| Autor: |
Barkun JS; Division of General Surgery, McGill University Health Center, McGill University, Montreal, Quebec, Canada., Keyser EJ, Wexler MJ, Fried GM, Hinchey EJ, Fernandez M, Meakins JL |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract [J Gastrointest Surg] 1999 Nov-Dec; Vol. 3 (6), pp. 575-82. |
| DOI: |
10.1016/s1091-255x(99)80078-x |
| Abstrakt: |
Over a 28-month period, 123 patients with a unilateral inguinal hernia were recruited into a randomized controlled trial comparing open herniorrhaphy (OH) to laparoscopic inguinal herniorrhaphy (LH). The primary end point was duration of convalescence. Sixty-five patients underwent OH and 58 underwent LH. Both groups were well matched for all baseline parameters, although LH patients anticipated a shorter convalescence than OH patients (14.3 +/- 9.4 days vs. 18.5 +/- 10.8 days; P = 0.021). The median duration of hospital stay was one day in both groups. No difference was observed in the duration of convalescence (LH 9.8 +/- 7.4 days; OH 11.6 +/- 7. 7 days) across groups. However, when the data were analyzed after removing patients receiving disability ("worker's") compensation (21 patients), patients undergoing LH recovered on average 3 days faster (LH 7.8 +/- 5.6 days; OH 10.9 +/- 7.5 days; P = 0.02). Patients not receiving worker's compensation appear to have a shorter convalescence after LH compared to OH. Disability compensation is a major confounding variable in determining convalescence and needs to be controlled for in any future trial design. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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