Dataset Information

Open preperitoneal versus anterior approach for recurrent inguinal hernia: a randomized study.

ABSTRACT:

Background

Inguinal herniorrhaphy remains one of the most common general surgical operations, with approximately 15% performed for recurrence. The repair of the resulting recurrent hernia is a daunting task because of already weakened tissues and obscured and distorted anatomy. The aim of this study is to compare the posterior preperitoneal versus anterior tension-free approach for repair of unilateral recurrent inguinal hernia regarding complications and early recurrence.

Methods

120 Patients in this study were divided randomly into 2 main groups; Group A patients were subjected to posterior preperitoneal approach and those of group B were subjected to conventional anterior tension-free repair. The primary end point was recurrence and the secondary end points were time off from work, postoperative pain, scrotal swelling and wound infections.

Results

The mean hospital stay was 1.2?days and 4.7, the mean time to return work was 8.2 and 11.2?days and the mean time off from work was 9.4 and 15.9?days in group A and B respectively. The maximum follow-up period was 48?months and the minimum was 14?months with a mean value as 37.11?±?5.14?months. Only 2 recurrences (3.3%) in group A and 4 cases (6.25%) in group B were seen. The final pain score per patient and the overall complication rate were higher in group B.

Conclusions

The open preperitoneal repair offers the advantages of low recurrence rate and allows covering all potential defects with one piece of mesh and is far superior to the anterior approach.

Trial registration

ACTRN12611000337976.

SUBMITTER: Saber A

PROVIDER: S-EPMC3514268 | biostudies-literature | 2012 Oct

REPOSITORIES: biostudies-literature

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Publications

Open preperitoneal versus anterior approach for recurrent inguinal hernia: a randomized study.

Saber Aly A Ellabban Goda M GM Gad Mohammad A MA Elsayem Karam K

BMC surgery 20121030

<h4>Background</h4>Inguinal herniorrhaphy remains one of the most common general surgical operations, with approximately 15% performed for recurrence. The repair of the resulting recurrent hernia is a daunting task because of already weakened tissues and obscured and distorted anatomy. The aim of this study is to compare the posterior preperitoneal versus anterior tension-free approach for repair of unilateral recurrent inguinal hernia regarding complications and early recurrence.<h4>Methods</h4 ...[more]

PMID: 23110701

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Project description:IntroductionMany surgical techniques have been used to repair abdominal wall defects in the inguinal region based on the anatomic characteristics of this region and can be categorised as 'tension' repair or 'tension-free' repair. Tension-free repair is the preferred technique for inguinal hernia repair. Tension-free repair of inguinal hernia can be performed through either the anterior transversalis fascia approach or the preperitoneal space approach. There are few large sample, randomised controlled trials investigating the curative effects of the anterior transversalis fascia approach versus the preperitoneal space approach for inguinal hernia repair in patients in northern China.Methods and analysisThis will be a prospective, large sample, multicentre, randomised, controlled trial. Registration date is 1 December 2016. Actual study start date is 6 February 2017. Estimated study completion date is June 2020. A cohort of over 720 patients with inguinal hernias will be recruited from nine institutions in Liaoning Province, China. Patient randomisation will be stratified by centre to undergo inguinal hernia repair via the anterior transversalis fascia approach or the preperitoneal approach. Primary and secondary outcome assessments will be performed at baseline (prior to surgery), predischarge and at postoperative 1 week, 1 month, 3 months, 1 year and 2 years. The primary outcome is the incidence of postoperative chronic inguinal pain. The secondary outcome is postoperative complications (including rates of wound infection, haematoma, seroma and hernia recurrence).Ethics and disseminationThis trial will be conducted in accordance with the Declaration of Helsinki and supervised by the institutional review board of the Fourth Affiliated Hospital of China Medical University (approval number 2015-027). All patients will receive information about the trial in verbal and written forms and will give informed consent before enrolment. The results will be published in peer-reviewed journals or disseminated through conference presentations.Trial registration numberNCT02984917; preresults.

Dataset Information

Open preperitoneal versus anterior approach for recurrent inguinal hernia: a randomized study.

Background

Methods

Results

Conclusions

Trial registration

Publications

Open preperitoneal versus anterior approach for recurrent inguinal hernia: a randomized study.

Similar Datasets

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