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The effectiveness of laparoscopic inguinal hernia repair still remains unclear. During a one year period a total of 1208 inguinal hernias in 952 patients were consecutively operated using the laparoscopic technique by a total of 11 general surgeons in daily clinical routine.
Laparoscopic hernia repair in the TAPP technique seems to have the potential to become the standard procedure in inguinal hernia repair in future.
Objective:
Hernia repair is the most frequent operation in general surgery worldwide, but about 25 years after the advent of minimal invasive surgical techniques the effectiveness of laparoscopic inguinal hernia repair still remains unclear.
Methods:
All patients admitted to the hospital for surgery of an inguinal hernia during a one year period were prospectively documented and included in a follow-up study. The follow-up was performed at least 5 years after surgery and consisted of a clinical examination, ultrasound investigation and a questionnaire.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laparoscopic hernia repair | Device | Preperitoneal mesh implantation because of inguinal hernia disease using the laparoscopic technique |
| Measure | Description | Time Frame |
|---|---|---|
| The primary outcome of the trial was recurrence of a hernia within five years after the repair. | 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| The secondary outcome was chronic pain. | Chronic pain was measured by VAS scale | 5 years |
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Inclusion Criteria:
Exclusion Criteria:
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All patients admitted for hernia surgery during a one year period (n=928) were operated exclusively in TAPP technique and were assigned to follow-up.
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| Name | Affiliation | Role |
|---|---|---|
| Reinhard Bittner, M.D. | Hernia Center Rottenburg | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hernia Center | Rottenburg | 72108 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24035088 | Background | Cavazzola LT, Rosen MJ. Laparoscopic versus open inguinal hernia repair. Surg Clin North Am. 2013 Oct;93(5):1269-79. doi: 10.1016/j.suc.2013.06.013. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Sep 29, 2015 | |
| Reset | Oct 27, 2015 | |
| Release | Dec 6, 2015 | |
| Reset | Jan 12, 2016 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Sep 29, 2015 | Oct 27, 2015 | |||
| Dec 6, 2015 |
| ID | Term |
|---|---|
| D001733 | Bites and Stings |
| ID | Term |
|---|---|
| D011041 | Poisoning |
| D064419 | Chemically-Induced Disorders |
| D014947 | Wounds and Injuries |
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| Jan 12, 2016 |