Laparoscopic versus open inguinal hernia repair: randomised prospective trial

Laparoscopic surgery benefits patients because it reduces pain and enables earlier mobilisation. There is concern that laparoscopic hernia repair may enter surgical practice without proper evaluation. We have done a randomised, prospective study comparing laparoscopic and open inguinal hernia repair...

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Bibliographic Details
Published in:The Lancet (British edition) 1994-05, Vol.343 (8908), p.1243-1245
Main Authors: Stoker, D.L., Spiegelhalter, D.J., Singh, R., Wellwood, J.M.
Format: Article
Language:English
Subjects:
Abdomen
Adult
Aged
Analgesia
Analgesics - administration & dosage
Anesthesia
Biological and medical sciences
Evidence-based medicine
Female
Hernia
Hernia, Inguinal - surgery
Hernias
Humans
Laparoscopy
Laparoscopy - methods
Length of Stay
Male
Medical disorders
Medical research
Medical sciences
Middle Aged
Pain
Pain Measurement
Pain perception
Pain, Postoperative
Patients
Postoperative Complications
Prospective Studies
Randomization
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Tablets
Time Factors
Treatment Outcome
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Summary:Laparoscopic surgery benefits patients because it reduces pain and enables earlier mobilisation. There is concern that laparoscopic hernia repair may enter surgical practice without proper evaluation. We have done a randomised, prospective study comparing laparoscopic and open inguinal hernia repair performed under day-case general anaesthesia. 150 patients were randomised to have laparoscopic (group L) or open (group O) herniorrhaphy. Group L underwent transabdominal stapling of preperitoneal Prolene mesh. Group 0 underwent open repair, with a tension-free nylon darn. Postoperatively patients completed pain analogue scales eight times over 7 days, and use of analgesia was recorded. Time of return to normal domestic activity and to work was assessed. The groups were similar in age, sex, and body surface area. Self-administered co-proxamol was a median of 18 tablets (1 tablet=325 mg) in group O (n = 75) and 6 in group L (n = 75, p < 0·001). Overall mean pain analogue score was 3·1 (SD1·8, n = 70) in group O and 1·8 (SD 1·1, n=71) in group L (p
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(94)92148-2