and the mean off-work times were 56.4 days and 17.9 days for the open and laparoscopic group, respectively (p < 0.05). Both procedures gave satisfactory results. The main advantages of the laparoscopic approach are the shorter convalescence time and quicker return to work.
Keywords
Adolescent, Adult, Aged, Aged, 80 and over, Analysis of Variance, Female, Follow-Up Studies, Hernia, Inguinal/pathology, Hernia, Inguinal/surgery, Humans, Intraoperative Complications, Laparoscopy/adverse effects, Laparoscopy/methods, Length of Stay, Male, Middle Aged, Recurrence, Retrospective Studies, Surgical Procedures, Operative/adverse effects, Surgical Procedures, Operative/methods, Treatment Outcome
Pubmed
Web of science
Create date
11/12/2018 12:44
Last modification date
20/08/2019 15:26
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