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Laparoscopic versus open mesh repair of inguinal hernia

BMJ 1999; 318 doi: (Published 01 May 1999) Cite this as: BMJ 1999;318:1214
  1. James Wellwood, Consultant surgeon,
  2. Mark Sculpher, Senior research fellow,
  3. David Stoker, Consultant surgeon (
  1. Whipps Cross Hospital, London E11 1NR
  2. Centre for Health Economics, University of York, York YO1 5DD
  3. North Middlesex Hospital, London N18 1QX

    EDITOR—Our paper on hernia repair produced much correspondence1 2.In response to the letter from Notaras we agree that patients unfit for general anaesthetic, and therefore not suitable for laparoscopic repair, would be suitable for local anaesthetic, and this is how we would treat them. We do not agree that the reduced pain after laparoscopic repair, the improved quality of life, and the faster return to work and other activities are unimportant to the patient. Our view that these constitute important improvements from the patients' perspective is borne out by our table showing patient satisfaction (table 6).

    Rose et al point out the absence of serious complications in …

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