Inguinal hernia repair in women: is the laparoscopic approach superior?
Purpose Laparoscopic inguinal hernia repair is associated with reduced post-operative pain and earlier return to work in men. However, the role of laparoscopic hernia repair in women is not well reported. The aim of this study was to review the outcomes of the laparoscopic versus open repair of ingu...
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| Veröffentlicht in: | Hernia : the journal of hernias and abdominal wall surgery 2014-06, Vol.18 (3), p.369-373 |
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| container_title | Hernia : the journal of hernias and abdominal wall surgery |
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| creator | Ashfaq, A. McGhan, L. J. Chapital, A. B. Harold, K. L. Johnson, D. J. |
| description | Purpose
Laparoscopic inguinal hernia repair is associated with reduced post-operative pain and earlier return to work in men. However, the role of laparoscopic hernia repair in women is not well reported. The aim of this study was to review the outcomes of the laparoscopic versus open repair of inguinal hernias in women and to discuss patients’ considerations when choosing the approach.
Methods
A retrospective chart review of all consecutive patients undergoing inguinal hernia repair from January 2005 to December 2009 at a single institution was conducted. Presentation characteristics and outcome measures including recurrence rates, post-operative pain and complications were compared in women undergoing laparoscopic versus open hernia repair.
Results
A total of 1,133 patients had an inguinal herniorrhaphy. Of these, 101 patients were female (9 %), with a total of 111 hernias. A laparoscopic approach was chosen in 44 % of patients. The majority of women (56 %) presented with groin pain as the primary symptom. Neither the mode of presentation nor the presenting symptoms significantly influenced the surgical approach. There were no statistically significant differences in hernia recurrence, post-operative neuralgia, seroma/hematoma formation or urinary retention between the two approaches (
p
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| doi_str_mv | 10.1007/s10029-013-1126-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1530957778</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1530957778</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-151b3e5a208ca52008844fc09a860383ff876008ad96be4f5495842f8efd965c3</originalsourceid><addsrcrecordid>eNp1kMtKQzEQhoMotlYfwI0E3LiJ5n5y3IgUL4WCG12HNE3alHMz6UF8e1NOFRHcTIbJN__M_ACcE3xNMC5uUo60RJgwRAiViB2AMaFcoZJifrjLpUC8xHIETlLaYIwVl-oYjCgrCiEYG4OnWbPqQ2MquHaxCQZG15kQYWjgR1u75haGBLdrByvTmdgm23bBQtN1sTV2DVPfuRjaeHcKjrypkjvbvxPw9vjwOn1G85en2fR-jizHYouIIAvmhKFYWSNoXkhx7i0ujZKYKea9KmSummUpF457wUuhOPXK-VwRlk3A1aCbF3jvXdrqOiTrqso0ru2TJoLhUhRFoTJ6-QfdtH3Mpw4Uk4opkikyUDZfl6LzuouhNvFTE6x3LuvBZZ1d1juXNcs9F3vlflG75U_Ht60ZoAOQ8lezcvHX6H9VvwAQooVv</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1530368381</pqid></control><display><type>article</type><title>Inguinal hernia repair in women: is the laparoscopic approach superior?</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Ashfaq, A. ; McGhan, L. J. ; Chapital, A. B. ; Harold, K. L. ; Johnson, D. J.</creator><creatorcontrib>Ashfaq, A. ; McGhan, L. J. ; Chapital, A. B. ; Harold, K. L. ; Johnson, D. J.</creatorcontrib><description>Purpose
Laparoscopic inguinal hernia repair is associated with reduced post-operative pain and earlier return to work in men. However, the role of laparoscopic hernia repair in women is not well reported. The aim of this study was to review the outcomes of the laparoscopic versus open repair of inguinal hernias in women and to discuss patients’ considerations when choosing the approach.
Methods
A retrospective chart review of all consecutive patients undergoing inguinal hernia repair from January 2005 to December 2009 at a single institution was conducted. Presentation characteristics and outcome measures including recurrence rates, post-operative pain and complications were compared in women undergoing laparoscopic versus open hernia repair.
Results
A total of 1,133 patients had an inguinal herniorrhaphy. Of these, 101 patients were female (9 %), with a total of 111 hernias. A laparoscopic approach was chosen in 44 % of patients. The majority of women (56 %) presented with groin pain as the primary symptom. Neither the mode of presentation nor the presenting symptoms significantly influenced the surgical approach. There were no statistically significant differences in hernia recurrence, post-operative neuralgia, seroma/hematoma formation or urinary retention between the two approaches (
p
< 0.05). A greater proportion of patients with bilateral hernias had a laparoscopic approach rather than an open technique (12 vs. 2 %,
p
= 0.042).
Conclusions
Laparoscopic herniorrhaphy is as safe and efficacious as open repair in women, and should be considered when the diagnosis is in question, for management of bilateral hernias or when concomitant abdominal pathology is being addressed.</description><identifier>ISSN: 1265-4906</identifier><identifier>EISSN: 1248-9204</identifier><identifier>DOI: 10.1007/s10029-013-1126-3</identifier><identifier>PMID: 23775533</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Abdominal Surgery ; Aged ; Female ; Hernia, Inguinal - surgery ; Herniorrhaphy - methods ; Humans ; Laparoscopy ; Male ; Medicine ; Medicine & Public Health ; Original Article ; Retrospective Studies</subject><ispartof>Hernia : the journal of hernias and abdominal wall surgery, 2014-06, Vol.18 (3), p.369-373</ispartof><rights>Springer-Verlag France 2013</rights><rights>Springer-Verlag France 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-151b3e5a208ca52008844fc09a860383ff876008ad96be4f5495842f8efd965c3</citedby><cites>FETCH-LOGICAL-c405t-151b3e5a208ca52008844fc09a860383ff876008ad96be4f5495842f8efd965c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10029-013-1126-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10029-013-1126-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23775533$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ashfaq, A.</creatorcontrib><creatorcontrib>McGhan, L. J.</creatorcontrib><creatorcontrib>Chapital, A. B.</creatorcontrib><creatorcontrib>Harold, K. L.</creatorcontrib><creatorcontrib>Johnson, D. J.</creatorcontrib><title>Inguinal hernia repair in women: is the laparoscopic approach superior?</title><title>Hernia : the journal of hernias and abdominal wall surgery</title><addtitle>Hernia</addtitle><addtitle>Hernia</addtitle><description>Purpose
Laparoscopic inguinal hernia repair is associated with reduced post-operative pain and earlier return to work in men. However, the role of laparoscopic hernia repair in women is not well reported. The aim of this study was to review the outcomes of the laparoscopic versus open repair of inguinal hernias in women and to discuss patients’ considerations when choosing the approach.
Methods
A retrospective chart review of all consecutive patients undergoing inguinal hernia repair from January 2005 to December 2009 at a single institution was conducted. Presentation characteristics and outcome measures including recurrence rates, post-operative pain and complications were compared in women undergoing laparoscopic versus open hernia repair.
Results
A total of 1,133 patients had an inguinal herniorrhaphy. Of these, 101 patients were female (9 %), with a total of 111 hernias. A laparoscopic approach was chosen in 44 % of patients. The majority of women (56 %) presented with groin pain as the primary symptom. Neither the mode of presentation nor the presenting symptoms significantly influenced the surgical approach. There were no statistically significant differences in hernia recurrence, post-operative neuralgia, seroma/hematoma formation or urinary retention between the two approaches (
p
< 0.05). A greater proportion of patients with bilateral hernias had a laparoscopic approach rather than an open technique (12 vs. 2 %,
p
= 0.042).
Conclusions
Laparoscopic herniorrhaphy is as safe and efficacious as open repair in women, and should be considered when the diagnosis is in question, for management of bilateral hernias or when concomitant abdominal pathology is being addressed.</description><subject>Abdominal Surgery</subject><subject>Aged</subject><subject>Female</subject><subject>Hernia, Inguinal - surgery</subject><subject>Herniorrhaphy - methods</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Retrospective Studies</subject><issn>1265-4906</issn><issn>1248-9204</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kMtKQzEQhoMotlYfwI0E3LiJ5n5y3IgUL4WCG12HNE3alHMz6UF8e1NOFRHcTIbJN__M_ACcE3xNMC5uUo60RJgwRAiViB2AMaFcoZJifrjLpUC8xHIETlLaYIwVl-oYjCgrCiEYG4OnWbPqQ2MquHaxCQZG15kQYWjgR1u75haGBLdrByvTmdgm23bBQtN1sTV2DVPfuRjaeHcKjrypkjvbvxPw9vjwOn1G85en2fR-jizHYouIIAvmhKFYWSNoXkhx7i0ujZKYKea9KmSummUpF457wUuhOPXK-VwRlk3A1aCbF3jvXdrqOiTrqso0ru2TJoLhUhRFoTJ6-QfdtH3Mpw4Uk4opkikyUDZfl6LzuouhNvFTE6x3LuvBZZ1d1juXNcs9F3vlflG75U_Ht60ZoAOQ8lezcvHX6H9VvwAQooVv</recordid><startdate>20140601</startdate><enddate>20140601</enddate><creator>Ashfaq, A.</creator><creator>McGhan, L. 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L. ; Johnson, D. J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-151b3e5a208ca52008844fc09a860383ff876008ad96be4f5495842f8efd965c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abdominal Surgery</topic><topic>Aged</topic><topic>Female</topic><topic>Hernia, Inguinal - surgery</topic><topic>Herniorrhaphy - methods</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ashfaq, A.</creatorcontrib><creatorcontrib>McGhan, L. J.</creatorcontrib><creatorcontrib>Chapital, A. B.</creatorcontrib><creatorcontrib>Harold, K. L.</creatorcontrib><creatorcontrib>Johnson, D. J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ashfaq, A.</au><au>McGhan, L. J.</au><au>Chapital, A. B.</au><au>Harold, K. L.</au><au>Johnson, D. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inguinal hernia repair in women: is the laparoscopic approach superior?</atitle><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle><stitle>Hernia</stitle><addtitle>Hernia</addtitle><date>2014-06-01</date><risdate>2014</risdate><volume>18</volume><issue>3</issue><spage>369</spage><epage>373</epage><pages>369-373</pages><issn>1265-4906</issn><eissn>1248-9204</eissn><abstract>Purpose
Laparoscopic inguinal hernia repair is associated with reduced post-operative pain and earlier return to work in men. However, the role of laparoscopic hernia repair in women is not well reported. The aim of this study was to review the outcomes of the laparoscopic versus open repair of inguinal hernias in women and to discuss patients’ considerations when choosing the approach.
Methods
A retrospective chart review of all consecutive patients undergoing inguinal hernia repair from January 2005 to December 2009 at a single institution was conducted. Presentation characteristics and outcome measures including recurrence rates, post-operative pain and complications were compared in women undergoing laparoscopic versus open hernia repair.
Results
A total of 1,133 patients had an inguinal herniorrhaphy. Of these, 101 patients were female (9 %), with a total of 111 hernias. A laparoscopic approach was chosen in 44 % of patients. The majority of women (56 %) presented with groin pain as the primary symptom. Neither the mode of presentation nor the presenting symptoms significantly influenced the surgical approach. There were no statistically significant differences in hernia recurrence, post-operative neuralgia, seroma/hematoma formation or urinary retention between the two approaches (
p
< 0.05). A greater proportion of patients with bilateral hernias had a laparoscopic approach rather than an open technique (12 vs. 2 %,
p
= 0.042).
Conclusions
Laparoscopic herniorrhaphy is as safe and efficacious as open repair in women, and should be considered when the diagnosis is in question, for management of bilateral hernias or when concomitant abdominal pathology is being addressed.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>23775533</pmid><doi>10.1007/s10029-013-1126-3</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Aged Female Hernia, Inguinal - surgery Herniorrhaphy - methods Humans Laparoscopy Male Medicine Medicine & Public Health Original Article Retrospective Studies |
| title | Inguinal hernia repair in women: is the laparoscopic approach superior? |
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