medigraphic.com
ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2006, Number 2

<< Back Next >>

An Med Asoc Med Hosp ABC 2006; 51 (2)

Evidence based medicine. Inguinal hernia: open versus laparoscopic surgery

Cervantes CJ, Rojas RG, Sánchez JG, Guadarrama QF, González LS, Toiber LM

Language: Spanish
References: 18
Page: 65-69
PDF size: 85.90 Kb.


ABSTRACT

The authors present a comparative study of open hernia repair, 2072 cases versus laparoscopic surgery, 278 cases operated in a seven years period, analyzing: type of anesthesia, operative time, complications, length of stay and costs. Laparoscopic surgery required general anesthesia in all cases versus regional anesthesia in 76% of the open surgery. Operative time, complications, length of stay and costs were considerably higher in the laparoscopic procedures. We conclude that at the present time, the open traditional surgery is the best option for a general surgeon in a typical patient with inguinal hernia.


REFERENCES

  1. Stoppa R, Wantz GE, Munegato G, Pluchinotta A. Hernia healers. An illustrated history. Paris: Amette, 1998.

  2. Wantz GE, Stoppa R, Munegato G, Pluchinotta A. Present, past and future of hernia surgery. Cir Gen 1998; 20 (suppl 1); 67-68.

  3. Nyhus LM. Individualization of hernia repair: A new era. Surgery 1993; 114: 1-2.

  4. Cervantes J. Inguinal hernia in the new millennium. World J Surg 2004; 28: 343-347.

  5. Colborn GL, Skandalakis JE. Laparoscopic inguinal anatomy. Hernia 1998; 2: 179-191.

  6. Arregui M, Castro D. Anatomía laparoscópica de la región inguinal. En: Cervantes J, Patino JF (eds). Cirugía laparoscópica y toracoscópica. México: McGraw-Hill-Interamericana, 1997; 180-185.

  7. Cubit JD Jr. Laparoscopic herniorrhaphy. Surg Laparosc Endosc 1991; 1: 23-5.

  8. Wexner SD. Laparoscopic hernia repair: A plea for science and statistics (editorial comment). Surg Endosc 1993; 7: 150-151.

  9. Vogt DM, Curet MJ, Pitcher DE, Martin DT, Zucker KA. Preliminary results of a prospective randomized trial of laparoscopic onlay versus conventional inguinal herniorrhaphy. Am J Surg 1995; 169: 84-90.

  10. Payne JH Jr. Grininger LM, Izawa MT, Podoll EE, Lindalhl PHI, Balfour J. Laparoscopic or open inguinal herniorrhaphy? A randomized prospective trial. Arch Surg 1994; 129: 978-981.

  11. Barkum JS, Wexler MJ, Hinchey EJ, Thibeault D, Meakins JL. Laparoscopic versus open inguinal herniorrhaphy: Preliminary results of a randomized controlled trial. Surgery 1995; 118: 703-709.

  12. Liem MSL, Van der Graaf Y, Van Steensel CJ, Boelhouwer RV, Clevers GJ, Meijer WS et al. Comparison of conventional anterior surgery and laparoscopic surgery for inguinal-hernia repair. N Engl J Med 1997; 336: 1541-1547.

  13. Stoker DL, Spiegelhater DJ, Singh R, Wellwood JM. Laparoscopic versus open inguinal hernia repair: Randomized prospective trial. Lancet 1994; 343: 1243-1245.

  14. MacFadyen BJr, Mathis C. Inguinal herniorrhaphy: Complications and recurrences. Seminars in laparoscopic surgery. Laparoscopic inguinal herniorrhaphy. Philadelphia, PA: WB Saunders, 1994; 1 (2 June).

  15. Rutkow IM. Laparoscopic hernia repair: The socio-economic tyranny of surgical technology. Arch Surg 1992; 127: 1271.

  16. Cervantes J, Rojas G, Guadarrama E. Hernioplastia inguinal abierta vs laparoscópica: Estudio comparativo de tiempo quirúrgico, días de hospitalización y costos. Cir Gen 1998; 20 (4): 300-303.

  17. Neumayer L, Giobbie Hurder A, Jonasson D, Fitzgibbons R Jr, Dunlop D, Gibbons J, Eda D, Henderson W. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med 2004; 350 (18): 1819-1827.

  18. Cook CH. Open versus laparoscopic inguinal hernia repair. Contemporary Surgery 2003; 59 (1): 38-41.




2020     |     www.medigraphic.com