ArticleHernia : the journal of hernias and abdominal wall surgery2023
Lichtenstein versus TIPP versus TAPP versus TEP for primary inguinal hernia, a matched propensity score study on the French Club Hernie Registry.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.
- Comparison of short- and long-term efficacy and economic indicators between transabdominal preperitoneal and open tension-free repair for inguinal hernia in adults: a meta-analysis of randomized controlled trials.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Transinguinal preperitoneal (TIPP) versus minimally invasive inguinal hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Transinguinal preperitoneal (TIPP) versus Lichtenstein for inguinal hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- Comparative outcomes of Toumai robotic and laparoscopic transabdominal preperitoneal inguinal hernia repair in a retrospective cohort.Scientific reports · 2026Article
- Healthcare System Transition in Kazakhstan and Its Impact on Inguinal Hernia Repair Outcomes: A Multidisciplinary Comparative Analysis of TEP, TIPP, and Open Lichtenstein Procedures.Journal of multidisciplinary healthcare · 2026Article
- Ambulatory bilateral groin hernia repair: open preperitoneal versus laparoscopic outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Laparoscopic vs. Open-Groin Hernia Repair in Romania-A Populational Study.Journal of clinical medicine · 2025Article
- Groin Hernia Repair, the History of the Open Pre-Peritoneal Route Towards a Minimally Invasive Approach. Narrative Review.Journal of abdominal wall surgery : JAWS · 2025Review
- Are "European" Scrotal Hernias Repairable With the Minimal Open Pre-Peritoneal Technique?Journal of abdominal wall surgery : JAWS · 2025Article
- Three-Arm Registry-Based Comparison of Trans-Inguinal-Pre-Peritoneal, Laparoscopic, and Lichtenstein Techniques for Scrotal Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Article
- Inguinal hernia recurrence after laparoscopic mesh removal for chronic pain: a single-center experience with 11 years of practice.Surgical endoscopy · 2025Observational
- Letter to the Editor regarding: Laparoscopic treatment of fourteen cases of pelvic ring disruption: a case series. Vinet M, Moullac D, David G, et al., Int Orthop. 2024 Apr 18.International orthopaedics · 2024Article
- Article
- Intraneural fibrosis within ilioinguinal nerve in inguinal hernia patients with preoperative pain: it's the sign of irreversible nerve injury, isn't it?Langenbeck's archives of surgery · 2023Article
- Improved patient-reported outcomes after open preperitoneal inguinal hernia repair compared to anterior Lichtenstein repair: 10-year ACHQC analysis.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeGroin hernia repair is one of the most frequent operation performed worldwide. Chronic postoperative inguinal pain (CPIP) is the most common and challenging complication after surgical repair with subsequent high socio-economic impact. The aim of this study was to compare the one-year CPIP rates between Lichtenstein, trans-inguinal pre-peritoneal (TIPP), trans-abdominal pre-peritoneal (TAPP) and totally extra-peritoneal (TEP) repair techniques on the French Hernia Registry.
methodsBetween 2011 and 2021, 15,161 primary groin hernia repairs with 1-year follow-up were available on the register. Using propensity score (PS) matching, matched pairs were formed. Each group was compared in pairs independently; Lichtenstein versus TIPP, TEP and TAPP, TIPP versus TEP and TAPP and finally TEP versus TAPP.
resultsAfter PS matching analysis, Lichtenstein group showed disadvantage over TIPP, TAPP and TEP groups with significantly more CPIP at one year (15.2% vs 9.6%, p < 0.0001; 15.9% vs. 10.0%, p < 0.0001 and 16.1% vs. 12.4%, p = 0.002, respectively). The 1-year CPIP rates were similar comparing TIPP versus TAPP and TEP groups (9.3% vs 10.5%, p = 0.19 and 9.8% vs 11.8%, p = 0.05, respectively). There was significantly less CPIP rate after TAPP versus TEP repair (1.00% vs 11.9%, p = 0.02).
conclusionThis register-based study confirms the higher CPIP risk after Lichtenstein repair compared to the pre-peritoneal repair techniques. TIPP leads to comparable CPIP rates than TAPP and TEP repairs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.