Prospective randomised controlled trial of laparoscopic versus open inguinal hernia mesh repair: five year follow up

doi:10.1136/bmj.326.7397.1012

BMJ 2003;326:1012-1013 ( 10 May )

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Prospective randomised controlled trial of laparoscopic versus open inguinal hernia mesh repair: five year follow up

M Douek, lecturer in surgery ^a, G Smith, senior house officer ^b, A Oshowo, specialist registrar ^a, D L Stoker, consultant surgeon ^c, J M Wellwood, consultant surgeon ^b.

^a Department of Surgery, Royal Free and University College Medical School, London W1W 7EJ, ^b Department of Surgery, Whipps Cross University Hospital, London E11 1NR, ^c Department of Surgery, North Middlesex University Hospital, London N18 1QX

Correspondence to: D L Stoker

The first 150 words of the full text of this article appear below.

Laparoscopy enables hernial orifices to be observed and tension-free mesh repair to be carried out effectively. In the firstrandomised controlled trial on hernia repair, which compared laparoscopictransabdominal pre-peritoneal (TAPP) mesh with open darn repairs,laparoscopic repair was less painful and enabled patients to returnto work and normal activity more quickly.¹ Since then, severalrandomised controlled studies and systematic reviews have largelyconfirmed these results. ² ³ More recently in the United Kingdom,the National Institute for Clinical Excellence reviewed the availableearly results and published its guidance on the use of laparoscopicsurgery for inguinal hernias.⁴

We present results of a randomised controlled trial of inguinal hernia repair with over five years' follow up, comparing laparoscopicTAPP mesh repair with Lichtenstein open mesh repair. The mainlong term objective of this study was to compare the complicationrates of theseprocedures.

Participants, methods, and results

We conducted the trial at Whipps Cross and . . . [Full text of this article]

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Rapid Responses:

Read all Rapid Responses

Is Laparoscopic repair really better?: Kamal Kumar Mahawar
bmj.com, 10 May 2003 [Full text]
Should every hernia be treated Laparoscopically? - The need for further evaluation: Maruthachalam Karthik, et al.
bmj.com, 18 May 2003 [Full text]
Laparoscopic intraperitoneal repair must be abandoned: Richard G Fiddian-Green
bmj.com, 19 May 2003 [Full text]
Re: Is Laparoscopic repair really better?: Michael Douek, et al.
bmj.com, 22 May 2003 [Full text]
Re: Should every hernia be treated Laparoscopically? - The need for further evaluation: Michael Douek, et al.
bmj.com, 22 May 2003 [Full text]
Re: Laparoscopic intraperitoneal repair: Michael Douek, et al.
bmj.com, 22 May 2003 [Full text]
The serious flaw in surgical trials: Richard G Fiddian-Green
bmj.com, 24 May 2003 [Full text]
Laparoscopic approach not apprpriate for the majority of inguinal hernias: Martin Kurzer, et al.
bmj.com, 27 May 2003 [Full text]
Study does not support the safety of TAPP: Tahseen I Qureshi, et al.
bmj.com, 2 Jun 2003 [Full text]
Inginal hernia mesh repair with local anesthesia versus laparoscopic repair: Mohammad Kamran Chudhary
bmj.com, 10 Sep 2003 [Full text]