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A Randomized Comparison of the Early Outcome of Stapled and Unstapled Techniques of Laparoscopic Total Extraperitoneal Inguinal Hernia Repair

OBJECTIVE: The need for stapling is a relative drawback of laparoscopic hernia repairs because it adds to the complications and costs. The safety of unstapled repairs as a viable alternative lacks validation, due to the dearth of analogous comparative trials. METHODS: Patients were randomized to und...

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Autores principales: Parshad, Rajinder, Kumar, Rakesh, Hazrah, Priya, Bal, Sabyasachi
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2005
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015632/
https://www.ncbi.nlm.nih.gov/pubmed/16381354
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author Parshad, Rajinder
Kumar, Rakesh
Hazrah, Priya
Bal, Sabyasachi
author_facet Parshad, Rajinder
Kumar, Rakesh
Hazrah, Priya
Bal, Sabyasachi
author_sort Parshad, Rajinder
collection PubMed
description OBJECTIVE: The need for stapling is a relative drawback of laparoscopic hernia repairs because it adds to the complications and costs. The safety of unstapled repairs as a viable alternative lacks validation, due to the dearth of analogous comparative trials. METHODS: Patients were randomized to undergo either stapled or unstapled total extraperitoneal hernia repairs. The groups were matched for age and the type of hernia repaired. Pain scores, intraoperative complications, postoperative complications, postoperative recovery, and long-term outcomes (ie, groin pain, paraesthesias, testicular atrophy, and recurrence) were studied. RESULTS: The incidence of complications, pain scores, pain trends, hospital stay, return to activity, and long-term outcomes were comparable. No recurrence has been noted at a median follow-up of 23 months in 63 hernias repaired in 49 patients. CONCLUSION: Unstapled laparoscopic hernia repair scores are equivalent to their stapled counterparts with respect to recurrence and complications.
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spelling pubmed-30156322011-02-17 A Randomized Comparison of the Early Outcome of Stapled and Unstapled Techniques of Laparoscopic Total Extraperitoneal Inguinal Hernia Repair Parshad, Rajinder Kumar, Rakesh Hazrah, Priya Bal, Sabyasachi JSLS Scientific Papers OBJECTIVE: The need for stapling is a relative drawback of laparoscopic hernia repairs because it adds to the complications and costs. The safety of unstapled repairs as a viable alternative lacks validation, due to the dearth of analogous comparative trials. METHODS: Patients were randomized to undergo either stapled or unstapled total extraperitoneal hernia repairs. The groups were matched for age and the type of hernia repaired. Pain scores, intraoperative complications, postoperative complications, postoperative recovery, and long-term outcomes (ie, groin pain, paraesthesias, testicular atrophy, and recurrence) were studied. RESULTS: The incidence of complications, pain scores, pain trends, hospital stay, return to activity, and long-term outcomes were comparable. No recurrence has been noted at a median follow-up of 23 months in 63 hernias repaired in 49 patients. CONCLUSION: Unstapled laparoscopic hernia repair scores are equivalent to their stapled counterparts with respect to recurrence and complications. Society of Laparoendoscopic Surgeons 2005 /pmc/articles/PMC3015632/ /pubmed/16381354 Text en © 2005 by the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Parshad, Rajinder
Kumar, Rakesh
Hazrah, Priya
Bal, Sabyasachi
A Randomized Comparison of the Early Outcome of Stapled and Unstapled Techniques of Laparoscopic Total Extraperitoneal Inguinal Hernia Repair
title A Randomized Comparison of the Early Outcome of Stapled and Unstapled Techniques of Laparoscopic Total Extraperitoneal Inguinal Hernia Repair
title_full A Randomized Comparison of the Early Outcome of Stapled and Unstapled Techniques of Laparoscopic Total Extraperitoneal Inguinal Hernia Repair
title_fullStr A Randomized Comparison of the Early Outcome of Stapled and Unstapled Techniques of Laparoscopic Total Extraperitoneal Inguinal Hernia Repair
title_full_unstemmed A Randomized Comparison of the Early Outcome of Stapled and Unstapled Techniques of Laparoscopic Total Extraperitoneal Inguinal Hernia Repair
title_short A Randomized Comparison of the Early Outcome of Stapled and Unstapled Techniques of Laparoscopic Total Extraperitoneal Inguinal Hernia Repair
title_sort randomized comparison of the early outcome of stapled and unstapled techniques of laparoscopic total extraperitoneal inguinal hernia repair
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015632/
https://www.ncbi.nlm.nih.gov/pubmed/16381354
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