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Open tension-free mesh repair (Lichtenstein) and laparoscopic totally extraperitoneal (TEP) repair are the most commonly preferred techniques for inguinal hernia surgery. There's still a debate going on about which of these two techniques (open versus laparoscopic) is effective. This prospective randomized study aimed at comparing the early and long-term results of these two techniques (TEP vs. Lichtenstein).
Various studies comparing the laparoscopic totally extraperitoneal (TEP) and Lichtenstein techniques have been reported. These studies have shown that TEP repair is associated with less postoperative pain and faster recovery. However, there are different views on the long-term (recurrence, chronic pain, etc.) results of the two techniques. This study was designed to compare the short- and long-term outcomes of open tension-free mesh repair technique(Lichtenstein) and laparoscopic repair technique(TEP).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Laparoscopic Totally Extraperitoneal (TEP) | Active Comparator | Patients who underwent Laparoscopic Totally Extraperitoneal (TEP) will be included in this group. |
|
| Open tension-free mesh repair technique (Lichtenstein) | Placebo Comparator | Patients with open tension-free inguinal hernia(Lichtenstein) repair will be included in this group. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| inguinal hernia repair | Procedure | Patients who will undergo inguinal hernia repair will be divided into two groups(TEP versus Lichtenstein) according to the technique to be applied |
| Measure | Description | Time Frame |
|---|---|---|
| postoperative complication status | number of patients with complications | up to the first 10 days postoperatively |
| early period complication status | number of patients with complications | up to the first 3 months postoperatively |
| late period complication status | number of patients with complications | Postoperative 3rd to 84th month |
| early recurrence rate | number of patients with recurrence | up to the first 3 months postoperatively |
| late recurrence rate | number of patients with recurrence | Postoperative 3rd to 84th month |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analog Score for pain | Units on a Scale; 0: no pain, 1-3: mild pain, 4-6: moderate pain, 7-9: severe pain, 10: worst pain possible. | postoperative 24th hour |
| total analgesic requirement |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Murat Coskun, MD | Kocaeli Derince Training and Research Hospital | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20395851 | Background | Langeveld HR, van't Riet M, Weidema WF, Stassen LP, Steyerberg EW, Lange J, Bonjer HJ, Jeekel J. Total extraperitoneal inguinal hernia repair compared with Lichtenstein (the LEVEL-Trial): a randomized controlled trial. Ann Surg. 2010 May;251(5):819-24. doi: 10.1097/SLA.0b013e3181d96c32. | |
| 19106673 | Background |
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| ID | Term |
|---|---|
| D006552 | Hernia, Inguinal |
| D006547 | Hernia |
| ID | Term |
|---|---|
| D046449 | Hernia, Abdominal |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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the number of analgesics used.
| postoperative 1 to 10 days |
| time to return to work after surgery | day | Postoperative 3rd month |
| early complication status | Number of patients with complications | postoperative 1st month |
| Eklund AS, Montgomery AK, Rasmussen IC, Sandbue RP, Bergkvist LA, Rudberg CR. Low recurrence rate after laparoscopic (TEP) and open (Lichtenstein) inguinal hernia repair: a randomized, multicenter trial with 5-year follow-up. Ann Surg. 2009 Jan;249(1):33-8. doi: 10.1097/SLA.0b013e31819255d0. |
| 22470068 | Background | O'Reilly EA, Burke JP, O'Connell PR. A meta-analysis of surgical morbidity and recurrence after laparoscopic and open repair of primary unilateral inguinal hernia. Ann Surg. 2012 May;255(5):846-53. doi: 10.1097/SLA.0b013e31824e96cf. |