Trial reportHernia : the journal of hernias and abdominal wall surgery2017
Laparoscopic extraperitoneal repair versus open inguinal hernia repair: 20-year follow-up of a randomized controlled trial.
Trial report in Hernia : the journal of hernias and abdominal wall surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Operative time and recurrence across five techniques of inguinal hernia repair: a Bayesian network meta-analysis of 29 randomized trials.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Metachronous reoperation for recurrent and non-recurrent inguinal hernia after primary unilateral inguinal hernia repair: propensity score matched analysis of large US claims database.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Causation between the gut microbiota and inguinal hernia: a two-sample double-sided Mendelian randomization study.Scientific reports · 2024Article
- Article
- Novel modification of Marcy operation for indirect inguinal hernia reconstituting deep inguinal ring shutter action.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Association of Mesh and Fixation Options with Reoperation Risk after Laparoscopic Groin Hernia Surgery: A Swedish Hernia Registry Study of 25,190 Totally Extraperitoneal and Transabdominal Preperitoneal Repairs.Journal of the American College of Surgeons · 2022Article
- Shouldice standard 2020: review of the current literature and results of an international consensus meeting.Hernia : the journal of hernias and abdominal wall surgery · 2021Review
- A 19 year population-based cohort study analysing reoperation for recurrence following laparoscopic and open inguinal hernia repairs.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Could long-term follow-up modify the outcomes after laparoscopic TAPP? A 5-year retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- How I do it: the horizontal-bilateral unfolding method for self-gripping (Progrip™) mesh placement in laparoscopic inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- [HerniaSurge: international guidelines on treatment of inguinal hernia in adults : Comments of the Surgical Working Group Hernia (CAH/DGAV) and the German Hernia Society (DHG) on the most important recommendations].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018Article
- Comment to: Laparoscopic extraperitoneal repair versus open inguinal hernia repair: 20-year follow-up of a randomized controlled trial. Barbaro, A., Kanhere, H., Bessell, J. et al.Hernia : the journal of hernias and abdominal wall surgery · 2017Article
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4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study compared the long-term recurrence rates of laparoscopic totally extraperitoneal (TEP) and open inguinal hernia repair in patients from a randomised trial completed in 1994. Laparoscopic inguinal hernia surgery, especially TEP repair, has gained widespread acceptance in recent years. There is still paucity of data on long-term follow-up comparing recurrence rates for open and laparoscopic techniques. This is the first study providing direct long-term comparative data about these techniques.
methodsA randomised controlled trial was conducted between 1992 and 1994 on patients undergoing a laparoscopic TEP or an open inguinal hernia (Shouldice) repair at our institution. Of the original 104 participants, contemporary follow-up data could be obtained for 98 patients with regards to long-term recurrence. These data were collected with the help of questionnaires, telephone calls and retrieval of case records. Medical records were reviewed for all patients. Data were analysed using a Cox proportional hazards model.
resultsThere were 7/72 (9.7%) recurrences in the open group and 9/35 (25.7%) recurrences in the laparoscopic group. This difference in recurrence rates was statistically significant (HR = 2.94; 95% CI 1.05-8.25; p = 0.041.)
conclusionLaparoscopic TEP inguinal hernia repair performed in 1992-1994 had a higher recurrence rate than open Shouldice inguinal hernia repair during the same period. The original study was undertaken in the inceptive days of laparoscopic surgery and results need to be interpreted considering the technology and expertise available at that time.
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