Has Shouldice Repair in a Selected Group of Patients with Inguinal Hernia Comparable Results to Lichtenstein, TEP and TAPP Techniques?
Background In the new international guidelines only the mesh-based Lichtenstein, TEP and TAPP techniques are recommended. This present analysis of data from the Herniamed Registry compares the outcome for Shouldice versus Lichtenstein, TEP and TAPP. Methods Propensity score matching analyses were pe...
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| Veröffentlicht in: | World journal of surgery 2018-07, Vol.42 (7), p.2001-2010 |
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| container_title | World journal of surgery |
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| creator | Köckerling, F. Koch, A. Adolf, D. Keller, T. Lorenz, R. Fortelny, R. H. Schug-Pass, C. |
| description | Background
In the new international guidelines only the mesh-based Lichtenstein, TEP and TAPP techniques are recommended. This present analysis of data from the Herniamed Registry compares the outcome for Shouldice versus Lichtenstein, TEP and TAPP.
Methods
Propensity score matching analyses were performed to obtain homogeneous comparison groups for Shouldice versus Lichtenstein (
n
= 2115/2608; 81.1%), Shouldice versus TEP (
n
= 2225/2608; 85.3%) and Shouldice versus TAPP (2400/2608; 92.0%).
Results
The most important characteristics of the Shouldice patient collective were younger patients with a mean age of 40 years, a large proportion of women of 30%, a mean BMI value of 24 and a proportion of defect sizes up to 3 cm of over 85%. For this selected patient collective, propensity score matched-pair analysis did not identify any difference in the perioperative and one-year follow-up outcome compared with TAPP, fewer intraoperative (0.5 vs. 1.3%;
p
= 0.009) but somewhat more postoperative complications (2.3 vs. 1.5%;
p
= 0.050) compared with TEP and advantages with regard to pain at rest (4.6 vs. 6.1%;
p
= 0.039) and on exertion (10.0 vs. 13.4%;
p
|
| doi_str_mv | 10.1007/s00268-017-4433-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5990577</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1984338158</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5209-3c0e7042a870b971b1a184daeaf1ba7ab52590d17630c59cffe8572b57bd58693</originalsourceid><addsrcrecordid>eNqFkc1u1DAUhSMEotPCA7BBltiwaMA_cWxvqMqo7RSNxIgZxNJyHGfiKmMHO6HqC_DcOEqpChJi5Sv5u0fn3JNlrxB8hyBk7yOEuOQ5RCwvCkJy-iRboILgHBNMnmYLSMoizYgcZccx3sAElrB8nh1hgYUoC77Ifq5UBNvWj11ttQFfTK9sANYBBbamM3owNbgKfuyBb8BGDda4IYJbO7Tg2u1H61QHViY4q8DSH3oVVNVNMnHsEjd4sLa6HYyLg7HuFOwuNkC5GuzONxuwM7p19vto4tmL7Fmjumhe3r8n2dfLi91yla8_X10vz9e5phiKnGhoGCyw4gxWgqEKKcSLWhnVoEoxVVFMBaxTTAI1FbppDKcMV5RVNeWlICfZh1m3H6uDqXVKE1Qn-2APKtxJr6z888fZVu79D0mFgJSxJPD2XiD4yfkgDzZq03XKGT9GiQQvGCWioAl98xd648eQDjZThHBEeaLQTOngYwymeTCDoJxalnPLMpUnp5blpPz6cYqHjd-1JkDMwK3tzN3_FeW3T9uPl5BzMp0Iz7sxrbm9CY9s_9PRL5KFw9I</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1984338158</pqid></control><display><type>article</type><title>Has Shouldice Repair in a Selected Group of Patients with Inguinal Hernia Comparable Results to Lichtenstein, TEP and TAPP Techniques?</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><source>SpringerLink Journals - AutoHoldings</source><creator>Köckerling, F. ; Koch, A. ; Adolf, D. ; Keller, T. ; Lorenz, R. ; Fortelny, R. H. ; Schug-Pass, C.</creator><creatorcontrib>Köckerling, F. ; Koch, A. ; Adolf, D. ; Keller, T. ; Lorenz, R. ; Fortelny, R. H. ; Schug-Pass, C.</creatorcontrib><description>Background
In the new international guidelines only the mesh-based Lichtenstein, TEP and TAPP techniques are recommended. This present analysis of data from the Herniamed Registry compares the outcome for Shouldice versus Lichtenstein, TEP and TAPP.
Methods
Propensity score matching analyses were performed to obtain homogeneous comparison groups for Shouldice versus Lichtenstein (
n
= 2115/2608; 81.1%), Shouldice versus TEP (
n
= 2225/2608; 85.3%) and Shouldice versus TAPP (2400/2608; 92.0%).
Results
The most important characteristics of the Shouldice patient collective were younger patients with a mean age of 40 years, a large proportion of women of 30%, a mean BMI value of 24 and a proportion of defect sizes up to 3 cm of over 85%. For this selected patient collective, propensity score matched-pair analysis did not identify any difference in the perioperative and one-year follow-up outcome compared with TAPP, fewer intraoperative (0.5 vs. 1.3%;
p
= 0.009) but somewhat more postoperative complications (2.3 vs. 1.5%;
p
= 0.050) compared with TEP and advantages with regard to pain at rest (4.6 vs. 6.1%;
p
= 0.039) and on exertion (10.0 vs. 13.4%;
p
< 0.001) compared with the Lichtenstein technique.
Conclusion
For a selected group of patients the Shouldice technique can be used for primary unilateral inguinal hernia repair while achieving an outcome comparable to that of Lichtenstein, TEP and TAPP operations.</description><identifier>ISSN: 0364-2313</identifier><identifier>ISSN: 1432-2323</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-017-4433-5</identifier><identifier>PMID: 29299648</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Adult ; Aged ; Body mass ; Cardiac Surgery ; Complications ; Data processing ; Female ; Follow-Up Studies ; General Surgery ; Hernia ; Hernia, Inguinal - surgery ; Hernias ; Herniorrhaphy - instrumentation ; Herniorrhaphy - methods ; Humans ; Laparoscopy - methods ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Scientific Report ; Pain ; Patients ; Propensity Score ; Registries ; Surgery ; Surgical Mesh ; Thoracic Surgery ; Treatment Outcome ; Vascular Surgery</subject><ispartof>World journal of surgery, 2018-07, Vol.42 (7), p.2001-2010</ispartof><rights>The Author(s) 2018</rights><rights>2018 The Author(s)</rights><rights>World Journal of Surgery is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5209-3c0e7042a870b971b1a184daeaf1ba7ab52590d17630c59cffe8572b57bd58693</citedby><cites>FETCH-LOGICAL-c5209-3c0e7042a870b971b1a184daeaf1ba7ab52590d17630c59cffe8572b57bd58693</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/s00268-017-4433-5$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-017-4433-5$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,41488,42557,45574,45575,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29299648$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Köckerling, F.</creatorcontrib><creatorcontrib>Koch, A.</creatorcontrib><creatorcontrib>Adolf, D.</creatorcontrib><creatorcontrib>Keller, T.</creatorcontrib><creatorcontrib>Lorenz, R.</creatorcontrib><creatorcontrib>Fortelny, R. H.</creatorcontrib><creatorcontrib>Schug-Pass, C.</creatorcontrib><title>Has Shouldice Repair in a Selected Group of Patients with Inguinal Hernia Comparable Results to Lichtenstein, TEP and TAPP Techniques?</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background
In the new international guidelines only the mesh-based Lichtenstein, TEP and TAPP techniques are recommended. This present analysis of data from the Herniamed Registry compares the outcome for Shouldice versus Lichtenstein, TEP and TAPP.
Methods
Propensity score matching analyses were performed to obtain homogeneous comparison groups for Shouldice versus Lichtenstein (
n
= 2115/2608; 81.1%), Shouldice versus TEP (
n
= 2225/2608; 85.3%) and Shouldice versus TAPP (2400/2608; 92.0%).
Results
The most important characteristics of the Shouldice patient collective were younger patients with a mean age of 40 years, a large proportion of women of 30%, a mean BMI value of 24 and a proportion of defect sizes up to 3 cm of over 85%. For this selected patient collective, propensity score matched-pair analysis did not identify any difference in the perioperative and one-year follow-up outcome compared with TAPP, fewer intraoperative (0.5 vs. 1.3%;
p
= 0.009) but somewhat more postoperative complications (2.3 vs. 1.5%;
p
= 0.050) compared with TEP and advantages with regard to pain at rest (4.6 vs. 6.1%;
p
= 0.039) and on exertion (10.0 vs. 13.4%;
p
< 0.001) compared with the Lichtenstein technique.
Conclusion
For a selected group of patients the Shouldice technique can be used for primary unilateral inguinal hernia repair while achieving an outcome comparable to that of Lichtenstein, TEP and TAPP operations.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Body mass</subject><subject>Cardiac Surgery</subject><subject>Complications</subject><subject>Data processing</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General Surgery</subject><subject>Hernia</subject><subject>Hernia, Inguinal - surgery</subject><subject>Hernias</subject><subject>Herniorrhaphy - instrumentation</subject><subject>Herniorrhaphy - methods</subject><subject>Humans</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Scientific Report</subject><subject>Pain</subject><subject>Patients</subject><subject>Propensity Score</subject><subject>Registries</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><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkc1u1DAUhSMEotPCA7BBltiwaMA_cWxvqMqo7RSNxIgZxNJyHGfiKmMHO6HqC_DcOEqpChJi5Sv5u0fn3JNlrxB8hyBk7yOEuOQ5RCwvCkJy-iRboILgHBNMnmYLSMoizYgcZccx3sAElrB8nh1hgYUoC77Ifq5UBNvWj11ttQFfTK9sANYBBbamM3owNbgKfuyBb8BGDda4IYJbO7Tg2u1H61QHViY4q8DSH3oVVNVNMnHsEjd4sLa6HYyLg7HuFOwuNkC5GuzONxuwM7p19vto4tmL7Fmjumhe3r8n2dfLi91yla8_X10vz9e5phiKnGhoGCyw4gxWgqEKKcSLWhnVoEoxVVFMBaxTTAI1FbppDKcMV5RVNeWlICfZh1m3H6uDqXVKE1Qn-2APKtxJr6z888fZVu79D0mFgJSxJPD2XiD4yfkgDzZq03XKGT9GiQQvGCWioAl98xd648eQDjZThHBEeaLQTOngYwymeTCDoJxalnPLMpUnp5blpPz6cYqHjd-1JkDMwK3tzN3_FeW3T9uPl5BzMp0Iz7sxrbm9CY9s_9PRL5KFw9I</recordid><startdate>201807</startdate><enddate>201807</enddate><creator>Köckerling, F.</creator><creator>Koch, A.</creator><creator>Adolf, D.</creator><creator>Keller, T.</creator><creator>Lorenz, R.</creator><creator>Fortelny, R. H.</creator><creator>Schug-Pass, C.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>24P</scope><scope>WIN</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><scope>5PM</scope></search><sort><creationdate>201807</creationdate><title>Has Shouldice Repair in a Selected Group of Patients with Inguinal Hernia Comparable Results to Lichtenstein, TEP and TAPP Techniques?</title><author>Köckerling, F. ; Koch, A. ; Adolf, D. ; Keller, T. ; Lorenz, R. ; Fortelny, R. H. ; Schug-Pass, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5209-3c0e7042a870b971b1a184daeaf1ba7ab52590d17630c59cffe8572b57bd58693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Body mass</topic><topic>Cardiac Surgery</topic><topic>Complications</topic><topic>Data processing</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General Surgery</topic><topic>Hernia</topic><topic>Hernia, Inguinal - surgery</topic><topic>Hernias</topic><topic>Herniorrhaphy - instrumentation</topic><topic>Herniorrhaphy - methods</topic><topic>Humans</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Scientific Report</topic><topic>Pain</topic><topic>Patients</topic><topic>Propensity Score</topic><topic>Registries</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>Köckerling, F.</creatorcontrib><creatorcontrib>Koch, A.</creatorcontrib><creatorcontrib>Adolf, D.</creatorcontrib><creatorcontrib>Keller, T.</creatorcontrib><creatorcontrib>Lorenz, R.</creatorcontrib><creatorcontrib>Fortelny, R. H.</creatorcontrib><creatorcontrib>Schug-Pass, C.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Köckerling, F.</au><au>Koch, A.</au><au>Adolf, D.</au><au>Keller, T.</au><au>Lorenz, R.</au><au>Fortelny, R. H.</au><au>Schug-Pass, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Has Shouldice Repair in a Selected Group of Patients with Inguinal Hernia Comparable Results to Lichtenstein, TEP and TAPP Techniques?</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2018-07</date><risdate>2018</risdate><volume>42</volume><issue>7</issue><spage>2001</spage><epage>2010</epage><pages>2001-2010</pages><issn>0364-2313</issn><issn>1432-2323</issn><eissn>1432-2323</eissn><abstract>Background
In the new international guidelines only the mesh-based Lichtenstein, TEP and TAPP techniques are recommended. This present analysis of data from the Herniamed Registry compares the outcome for Shouldice versus Lichtenstein, TEP and TAPP.
Methods
Propensity score matching analyses were performed to obtain homogeneous comparison groups for Shouldice versus Lichtenstein (
n
= 2115/2608; 81.1%), Shouldice versus TEP (
n
= 2225/2608; 85.3%) and Shouldice versus TAPP (2400/2608; 92.0%).
Results
The most important characteristics of the Shouldice patient collective were younger patients with a mean age of 40 years, a large proportion of women of 30%, a mean BMI value of 24 and a proportion of defect sizes up to 3 cm of over 85%. For this selected patient collective, propensity score matched-pair analysis did not identify any difference in the perioperative and one-year follow-up outcome compared with TAPP, fewer intraoperative (0.5 vs. 1.3%;
p
= 0.009) but somewhat more postoperative complications (2.3 vs. 1.5%;
p
= 0.050) compared with TEP and advantages with regard to pain at rest (4.6 vs. 6.1%;
p
= 0.039) and on exertion (10.0 vs. 13.4%;
p
< 0.001) compared with the Lichtenstein technique.
Conclusion
For a selected group of patients the Shouldice technique can be used for primary unilateral inguinal hernia repair while achieving an outcome comparable to that of Lichtenstein, TEP and TAPP operations.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>29299648</pmid><doi>10.1007/s00268-017-4433-5</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library All Journals; SpringerLink Journals - AutoHoldings |
| subjects | Abdominal Surgery Adult Aged Body mass Cardiac Surgery Complications Data processing Female Follow-Up Studies General Surgery Hernia Hernia, Inguinal - surgery Hernias Herniorrhaphy - instrumentation Herniorrhaphy - methods Humans Laparoscopy - methods Male Medicine Medicine & Public Health Middle Aged Original Scientific Report Pain Patients Propensity Score Registries Surgery Surgical Mesh Thoracic Surgery Treatment Outcome Vascular Surgery |
| title | Has Shouldice Repair in a Selected Group of Patients with Inguinal Hernia Comparable Results to Lichtenstein, TEP and TAPP Techniques? |
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