Equal Results with Laparoscopic and Shouldice Repairs of Primary Inguinal Hernia in Men. Report from a Prospective Randomised Study

Abstract

Aim:

To compare the laparoscopic and Shouldice techniques for repair of inguinal hernia.

Material:

261 healthy men over 50 years with primary, unilateral inguinal hernia were randomly allocated to laparoscopic (total extraperitoneal approach, TEP) treatment (n = 131) or to a modified Shouldice technique (n = 130).

Results:

Apart from a longer operative time in the laparoscopic group, there were no significant differences between the two methods with regard to perioperative complications, hospital stay, recurrencies or pain in the groin.

Conclusions:

Results following the total extraperitoneal laparoscopic and the Shouldice technique do not differ significantly 2 years after hernia repair.

Keywords

Hernia laparoscopy randomised controlled trial

References

EU Hernia Trialists Collaboration: Laparoscopic compared with open methods of groin hernia repair: Systematic review of randomized controlled trials. Br J Surg 2000; 87: 860–867.

Shouldice

Surgical treatment of hernia. Ontario Med Rev 1953;20:670–684.

Fleming

Elliott

McL

Jones R

Hardy

Randomized clinical trial comparing totally extraperitoneal inguinal hernia repair with the Shouldice technique. Br J Surg 2001;88:1183–1188.

Leibl

Daubler

Schmedt

Kraft

Bittner

Long-term results of a randomized clinical trial between laparoscopic hernioplasty and Shouldice repair. Br J Surg 2000;87:780–783.

Lorenz

Stark

Oestreich

Richter

Laparoscopic hernioplasty versus conventional hernioplasty (Shouldice): Results of a prospective randomized trial. World J Surg 2000;24:739–746.

Medical Research Council Laparoscopic Groin Hernia Trial Group: Cost-utility analysis of open versus laparoscopic groin hernia repair: Results from a multicentre randomized clinical trial. Br J Surg 2001; 88: 653–661.

Page

Paterson

Young

O'Dwyer

Pain from primary inguinal hernia and the effect of repair on pain. Br J Surg 2002;89:1315–1318.

Poobalan

Bruce

King

Chambers

Krukowski

Smith

WCS

Chronic pain and quality of life following open inguinal hernia repair. Br J Surg 2001;88:1122–1126.

Courtney

Duffy

Serpell

O'Dwyer

Outcome of patients with severe chronic pain following repair of groin hernia. Br J Surg 2002;89:1310–1314.

10.

Beets

Dirksen

Geisler

Baeten

Kootstra

Open or laparoscopic preperitoneal mesh repair for recurrent inguinal hernia? A randomized controlled trial. Surg Endosc 1998;13:323–327.

11.

Dirksen

Beets

Geisler

Baeten

Kootstra

Bassini repair compared with laparoscopic repair for primary inguinal hernia: A randomized controlled trial. Eur J Surg 1999;164:439–447.

12.

Johansson

Hallerbäck

Glise

Anesten

Smedberg

Roman

Laparoscopic mesh versus open preperitoneal mesh versus conventional technique for inguinal hernia repair: A randomized multicenter trial (SCUR Hernia Repair Study). Ann Surg 1999;230:225–231.

13.

EU Hernia Trialists Collaboration: Repair of groin hernia with synthetic mesh: Meta-analysis of randomized controlled trials. Ann Surg 2002; 235: 222–232.