Early outcome after open versus extraperitoneal endoscopic tension-free hernioplasty: A randomized clinical trial

• Published in: Surgery 1996-05, Vol.119 (5), p.552-557
• Main Authors: Wright, David M., Kennedy, Andrew, Baxter, John N., Fullarton, Grant M., Fife, Lesley M., Sunderland, Graeme T., O'Dwyer, Patrick J.
• Format: Article
• Language: English
• Subjects: Abdomen; Aged; Biological and medical sciences; Endoscopy; Female; Groin; Herniorrhaphy; Humans; Interleukin-6 - blood; Length of Stay; Lung - physiopathology; Male; Medical sciences; Middle Aged; Pain, Postoperative; Postoperative Complications; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Time Factors; Treatment Outcome
• ISSN: 0039-6060; 1532-7361
• DOI: 10.1016/S0039-6060(96)80266-2

Background. The use of minimal access surgery for repair of groin hernias is controversial. The aim of this study was to compare endoscopic tension-free hernia repair with open tesion-free hernia repair within a randomized clinical trial. Methods. One hundred twenty patients were randomized by four surgeons during a 1-year period. Early outcome measures were then analyzed by intention to treat. Results. Median postoperative pain scores (63 [interquartile range (IQR), 23 to 81] versus 35 [IQR, 17 to 62]; p =0.004) and analgesia requirements (2.5 [IQR, 2 to 4] doses versus 2.0 [IQR, 1 to 3] doses; p = 0.0008) were significantly less for patients undergoing endoscopic hernia repair. Hospital stay (1 [IQR, 0 to 1] day versus 2 [IQR, 1 to 2] days; p