Filler POEM

Open hernia repair better than laparoscopic

BMJ 2004; 329 doi: (Published 29 July 2004) Cite this as: BMJ 2004;329:0-f

Question Is an open or laparoscopic approach better for inguinal hernia repair?

Synopsis Open surgical repair of inguinal hernias involves use of a prosthetic mesh and the possibility of local anaesthesia, and the patient is often discharged within a few hours of the procedure. A laparoscopic procedure has been introduced that requires general anaesthesia but claims to reduce postoperative pain and allow earlier return to usual activities. Which is better? The authors randomised (allocation …

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