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document
[ Tension-free laparoscopic versus open inguinal hernia repair ] . AIM During the last decade laparoscopic techniques have been applied to the treatment of inguinal hernia to combine tension-free technique , esthetic , and functional benefits of mini-invasive surgery . Anyway controversy persists regarding the most effective inguinal hernia repair . The aim of this study is to compare the open technique and the laparoscopic approach concerning : complications , recurrences , recovery time and return to usual activity . METHODS A randomized prospective analysis of 121 consecutive inguinal hernia repairs was performed over a 12-month period . Male well-informed patients with primary monolateral inguinal hernia ( ASA I-II ) were divided into 2 groups and consecutively treated ; group A was treated with laparoscopic transabdominal preperitoneal approach ( TAPP ) ( median age 47+/-7 years , 57 patients ) , group B with open mesh herniorrhaphy ( 45+/-6 years , 64 patients ) . RESULTS Complication rate was 5.26 % for group A ( none needed conversion ) and 4.68 % for group B . All complications were considered minor . No recurrences were observed over a 12-month follow-up in both groups . Post-operative hospital stay and return to activity show statistically significant differences . Median post-hospital stay was 1.7 days for group A while it was longer ( 2.9 days ) for group B . Significant difference was observed in the duration of convalescence too ( group A 9.3+/-7.2 days ; group B 12.1+/-7 . 1 days ) . CONCLUSION On the basis of our experience , even if a longer follow-up is needed , the validity of laparoscopic approach to inguinal hernia is confirmed . General anesthesia and higher costs are reasonable compromises for a shorter period of discomfort in patients with a low ASA index and busy job/sport activity .
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Intervention_Surgical
open inguinal hernia repair ]
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Intervention_Surgical
inguinal hernia repairs
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Intervention_Surgical
laparoscopic transabdominal preperitoneal approach
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Intervention_Surgical
open mesh herniorrhaphy
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Intervention_Physical
laparoscopic approach to inguinal hernia
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Outcome_Physical
inguinal hernia
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Outcome_Adverse-effects
complications
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Outcome_Other
,
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Outcome_Physical
recurrences , recovery time and return to usual activity
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Outcome_Other
.
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Outcome_Other
Complication rate
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Outcome_Other
recurrences
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Outcome_Other
Post-operative hospital stay and return to activity
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Outcome_Other
Median post-hospital stay
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Outcome_Other
duration of convalescence
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Outcome_Physical
period of discomfort
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Participant_Condition
randomized prospective analysis of
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Participant_Sample-size
121
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Participant_Condition
consecutive inguinal hernia repairs was performed over a 12-month period .
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Participant_Sex
Male
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Participant_Condition
well-informed patients with primary monolateral inguinal hernia ( ASA I-II )