Unilateral Inguinal Hernia With Gangrene and Obstruction
Conditions
Keywords
Inguinal hernia repair, laparoscopic inguinal hernia repair, TAPP
Brief summary
The effectiveness of laparoscopic inguinal hernia repair still remains unclear. During a one year period a total of 1208 inguinal hernias in 952 patients were consecutively operated using the laparoscopic technique by a total of 11 general surgeons in daily clinical routine. Laparoscopic hernia repair in the TAPP technique seems to have the potential to become the standard procedure in inguinal hernia repair in future.
Detailed description
Objective: Hernia repair is the most frequent operation in general surgery worldwide, but about 25 years after the advent of minimal invasive surgical techniques the effectiveness of laparoscopic inguinal hernia repair still remains unclear. Methods: All patients admitted to the hospital for surgery of an inguinal hernia during a one year period were prospectively documented and included in a follow-up study. The follow-up was performed at least 5 years after surgery and consisted of a clinical examination, ultrasound investigation and a questionnaire.
Interventions
Preperitoneal mesh implantation because of inguinal hernia disease using the laparoscopic technique
Sponsors
Study design
Eligibility
Inclusion criteria
* All patients fit for general anesthesia and presenting an inguinal hernia.
Exclusion criteria
* Not fit for general anesthesia, young age (\>21 years), not wanting a mesh.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome of the trial was recurrence of a hernia within five years after the repair. | 5 years |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The secondary outcome was chronic pain. | 5 years | Chronic pain was measured by VAS scale |
Countries
Germany