Laparoscopic (TEP) Versus Lichtenstein Inguinal Hernia Repair: A Comparison of Quality-of-Life Outcomes
Background Laparoscopic inguinal hernia repair has emerged as a viable alternative to the open procedure. To date, few studies have included validated measures of quality of life as end points. We compared quality-of-life outcomes following laparoscopic versus open repair of inguinal hernia. Methods...
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| Veröffentlicht in: | World journal of surgery 2010-12, Vol.34 (12), p.3059-3064 |
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| creator | Myers, Eddie Browne, Katherine M. Kavanagh, Dara O. Hurley, Michael |
| description | Background
Laparoscopic inguinal hernia repair has emerged as a viable alternative to the open procedure. To date, few studies have included validated measures of quality of life as end points. We compared quality-of-life outcomes following laparoscopic versus open repair of inguinal hernia.
Methods
All laparoscopic repairs were performed via the totally extraperitoneal route (TEP). All open procedures were Lichtenstein repairs (LR). Hernia repairs performed between January 1999 and December 2006 were included in the study. Data was recorded prospectively and each TEP repair was matched with a LR for analysis. The SF-36 form was used to assess quality of life. Statistical significance was determined using the two-sample Wilcoxon rank-sum (Mann-Whitney) test.
Results
Three hundred fourteen procedures were performed during the study period, 164 (52%) had a TEP repair and 150 (48%) had a LR. Ninety TEP repairs were matched with 90 LR. Recurrence rates were 3% following TEP repair and 2% following LR. There was a significant difference between the laparoscopic and open groups in terms of physical function (
p
= 0.0001), physical role (
p
|
| doi_str_mv | 10.1007/s00268-010-0730-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_808463513</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2193823021</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4507-f382686a9bfcebfc7152b09db0626b525d72df602accfd98215f86f1d53c464e3</originalsourceid><addsrcrecordid>eNqFkc1u1DAUhS0EotPCA7BBFhIqLALXdmxn2JVRS4tGKj8Flpbj2IOrJA52IpS3x6MMVEJCLCx78Z3re85B6AmBVwRAvk4AVFQFEChAMijme2hFSkYLyii7j1bARJnfhB2h45RuAYgUIB6iIwoSWCnLFdpt9aBjSCYM3uAXN-cfXuKvNqYp4a0330fbp9H6Hl_1u8n3usWXNvZe40920D6-wWd4E7o8wafQ4-Dwx0m3fpyL4IqtdxZfT6MJnU2P0AOn22QfH-4T9OXi_GZzWWyv311tzraFKTnIwrEqOxJ6XTtj85GE0xrWTQ2CippT3kjaOAFUG-OadUUJd5VwpOHMlKK07ASdLnOHGH5MNo2q88nYttW9DVNSFVSlYJywTD77i7wNU8wW95DkOU8OGSILZHJGKVqnhug7HWdFQO07UEsHKneg9h2oOWueHgZPdWebP4rfoWfg-QHQyejWRd0bn-44VhFSEpm59cL99K2d__-z-vb-89sL4ETutXTRpizrdzbeufv35r8AA5Su9g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>807573050</pqid></control><display><type>article</type><title>Laparoscopic (TEP) Versus Lichtenstein Inguinal Hernia Repair: A Comparison of Quality-of-Life Outcomes</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><source>SpringerLink Journals - AutoHoldings</source><creator>Myers, Eddie ; Browne, Katherine M. ; Kavanagh, Dara O. ; Hurley, Michael</creator><creatorcontrib>Myers, Eddie ; Browne, Katherine M. ; Kavanagh, Dara O. ; Hurley, Michael</creatorcontrib><description>Background
Laparoscopic inguinal hernia repair has emerged as a viable alternative to the open procedure. To date, few studies have included validated measures of quality of life as end points. We compared quality-of-life outcomes following laparoscopic versus open repair of inguinal hernia.
Methods
All laparoscopic repairs were performed via the totally extraperitoneal route (TEP). All open procedures were Lichtenstein repairs (LR). Hernia repairs performed between January 1999 and December 2006 were included in the study. Data was recorded prospectively and each TEP repair was matched with a LR for analysis. The SF-36 form was used to assess quality of life. Statistical significance was determined using the two-sample Wilcoxon rank-sum (Mann-Whitney) test.
Results
Three hundred fourteen procedures were performed during the study period, 164 (52%) had a TEP repair and 150 (48%) had a LR. Ninety TEP repairs were matched with 90 LR. Recurrence rates were 3% following TEP repair and 2% following LR. There was a significant difference between the laparoscopic and open groups in terms of physical function (
p
= 0.0001), physical role (
p
< 0.0001), bodily pain (
p
= 0.0029), general health (
p
= 0.0025), and emotional role (
p
< 0.0001). There was no significant difference between the groups in terms of vitality (
p
= 0.2501), mental health (
p
= 0.08), or social functioning (
p
= 0.1677).
Conclusions
These data suggest that the TEP repair results in less postoperative pain, a quicker return to normal functional status, and improved quality-of-life outcomes with equivalent recurrence rates when compared to the LR.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-010-0730-y</identifier><identifier>PMID: 20703474</identifier><identifier>CODEN: WJSUDI</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdominal Surgery ; Adult ; Aged ; Biological and medical sciences ; Cardiac Surgery ; Digestive system. Abdomen ; Endoscopy ; Female ; General aspects ; General Surgery ; Hernia Repair ; Hernia, Inguinal - surgery ; Humans ; Inguinal Hernia ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopic Inguinal Hernia Repair ; Laparoscopic Repair ; Laparoscopy ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Open Repair ; Quality of Life ; Surgery ; Surgical Mesh ; Thoracic Surgery ; Treatment Outcome ; Vascular Surgery</subject><ispartof>World journal of surgery, 2010-12, Vol.34 (12), p.3059-3064</ispartof><rights>Société Internationale de Chirurgie 2010</rights><rights>2010 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4507-f382686a9bfcebfc7152b09db0626b525d72df602accfd98215f86f1d53c464e3</citedby><cites>FETCH-LOGICAL-c4507-f382686a9bfcebfc7152b09db0626b525d72df602accfd98215f86f1d53c464e3</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/s00268-010-0730-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-010-0730-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,41488,42557,45574,45575,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23811417$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20703474$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Myers, Eddie</creatorcontrib><creatorcontrib>Browne, Katherine M.</creatorcontrib><creatorcontrib>Kavanagh, Dara O.</creatorcontrib><creatorcontrib>Hurley, Michael</creatorcontrib><title>Laparoscopic (TEP) Versus Lichtenstein Inguinal Hernia Repair: A Comparison of Quality-of-Life Outcomes</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background
Laparoscopic inguinal hernia repair has emerged as a viable alternative to the open procedure. To date, few studies have included validated measures of quality of life as end points. We compared quality-of-life outcomes following laparoscopic versus open repair of inguinal hernia.
Methods
All laparoscopic repairs were performed via the totally extraperitoneal route (TEP). All open procedures were Lichtenstein repairs (LR). Hernia repairs performed between January 1999 and December 2006 were included in the study. Data was recorded prospectively and each TEP repair was matched with a LR for analysis. The SF-36 form was used to assess quality of life. Statistical significance was determined using the two-sample Wilcoxon rank-sum (Mann-Whitney) test.
Results
Three hundred fourteen procedures were performed during the study period, 164 (52%) had a TEP repair and 150 (48%) had a LR. Ninety TEP repairs were matched with 90 LR. Recurrence rates were 3% following TEP repair and 2% following LR. There was a significant difference between the laparoscopic and open groups in terms of physical function (
p
= 0.0001), physical role (
p
< 0.0001), bodily pain (
p
= 0.0029), general health (
p
= 0.0025), and emotional role (
p
< 0.0001). There was no significant difference between the groups in terms of vitality (
p
= 0.2501), mental health (
p
= 0.08), or social functioning (
p
= 0.1677).
Conclusions
These data suggest that the TEP repair results in less postoperative pain, a quicker return to normal functional status, and improved quality-of-life outcomes with equivalent recurrence rates when compared to the LR.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cardiac Surgery</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Female</subject><subject>General aspects</subject><subject>General Surgery</subject><subject>Hernia Repair</subject><subject>Hernia, Inguinal - surgery</subject><subject>Humans</subject><subject>Inguinal Hernia</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopic Inguinal Hernia Repair</subject><subject>Laparoscopic Repair</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Open Repair</subject><subject>Quality of Life</subject><subject>Surgery</subject><subject>Surgical Mesh</subject><subject>Thoracic Surgery</subject><subject>Treatment Outcome</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkc1u1DAUhS0EotPCA7BBFhIqLALXdmxn2JVRS4tGKj8Flpbj2IOrJA52IpS3x6MMVEJCLCx78Z3re85B6AmBVwRAvk4AVFQFEChAMijme2hFSkYLyii7j1bARJnfhB2h45RuAYgUIB6iIwoSWCnLFdpt9aBjSCYM3uAXN-cfXuKvNqYp4a0330fbp9H6Hl_1u8n3usWXNvZe40920D6-wWd4E7o8wafQ4-Dwx0m3fpyL4IqtdxZfT6MJnU2P0AOn22QfH-4T9OXi_GZzWWyv311tzraFKTnIwrEqOxJ6XTtj85GE0xrWTQ2CippT3kjaOAFUG-OadUUJd5VwpOHMlKK07ASdLnOHGH5MNo2q88nYttW9DVNSFVSlYJywTD77i7wNU8wW95DkOU8OGSILZHJGKVqnhug7HWdFQO07UEsHKneg9h2oOWueHgZPdWebP4rfoWfg-QHQyejWRd0bn-44VhFSEpm59cL99K2d__-z-vb-89sL4ETutXTRpizrdzbeufv35r8AA5Su9g</recordid><startdate>201012</startdate><enddate>201012</enddate><creator>Myers, Eddie</creator><creator>Browne, Katherine M.</creator><creator>Kavanagh, Dara O.</creator><creator>Hurley, Michael</creator><general>Springer-Verlag</general><general>Springer‐Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201012</creationdate><title>Laparoscopic (TEP) Versus Lichtenstein Inguinal Hernia Repair: A Comparison of Quality-of-Life Outcomes</title><author>Myers, Eddie ; Browne, Katherine M. ; Kavanagh, Dara O. ; Hurley, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4507-f382686a9bfcebfc7152b09db0626b525d72df602accfd98215f86f1d53c464e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cardiac Surgery</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Female</topic><topic>General aspects</topic><topic>General Surgery</topic><topic>Hernia Repair</topic><topic>Hernia, Inguinal - surgery</topic><topic>Humans</topic><topic>Inguinal Hernia</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopic Inguinal Hernia Repair</topic><topic>Laparoscopic Repair</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Open Repair</topic><topic>Quality of Life</topic><topic>Surgery</topic><topic>Surgical Mesh</topic><topic>Thoracic Surgery</topic><topic>Treatment Outcome</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Myers, Eddie</creatorcontrib><creatorcontrib>Browne, Katherine M.</creatorcontrib><creatorcontrib>Kavanagh, Dara O.</creatorcontrib><creatorcontrib>Hurley, Michael</creatorcontrib><collection>Pascal-Francis</collection><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>Biotechnology Research Abstracts</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>Technology Research Database</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>Engineering Research Database</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>Biotechnology and BioEngineering Abstracts</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>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Myers, Eddie</au><au>Browne, Katherine M.</au><au>Kavanagh, Dara O.</au><au>Hurley, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic (TEP) Versus Lichtenstein Inguinal Hernia Repair: A Comparison of Quality-of-Life Outcomes</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2010-12</date><risdate>2010</risdate><volume>34</volume><issue>12</issue><spage>3059</spage><epage>3064</epage><pages>3059-3064</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><coden>WJSUDI</coden><abstract>Background
Laparoscopic inguinal hernia repair has emerged as a viable alternative to the open procedure. To date, few studies have included validated measures of quality of life as end points. We compared quality-of-life outcomes following laparoscopic versus open repair of inguinal hernia.
Methods
All laparoscopic repairs were performed via the totally extraperitoneal route (TEP). All open procedures were Lichtenstein repairs (LR). Hernia repairs performed between January 1999 and December 2006 were included in the study. Data was recorded prospectively and each TEP repair was matched with a LR for analysis. The SF-36 form was used to assess quality of life. Statistical significance was determined using the two-sample Wilcoxon rank-sum (Mann-Whitney) test.
Results
Three hundred fourteen procedures were performed during the study period, 164 (52%) had a TEP repair and 150 (48%) had a LR. Ninety TEP repairs were matched with 90 LR. Recurrence rates were 3% following TEP repair and 2% following LR. There was a significant difference between the laparoscopic and open groups in terms of physical function (
p
= 0.0001), physical role (
p
< 0.0001), bodily pain (
p
= 0.0029), general health (
p
= 0.0025), and emotional role (
p
< 0.0001). There was no significant difference between the groups in terms of vitality (
p
= 0.2501), mental health (
p
= 0.08), or social functioning (
p
= 0.1677).
Conclusions
These data suggest that the TEP repair results in less postoperative pain, a quicker return to normal functional status, and improved quality-of-life outcomes with equivalent recurrence rates when compared to the LR.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>20703474</pmid><doi>10.1007/s00268-010-0730-y</doi><tpages>6</tpages></addata></record> |
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| ispartof | World journal of surgery, 2010-12, Vol.34 (12), p.3059-3064 |
| issn | 0364-2313 1432-2323 |
| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals; SpringerLink Journals - AutoHoldings |
| subjects | Abdominal Surgery Adult Aged Biological and medical sciences Cardiac Surgery Digestive system. Abdomen Endoscopy Female General aspects General Surgery Hernia Repair Hernia, Inguinal - surgery Humans Inguinal Hernia Investigative techniques, diagnostic techniques (general aspects) Laparoscopic Inguinal Hernia Repair Laparoscopic Repair Laparoscopy Male Medical sciences Medicine Medicine & Public Health Middle Aged Open Repair Quality of Life Surgery Surgical Mesh Thoracic Surgery Treatment Outcome Vascular Surgery |
| title | Laparoscopic (TEP) Versus Lichtenstein Inguinal Hernia Repair: A Comparison of Quality-of-Life Outcomes |
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