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Comparison of endoscopic techniques vs Shouldice and other open nonmesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials

  • Review/Meta-analysis
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background

We performed a scientific evaluation of the efficacy of different surgical techniques for inginual hernia repair and supported our findings by conducting a systematic review of randomized studies comparing endoscopic with open nonmesh suture techniques.

Methods

After an extensive search of the literature, a total of 27 studies (41 publications) with evidence level lb were identified. These studies randomly compared endoscopic with open nonmesh suturing techniques. The quality of data sufficed to enable a quantitative meta-analysis of various parameters using the original software of the Cochrane Collaboration. Due to its superiority in comparison to other open nonmesh suturing techniques, the Shouldice repair technique was analyzed separately.

Results

The systematic comparison of endoscopic techniques with the Shouldice repair showed that these techniques had significant advantages in terms of the following parameters: total morbidity, hematoma, nerve injury, and pain-associated parameters such as time to return to work, and chronic groin pain. The Shouldice operation has the advantages of a shorter operating time and a lower incidence of wound seroma. There was no difference regarding the incidence of major complications, wound infection, testicular atrophy, or hernia recurrence. Open non-Shouldice suturing techniques are associated with higher recurrence rates and more wound infections than endoscopic operations.

Conclusion

In comparison to open nonmesh suture repair techniques, endoscopic repair techniques have significant advantages in terms of pain-associated parameters. For the revaluation of long-term complications such as hernia recurrence and chronic groin pain, further clinical examination of the existing study collectives is needed.

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References

Meta-analyses/Reviews [Ia]

  1. McCormack K, Scott NW, Go PMNYH, Ross S, Grant AM, EU Hernia Trialists Collaboration (2003) Laparoscopic versus open techniques for inguinal hernia repair (Cochrane review). In: The Cochrane Library, Issue 4. Wiley, Chichester. (UK).

  2. AM Grant InstitutionalAuthorNameHernia EU Trialists Collaboration (2002) ArticleTitleLaparoscopic versus open groin hernia repair: meta-analysis of randomised trials based on individual patient data Hernia 6 2–10 Occurrence Handle1:STN:280:DC%2BD38zks12isA%3D%3D Occurrence Handle12090575

    CAS  PubMed  Google Scholar 

  3. InstitutionalAuthorNameEU Hernia Trialists Collaboration (2002) ArticleTitleRepair of groin hernia with synthetic mesh: metaanalysis of randomized controlled trials Ann Surg 235 322–332

    Google Scholar 

  4. InstitutionalAuthorNameEU Hernia Trialists Collaboration (2000) ArticleTitleLaparoscopic compared with open methods of groin hernia repair: systematic review of randomized controlled trials Br J Surg 87 860–867

    Google Scholar 

Other meta-analyses/Reviews

  1. N Stylopoulos GS Gazell DW Rattner (2003) ArticleTitleA cost-utility analysis of treatment options for inguinal hernia in 1,513,008 adult patients Surg Endosc 17 180–189 Occurrence Handle1:STN:280:DC%2BD3s%2Fms12rsQ%3D%3D Occurrence Handle12415334

    CAS  PubMed  Google Scholar 

  2. CR Voyles BJ Hamilton WD Johnson N Kano (2002) ArticleTitleMeta-analyses of laparoscopic inguinal hernia trials favors open hernia repair with perperitoneal mesh prosthesis Am J Surg 184 6–10 Occurrence Handle12135710

    PubMed  Google Scholar 

  3. CG Schmedt BJ Leibl R Bittner (2002) ArticleTitleEndoscopic inguinal hernia repair in comparison with Shouldice and Lichtenstein repair: a systematic review of randomized trials Dig Surg 19 511–517 Occurrence Handle12499747

    PubMed  Google Scholar 

  4. A Fingerhut B Millat N Bataille E Yachouchi C Dziri MJ Boudet A Paul (2001) ArticleTitle) Laparoscopic hernia repair in 2000: update of the European Association for Endoscopic Surgery (E.A.E.S) consensus conference in Madrid, June 1994 Surg Endosc 15 1061–1065 Occurrence Handle1:STN:280:DC%2BD3MnotV2jsg%3D%3D Occurrence Handle11443425

    CAS  PubMed  Google Scholar 

  5. BJ Leibl CG Schmedt M Ulrich K Kraft R Bittner (1999) ArticleTitleLaparoscopic hernia repair—the facts, but no fashion Langenbecks Arch Surg 384 302–311 Occurrence Handle1:STN:280:DyaK1MzmsVejuw%3D%3D

    CAS  Google Scholar 

  6. RS Chung DY Rowland (1999) ArticleTitleMeta-analyses of randomized controlled trials of laparoscopic vs conventional inguinal hernia repairs Surg Endosc 13 689–694 Occurrence Handle1:STN:280:DyaK1Mzhs1equg%3D%3D Occurrence Handle10384076

    CAS  PubMed  Google Scholar 

  7. CM Cheek NA Black HB Devlin AN Kingsnorth RS Taylor DFL Watkin (1998) ArticleTitleGroin hernia surgery: a systematic review Ann R Coll Surg Engl 80 IssueIDSuppl 1 xx–xx

    Google Scholar 

  8. L Krähenbühl M Schäfer MA Feodorovici MW Büchler (1998) ArticleTitleLaparoscopic, hernia surgery: an overview Dig Surg 15 158–166 Occurrence Handle9845580

    PubMed  Google Scholar 

  9. InstitutionalAuthorNameGo PMNYH (1998) ArticleTitleOverview of randomized trials in laparoscopic inguinal hernia repair Semin Laparosc Surg 5 238–241

    Google Scholar 

  10. IMC Macintyre WFA Miles (1995) ArticleTitleCritical appraisal and current position of laparoscopic hernia repair J R Coll Surg Edinb 40 331–336

    Google Scholar 

  11. BV MacFadyen SuffixJr CR Mathis (1994) ArticleTitleInguinal herniorrhaphy: complications and recurrences Semin Laparosc Surg 1 128–140 Occurrence Handle10401048

    PubMed  Google Scholar 

Included Studies TAPP/TEP vs Shouldice repair: randomized trials [Ib]

  1. JF Tschudi M Wagner C Klaiber J-J Brugger E Frei L Krähenbühl R Inderbitzi et al. (2001) ArticleTitleRandomized controlled trial of laparoscopic transabdominal preperitoneal hernioplasty vs Shouldice repair Surg Endosc 15 1263–1266 Occurrence Handle1:STN:280:DC%2BD3MnotV2lsg%3D%3D Occurrence Handle11727130

    CAS  PubMed  Google Scholar 

  2. JF Tschudi M Wagner C Klaiber J-J Brugger E Frei L Krähenbühl R Inderbitzi et al. (1996) ArticleTitleControlled multicenter trial of laparoscopic transabdominal preperitoneal herniorrhaph Surg Endosc 10 845–847 Occurrence Handle1:STN:280:BymA2M7gtVI%3D Occurrence Handle8694951

    CAS  PubMed  Google Scholar 

Berlin 1996

  1. J Zieren HU Zieren CA Jacobi FA Wenger JM Müller (1998) ArticleTitleProspective randomized study comparing laparoscopic and open tension-free inguinal hernia repair with Shouldice’s operation Am J Surg 175 330–333 Occurrence Handle1:STN:280:DyaK1c3islKitA%3D%3D Occurrence Handle9568665

    CAS  PubMed  Google Scholar 

  2. J Zieren HU Zieren S Said JM Müller (1996) ArticleTitleLaparoscopic or conventional inguinal hernia repair with or without implant. A prospective randomized study Langenbecks Arch Chir Suppl Kongressbd 113 IssueIDSuppl 2 609–610 Occurrence Handle1:STN:280:ByiB3MvhvFE%3D Occurrence Handle9101947

    CAS  PubMed  Google Scholar 

Bietigheim 1998

  1. JS Köninger M Oster M Butters (1998) ArticleTitleLeistenhernienversorgung — ein Vergleich gängiger Verfahren Chirurg 69 1340–1344 Occurrence Handle10023558

    PubMed  Google Scholar 

Bonn 1999

  1. D Decker C Lindemann W Springer A Low A Hirner A Ruecker Particlevon (1999) ArticleTitleEndoscopic versus conventional hernia repair from immunologic point of view Surg Endosc 13 335–339 Occurrence Handle1:STN:280:DyaK1M7psVyksA%3D%3D Occurrence Handle10094742

    CAS  PubMed  Google Scholar 

Brisbane 1996

  1. L Nathanson R Adib F Braniki (1996) ArticleTitleRandomized trial of open and laparoscopic inguinal hernia repair [Abstract] Surg Endosc 10 192

    Google Scholar 

Caen 1998

  1. A Damamme G Samama MJ D’Alche-Gautier N Chanavel JL Bréfort Y Le Roux (1998) ArticleTitleEvaluation médico-économique de la cure de hernie inguinale: Shouldice vs laparoscopie Ann Chir 52 11–16 Occurrence Handle1:STN:280:DyaK1cvisV2luw%3D%3D Occurrence Handle9752402

    CAS  PubMed  Google Scholar 

Linköping 1997

  1. A Kald B Anderberg P Carlsson PO Park K Smedh (1997) ArticleTitleSurgical outcome and cost-minimisation analyses of laparoscopic and open hernia repair: a randomized prospective trial with one year follow-up Eur J Surg 163 505–510 Occurrence Handle1:STN:280:ByiA1M%2FgsVE%3D Occurrence Handle9248984

    CAS  PubMed  Google Scholar 

Linz 1996

  1. P Schrenk R Woisetschläger R Rieger W Wayand (1996) ArticleTitleProspective randomized trial comparing postoperative pain and return to physical activity after transabdominal preperitoneal, total preperitoneal or Shouldice technique for inguinal hernia repair Br J Surg 83 1563–1566

    Google Scholar 

  2. P Schrenk P Bettelheim R Woisetschläger R Rieger WU Wayand (1996) ArticleTitleMetabolic responses after laparoscopic or open hernia repair Surg Endosc 10 628–632 Occurrence Handle1:STN:280:BymB2s%2Fit1c%3D Occurrence Handle8662400

    CAS  PubMed  Google Scholar 

Mannheim 2000

  1. D Lorenz E Stark K Oestreich A Richter (2000) ArticleTitleLaparoscopic hernioplasty versus conventional hernioplasty (Shouldice): results of a prospective randomized trial World J Surg 24 739–746 Occurrence Handle1:STN:280:DC%2BD3c3jvVSltA%3D%3D Occurrence Handle10773129

    CAS  PubMed  Google Scholar 

Melbourne 2001

  1. WR Fleming TB Elliott RM Jones KJ Hardy (2001) ArticleTitleRandomized clinical trial comparing totally extraperitoneal inguinal hernia repair with the Shouldice technique Br J Surg 88 1183–1188

    Google Scholar 

Nyborg 1999

  1. P Juul K Christensen (1999) ArticleTitleRandomized clinical trial of laparoscopic versus open inguinal hernia repair Br J Surg 86 316–319

    Google Scholar 

Paris1 1994

  1. G Champault J Benoít J Lauroy N Rizk P Boutelier (1994) ArticleTitleHernies de l’aine de l’adultel: chirurgie laparoscopique vs opération de Shouldice Ann Chir 48 1003–1008 Occurrence Handle1:STN:280:ByqB2M7jtVE%3D Occurrence Handle7733596

    CAS  PubMed  Google Scholar 

  2. J Benoit G Champault J Lauroy N Rizk P Boutelier (1994) ArticleTitleTraitement laparoscopique des hernies de l’aine: evaluation de la douleur postoperatoire: voie pre-peritoneal pure vs operation de Shouldice Chirurgie 120 455–459 Occurrence Handle7641549

    PubMed  Google Scholar 

  3. N Rizk G Champault J Lauroy J Benoit P Boutelier (1994) ArticleTitleLaparoscopic preperitoneal hernia repair vs Shouldice herniorrhaphy: preliminary results of a prospective randomized trial of 242 cases Br J Surg 81 . IssueIDSuppl 70–71

    Google Scholar 

Paris2 1997

  1. G Champault C Barrat JM Catheline N Rizk (1998) ArticleTitleHernies de l’aine: résultats à 4 ans de deux études prospectives randomisées comparant les opérations de Shouldice et de Stoppa à l’abord laparoscopique totalement pré-péritióneal Ann Chir 52 132–136 Occurrence Handle1:STN:280:DyaK1cvisV2qtA%3D%3D Occurrence Handle9752429

    CAS  PubMed  Google Scholar 

  2. GG Champault N Rizk JM Catheline R Turner P Boutelier (1997) ArticleTitleInguinal hernia repair. Totally preperitoneal laparoscopic approach versus stoppa operation: Randomized trial of 100 cases Surg Laparosc Endosc 7 445–450 Occurrence Handle1:STN:280:DyaK1c%2FpvFClsw%3D%3D Occurrence Handle9438623

    CAS  PubMed  Google Scholar 

  3. G Champault N Rizk JM Catheline H Riskalla P Boutelier (1996) ArticleTitleGroin hernia: pre-peritoneal laparoscopic sugery versus open (Stoppa) procedure. Prospective randomized trial: 100 cases J Chir (Paris) 133 274–280 Occurrence Handle1:STN:280:ByiC3cnlt1c%3D

    CAS  Google Scholar 

Stuttgart 1995

  1. BJ Leibl P Däubler CG Schmedt K Kraft R Bittner (2000) ArticleTitleLong-term results of a randomized clinical trial between laparoscopic hernioplasty and Shouldice repair Br J Surg 87 780–783

    Google Scholar 

  2. BJ Leibl P Däubler J Schwarz M Ulrich R Bittner (1995) ArticleTitleStandardisierte laparoskopische Hernioplastik vs. Shouldice-Repair Chirurg 66 895–898 Occurrence Handle1:STN:280:BymD3s7gvVE%3D Occurrence Handle7587563

    CAS  PubMed  Google Scholar 

Swedish Multicenter 2002

  1. F Berndsen D Arvidsson LK Enander CE Leijonmarck U Wingren C Rudberg S Smedberg et al. (2002) ArticleTitlePostoperative convalescence after inguinal hernia surgery: prospective randomized multicenter study of laparoscopic versus Shouldice inguinal hernia repair in 1042 patients Hernia 6 56–61 Occurrence Handle1:STN:280:DC%2BD38vgtlajsg%3D%3D Occurrence Handle12152639

    CAS  PubMed  Google Scholar 

Tournai 1996

  1. P Hauters D Meunier S Urgyan JC Jouret P Janssen JM Nys (1996) ArticleTitleEtude prospective controlée comparant laparoscopie et Shouldice dans le traitement de la hernie inguinale unilatérale Ann Chir 50 776–781 Occurrence Handle1:STN:280:ByiB3sbptlU%3D Occurrence Handle9124784

    CAS  PubMed  Google Scholar 

Ulm 1993

  1. R Kunz A Schwarz HG Beger (1993) ArticleTitleLaparoscopic transperitoneal hernia repair versus Shouldice herniorrhaphy: preliminary results of a prospectively randomised trial Chir Endosc 7 12–13

    Google Scholar 

  2. R Kunz A Schwarz HG Beger (1994) ArticleTitleLaparoscopic inguinal (TAPP) hernioplasty versus Shouldice hernioplasty: preliminary results of a prospectively randomized study [Abstract] Surg Endosc 8 485

    Google Scholar 

Woodville 1996

  1. JR Bessell P Baxter P Riddell S Watkin GJ Maddern (1996) ArticleTitleA randomized controlled trial of laparoscopic extraperitoneal hernia repair as a day surgical procedure Surg Endosc 10 495–500 Occurrence Handle1:STN:280:BymB2s%2FitVE%3D Occurrence Handle8658325

    CAS  PubMed  Google Scholar 

Included studies TAPP/TEP vs open non-Shouldice suture repair: [Ib]

  1. GE Rudkin GJ Maddern (1995) ArticleTitlePeri-operative outcome for day-case laparoscopic and open inguinal hernia repair Anaesthesia 50 586–589 Occurrence Handle1:STN:280:ByqA1c3jtVY%3D Occurrence Handle7653754

    CAS  PubMed  Google Scholar 

  2. GJ Maddern G Rudkin JR Bessell P Devitt L Ponte (1994) ArticleTitleA comparison of laparoscopic and open hernia repair as a day surgical procedure Surg Endosc 8 1404–1408 Occurrence Handle1:STN:280:ByqC1cvgsFY%3D Occurrence Handle7878506

    CAS  PubMed  Google Scholar 

Bankok 1998

  1. C Tanphiphat T Tanprayoon C Sangsubhan K Chatamra (1998) ArticleTitleLaparoscopic vs-open inguinal hernia repair: a randomized, controlled trial Surg Endosc 12 846–851 Occurrence Handle1:STN:280:DyaK1c3mslehtg%3D%3D Occurrence Handle9602004

    CAS  PubMed  Google Scholar 

Coala Trial Group 1997

  1. MSL Liem Y Graaf ParticleVan der CJ Steensel ParticleVan RU Boelhouwer WF Clevers AJP Schrijvers TJMV Vroonhoven ParticleVan (1997) ArticleTitleComparison of conventional anterior surgery and laparoscopic surgery for inguinal-hernia repair N Engl J Med 336 1541–1547 Occurrence Handle1:STN:280:ByiB1M7jsF0%3D Occurrence Handle9164809

    CAS  PubMed  Google Scholar 

  2. MSL Liem JAM Halsema Y Graaf ParticleVan der AJP Schrijvers TJMV Vroonhoven ParticleVan (1997) ArticleTitleCost-effectiveness of extraperitoneal laparoscopic inguinal hernia repair: a randomized comparison with conventional herniorrhaphy Ann Surg 226 668–676 Occurrence Handle10.1097/00000658-199712000-00004 Occurrence Handle1:STN:280:DyaK1c%2Fnt1ahtg%3D%3D Occurrence Handle9409566

    Article  CAS  PubMed  Google Scholar 

  3. MSL Liem Y Graaf ParticleVan der RC Zwart I Geurts TJMV Vroonhoven ParticleVan (1997) ArticleTitleA randomized comparison of physical performance following laparoscopic and open inguinal hernia repair Br J Surg 84 64–67

    Google Scholar 

Konya 2002

  1. C Vatansev M Belviranli F Aksoy S Tuncer M Sahin O Karahan (2002) ArticleTitleThe effects of different hernia repair methods on postoperative pain medication and CRP levels Surg Laparosc Endosc Percutan Tech 12 243–246 Occurrence Handle12193818

    PubMed  Google Scholar 

Maastricht1 1998

  1. CD Dirksen GL Beets PMNYH Go GEA Geisler CGMI Baeten G Kootstra (1998) ArticleTitleBassini repair compared with laparoscopic repair for primary inguinal hernia: a randomized controlled trial Eur J Surg 164 439–446 Occurrence Handle1:STN:280:DyaK1czlvFKgtg%3D%3D Occurrence Handle9696445

    CAS  PubMed  Google Scholar 

Oxford 1995

  1. K Lawrence D McWhinnie C Jenkinson A Coulter (1997) ArticleTitleQuality of life in patients undergoing inguinal hernia repair Ann R Coll Surg Engl 79 40–45 Occurrence Handle1:STN:280:ByiC1M%2FltlA%3D

    CAS  Google Scholar 

  2. K Lawrence D McWhinnie A Goodwin A Gray J Gordon J Storie J Britton J Collin (1996) ArticleTitleAn economic evaluation of laparoscopic versus open inguinal hernia repair J Public Health Med 18 41–48 Occurrence Handle1:STN:280:BymB28%2FotFI%3D Occurrence Handle8785074

    CAS  PubMed  Google Scholar 

  3. K Lawrence D McWhinnie A Goodwin A Gray J Gordon J Storie J Britton et al. (1995) ArticleTitleRandomized controlled trial of laparoscopic versus open repair of inguinal hernia: early results BMJ 311 981–985 Occurrence Handle1:STN:280:BymD383gtVM%3D Occurrence Handle7580639

    CAS  PubMed  Google Scholar 

SCUR 1997

  1. B Johansson B Hallerbäck H Glise B Anesten S Smedberg J Román (1999) ArticleTitleLaparoscopic versus open preperitoneal mesh versus conventional technique for inguinal hernia repair: a randomized multicenter trial (SCUR Hernia Repair Study) Ann Surg 230 225–231 Occurrence Handle1:STN:280:DyaK1Mznsl2ntA%3D%3D Occurrence Handle10450737

    CAS  PubMed  Google Scholar 

  2. B Johansson B Hallerbäck H Glise B Anesten K Melen J Holm B Bergmann (1997) ArticleTitleLaparoscopic versus open repair W/WO mesh graft for inguinal hernia repair: (SCUR Hernia Repair Study) Surg Endosc 11 170

    Google Scholar 

Thessaloniki 2002

  1. TE Pavlidis KS Atmatzidis CN Lazaridis BT Papaziogas JG Makris TB Papaziogas (2002) ArticleTitleComparison between modern mesh and conventional mesh methods of inguinal hernia repair Minerva Chir 57 7–12 Occurrence Handle1:STN:280:DC%2BD387gtlWntg%3D%3D Occurrence Handle11832851

    CAS  PubMed  Google Scholar 

Whipps Cross1 1994

  1. DL Stoker DJ Spiegelhalter R Singh JM Wellwood (1994) ArticleTitleLaparoscopic versus open inguinal hernia repair: randomised prospective trial Lancet 343 1243–1245 Occurrence Handle1:STN:280:ByuB3sbgslQ%3D Occurrence Handle7910272

    CAS  PubMed  Google Scholar 

Excluded studies

  1. K Akhtar ID Kamalky-asl WR Lamb I Laing L Walton RC Rearson NR Rarrott (1998) ArticleTitleMetabolic and inflammatory responses after laparoscopic and open inguinal hernia repair Ann R Coll Surg Engl 80 125–130 Occurrence Handle1:STN:280:DyaK1c3os1GrsA%3D%3D Occurrence Handle9623379

    CAS  PubMed  Google Scholar 

  2. N Angelescu N Jitea T Burcos D Cristian S Voiculescu C Dimitriu (1998) ArticleTitleThe classical or laparoscopic operation in inguinal hernias Chirurgia (Bucur) 93 213–216 Occurrence Handle1:STN:280:DyaK1cvivVWmsA%3D%3D

    CAS  Google Scholar 

  3. N Angelescu N Jitea T Burcos D Cristian S Voiculescu C Dimitriu (1996) ArticleTitleA comparative study of the laparoscopic and classic treatments of inguinal hernias Chirurgia (Bucur) 45 267–270 Occurrence Handle1:STN:280:ByiB3MzltVw%3D

    CAS  Google Scholar 

  4. JS Barkun EJ Keyser MJ Wexler GM Fried EJ Hinchey M Fernandez JL Meakins (1999) ArticleTitleShort-term outcomes in open vs. laparoscopic herniorrhaphy: confunding impact of workers compesation on convalescence J Gastrointest Surg 3 575–582 Occurrence Handle1:STN:280:DC%2BD3c%2FitF2rtA%3D%3D Occurrence Handle10554363

    CAS  PubMed  Google Scholar 

  5. JS Barkun MJ Wexler EJ Hinchey D Thibeault JL Meakins (1995) ArticleTitleLaparoscopic versus open inguinal herniorrhayphy: preliminary results of a randomized controlled trial Surgery 118 703–710 Occurrence Handle1:STN:280:BymD3cnjslE%3D Occurrence Handle7570325

    CAS  PubMed  Google Scholar 

  6. M Bay-Nielsen H Kehelet L Strand J Malmstrom FH Andersen P Wara P Juul InstitutionalAuthorNameDanish Hernia Database Collaboration et al. (2001) ArticleTitleQuality assessment of 26304 herniorrhaphies in Denmark: a prospective nationwide study Lancet 358 1124–1128 Occurrence Handle10.1016/S0140-6736(01)06251-1 Occurrence Handle1:STN:280:DC%2BD3MrltFOmtQ%3D%3D Occurrence Handle11597665

    Article  CAS  PubMed  Google Scholar 

  7. M Bay-Nielsen FM Perkins H Kehlet InstitutionalAuthorNameDanish Hernia Database Collaboration (2001) ArticleTitlePain and functional impairment 1 year after inguinal herniorrhapny: a nationwide questionnaire study Ann Surg 233 1–7 Occurrence Handle1:STN:280:DC%2BD3M3pvFCksw%3D%3D Occurrence Handle11141218

    CAS  PubMed  Google Scholar 

  8. RB Cornell GM Kerlakian (1994) ArticleTitleEarly complications and outcomes of the current technique of transperitoneal laparoscopic herniorrhaphy and a comparison to the traditional open approach Am J Surg 168 275–279 Occurrence Handle1:STN:280:ByuA287itlA%3D Occurrence Handle8080067

    CAS  PubMed  Google Scholar 

  9. CD Dirksen AJ Ament EM Adang GL Beets PM Go CGMI Baeten G Kootstra (1998) ArticleTitleCost-effectiveness of open versus laparoscopic repair for primary inguinal hernia Int J Technol Assess Health Care 14 472–483 Occurrence Handle1:STN:280:DyaK1cvltlyiuw%3D%3D Occurrence Handle9780534

    CAS  PubMed  Google Scholar 

  10. LM Eno AD Spigelman (2000) ArticleTitleAn audit of open and laparoscopic inguinal hernia repair J Qual Clin Pract 20 56–59 Occurrence Handle1:STN:280:DC%2BD3M3itlKhuw%3D%3D Occurrence Handle11057983

    CAS  PubMed  Google Scholar 

  11. G Ferzli A Massaad P Albert MH Worth (1993) ArticleTitleEndoscopic extraperitoneal herniorrhaphy versus conventional hernia repair: a comparative study Curr Surg 50 291–294

    Google Scholar 

  12. JF Gillon PL Fagniez (1999) ArticleTitleChronic pain and cutaneous sensory changes after inguinal hernia repair: comparison between open and laparoscopic techniques Hernia 3 75–80

    Google Scholar 

  13. S Haug-Gebhard HP Becker R Ehrlich P Thiede H Gerngroß (1996) ArticleTitleComparison of endoscopic exteperitoneal and conventional hernia repair Langenbecks Arch Chir Suppl Kongressbd 113 IssueIDSuppl 2 611–613 Occurrence Handle1:STN:280:ByiB3MvhvFI%3D Occurrence Handle9101948

    CAS  PubMed  Google Scholar 

  14. AD Hill PE Banwell A Darzi N Menzies-Gow JR Monson PJ Guillou (1995) ArticleTitleInflammatory markers following laparoscopic and open hernia repair Surg Endosc 9 695–698 Occurrence Handle1:STN:280:BymD2srot1M%3D Occurrence Handle7482166

    CAS  PubMed  Google Scholar 

  15. PG Janu KD Sellers EC Mangiate (1997) ArticleTitleMesh inguinal herniorraphy: a ten-year review Am Surg 63 1065–1069 Occurrence Handle1:STN:280:DyaK1c%2FlsV2ltg%3D%3D Occurrence Handle9393254

    CAS  PubMed  Google Scholar 

  16. A Kald S Fridsten P Nordin E Nilsson (2002) ArticleTitleOutcome and repair of bilateral groin hernias: a prospective evaluation of 1487 patients Eur J Surg 168 150–153 Occurrence Handle12182239

    PubMed  Google Scholar 

  17. R Kozol PM Lange M Kosir K Beleski K Mason S Tennenberg SM Kubinec et al. (1997) ArticleTitleA prospective, randomized study of open vs laparoscopic inguinal hernia repair: an assessment of postoperative pain Arch Surg 132 292–295 Occurrence Handle1:STN:280:ByiB3sngsVY%3D Occurrence Handle9125030

    CAS  PubMed  Google Scholar 

  18. L Krähenbühl M Schäfer M Schilling V Kuzinkovas MW Büchler (1998) ArticleTitleSimultaneous rapair of bilateral inguinal hernias: open or laparoscopic approach? Surg Endosc 8 313–318

    Google Scholar 

  19. JJ Lukaszczyk RJ Preletz GJ Morrow MK Lange TJ Tachovsky JM Krall (1996) ArticleTitleLaparoscopic herniorrhaphy versus traditional open repair at a community hospital J Laparoendosc Surg 6 203–208 Occurrence Handle1:STN:280:ByiD3s7otlQ%3D Occurrence Handle8877736

    CAS  PubMed  Google Scholar 

  20. E McIntosh C Donaldson A Grant (1998) ArticleTitleEconomic evaluation of open versus laparoscopic hernia repair: some pragmatic considerations for measurement of costs Semin Laparosc Surg 5 242–247 Occurrence Handle1:STN:280:DyaK1M%2FnsVGntQ%3D%3D Occurrence Handle9854133

    CAS  PubMed  Google Scholar 

  21. KW Millikan ML Kosik A Doolas (1994) ArticleTitleA prospective comparison of transabdominal preperitoneal laparoscopic hernia repair versus traditional open hernia repair in a university setting Surg Laparosc Endosc 4 247–253 Occurrence Handle1:STN:280:ByqD2c%2FhsF0%3D Occurrence Handle7952432

    CAS  PubMed  Google Scholar 

  22. T Nicholson V Tiruchelvam (1999) ArticleTitleComparison of laparoscopic vs open modified Shouldice technique in inguinal hernia repair JSLS 3 39–43 Occurrence Handle1:STN:280:DyaK1M3lsVOntQ%3D%3D Occurrence Handle10323168

    CAS  PubMed  Google Scholar 

  23. T Perniceni M Danes MJ Boudet H Levard B Gayet (1998) ArticleTitleLaparoscopy versus the Shouldice intervention in the treatment of unilateral inguinal hernia: can the operative surcosts be minimized? Gastroenterol Clin Biol 22 1061–1064 Occurrence Handle1:STN:280:DyaK1M7mtFWgtg%3D%3D Occurrence Handle10051982

    CAS  PubMed  Google Scholar 

  24. MT Savarise JP Simpson JM Moore VM Leis (2001) ArticleTitleImproved functional outcome and more rapid return to normal activity following laparoscopic hernia repair Surg Endosc 15 574–578 Occurrence Handle1:STN:280:DC%2BD3MrksV2nsQ%3D%3D Occurrence Handle11591943

    CAS  PubMed  Google Scholar 

  25. LS Schultz (1998) ArticleTitleLaparoscopic versus inguinal hernia repairs: outcome and costs Surg Endosc 9 1307–1311

    Google Scholar 

  26. D Stengel V Lange (1998) ArticleTitleQuality of life after inguinal hernia operation: results of a prospective study (Shouldice, Lichtenstein, TAPP) Langenbecks Arch Chir Suppl Kongressbd 115 IssueIDSuppl 115 1020–1023 Occurrence Handle1:STN:280:DyaK1M7jtVGksg%3D%3D Occurrence Handle9931778

    CAS  PubMed  Google Scholar 

  27. BC Sheppard (1993) ArticleTitleMinimal access versus open herniorrhaphy World J Med 159 685–686 Occurrence Handle1:STN:280:ByuC2svnvVM%3D

    CAS  Google Scholar 

  28. T Takahara I Uyama H Ogiwara T Furuta S lida (1995) ArticleTitleInflammatory responses in open versus laparoscopic herniorrhaphy J Laparoendosc Surg 5 317–326 Occurrence Handle1:STN:280:BymC3MnhvV0%3D Occurrence Handle8845506

    CAS  PubMed  Google Scholar 

  29. Vale, L, McCormack, K, Scott, N (2001) The effectiveness and cost effectiveness of laparoscopic compared to open surgery for inguinal hernia repair. Report commissioned by National Institute of Clinical Effectiveness, January 2001. Available online at: http://www.nice.org.uk

  30. DM Vogt MJ Curet DE Pitcher DT Martin KA Zucker (1995) ArticleTitlePreliminary results of a prospective randomized trial of laparoscopic onlay versus conventional inguinal herniorrhaphy Am J Surg 169 84–90 Occurrence Handle1:STN:280:ByqC3Mjns1I%3D Occurrence Handle7818003

    CAS  PubMed  Google Scholar 

Further references

  1. E Bassini (1889) Nuovo metodo operativo per la cura radicale dell’ernia inguinale Stabilimento Prosperini Padova

    Google Scholar 

  2. R Bittner (2003) ArticleTitleResults of the Magdeburg Consensus Conference on Surgical Hernia Repair Zentralbl Chir 128 549–550 Occurrence Handle1:STN:280:DC%2BD3szltFyrsw%3D%3D Occurrence Handle12884139

    CAS  PubMed  Google Scholar 

  3. R Bittner C-G Schmedt J Schwarz K Kraft BJ Leibl (2002) ArticleTitleLaparoscopic transperitoneal procedure for routine repair of groin hernia Br J Surg 89 1062–1066 Occurrence Handle1:STN:280:DC%2BD38vgsVejug%3D%3D Occurrence Handle12153636

    CAS  PubMed  Google Scholar 

  4. X Feliu-Pala M Martín-Gómez S Morales-Conde E Fernández-Sallent (2001) ArticleTitleThe impact of the surgeon’s experience on the results of laparoscopic hernia repair Surg Endosc 15 1467–1470 Occurrence Handle1:STN:280:DC%2BD383ivVSrsA%3D%3D Occurrence Handle11965467

    CAS  PubMed  Google Scholar 

  5. IL Lichtenstein AG Shulman PK Amid MM Montllor (1989) ArticleTitleThe tension-free hernioplasty Am J Surg 157 188–193 Occurrence Handle1:STN:280:BiaC3s3ptlA%3D Occurrence Handle2916733

    CAS  PubMed  Google Scholar 

  6. L Neumayer O Jonasson R Fitzgibbons W Henderson J Gibbs CJ Carrico K Itani et al. (2003) ArticleTitleTension-free inguinal hernia repair: the design of a trial to compare open and laparoscopic surgical techniques J Am Coll Surg 196 743–752 Occurrence Handle12742208

    PubMed  Google Scholar 

  7. G Occelli C Barrat JM Catheline JP Voreux R Cueto-Rozon G Champault (2000) ArticleTitleLaparoscopic treatment of inguinal hernias: prospective evaluation of 757 cases treated by a totally extraperitoneal route Hernia 4 81–84

    Google Scholar 

  8. B Ramshaw FW Shuler HB Jones TD Duncan J White R Wilson GW Lucas et al. (2001) ArticleTitleLaparoscopic inguinal hernia repair: lessons learned after 1224 consecutive cases Surg Endosc 15 50–54 Occurrence Handle1:STN:280:DC%2BD3M7ptlSqtA%3D%3D Occurrence Handle11178763

    CAS  PubMed  Google Scholar 

  9. Schmedt CG, Sauerland S, Bittner R (2004) Comparison of endoscopic techniques versus Lichtenstein and other open mesh techniques for inguinal hernia repair: a meta-analysis of randomized trials. Surg Endosc 19: 188–199

    PubMed  Google Scholar 

  10. V Schumpelick G Arlt A Schlachetzki B Klosterhalfen (1998) ArticleTitleChronic incuinal pain after transperitoneal mesh implantation: Case report of net shrinkage Chirurg 68 1297–1300

    Google Scholar 

  11. Scott NW, McCormack K, Graham P, Go PMNYH, Ross SJ, Grant AM, EU Hernia Trialists Collaboration (2003) Open mesh versus non-mesh for groin hernia repair (Cochrane Review). In: The Cochrane Library, Issue 4. Wiley, Chichester (UK)

  12. EE Shouldice (1945) ArticleTitleSurgical treatment of hernia Ontario Med Rev 4 43

    Google Scholar 

  13. MP Simons J Kleijnen D Geldere Particlevan HF Hoitsma H Obertop (1996) ArticleTitleRole of Shouldice technique in inguinal hernia repair: a systematic review of controlled trials and a meta-analysis Br J Surg 83 734–738

    Google Scholar 

  14. C Schultz I Baca V Götzen (2001) ArticleTitleLaparoscopic inguinal hernia repair Surg Endosc 15 582–584 Occurrence Handle1:STN:280:DC%2BD3MrksV2ntw%3D%3D Occurrence Handle11591945

    CAS  PubMed  Google Scholar 

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Acknowledgments

We thank the following members of Workgroup 8 of the Consensus Conference on Hernia Surgery, 28–30. November 2002, Magdeburg, Germany, for their support: K. H. Bauer (Bochum), D. Birk (Zweibruecken), H. Keller (Donaueschingen), T. Manger (Gera), G. Meyer (Munich), and C. Peiper (Witten). Thanks also go to A. Hollins for translating the manuscript.

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Authors and Affiliations

  1. Department of General Surgery, Marienhospital Stuttgart, Boeheimstrasse 37, D-70199, Stuttgart, Germany

    R. Bittner

  2. Biochemical and Experimental Division, 2nd Department of Surgery, Universitiy of Cologne, Ostmerheimer Strasse 200, D-51109, Cologne, Germany

    S. Sauerland

  3. Department of Surgery, University of Munich, Nussbaumstrasse 20, D-80336, Munich, Germany

    C.-G. Schmedt

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  1. R. Bittner
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  2. S. Sauerland
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  3. C.-G. Schmedt
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Correspondence to R. Bittner.

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Bittner, R., Sauerland, S. & Schmedt, CG. Comparison of endoscopic techniques vs Shouldice and other open nonmesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Surg Endosc 19, 605–615 (2005). https://doi.org/10.1007/s00464-004-9049-9

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