Laparoscopic Hernioplasty versus Conventional Hernioplasty (Shouldice): Results of a Prospective Randomized Trial
| Autor: | Dietmar Lorenz, Kerstin Oestreich, A. Richter, Eberhard Stark |
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| Rok vydání: | 2000 |
| Předmět: |
Male
medicine.medical_specialty Analgesic Hernia Inguinal law.invention Randomized controlled trial law Humans Medicine Hernia Prospective Studies Prospective cohort study Laparoscopy medicine.diagnostic_test business.industry Middle Aged medicine.disease Surgery Cardiac surgery Treatment Outcome Cardiothoracic surgery Anesthesia Female business Abdominal surgery |
| Zdroj: | World Journal of Surgery. 24:739-746 |
| ISSN: | 1432-2323 0364-2313 |
| Popis: | The results of our randomized trial of 176 patients comprising primary hernias [Shouldice versus transabdominal preperitoneal approach (TAPP)] showed only slight advantages for the laparoscopically operated group compared to the conventionally operated group: less subjective pain (significant only on fifth postoperative day, p < 0.05), reduced analgesic requirement (significant only on third postoperative day, p < 0.05), significantly shorter duration of hospitalization (4 days vs. 6 days, p < 0.05) and faster return to work (27 days vs. 34 days, NS). Regarding the incidence of recurrences, there was no significant difference between the groups (two recurrences vs. one recurrence) within a follow-up period of 2 years. Postoperative morbidity was similar and the total cost was less for the TAPP group. |
| Databáze: | OpenAIRE |
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