COMPARISON OF LICHTENSTEIN TO TOTAL EXTRAPERITONEAL HERNIA REPAIR IN TERMS OF CLINICAL AND COST EFFECTIVENESS

Muhammad Paryal Tagar, Muhammad Jawed, Khawar Saeed Jamali, Sarang Tagar, Ubedullah Shaikh

Abstract


The preponderance of open hernia repairs makes use of the tension free mesh methods which include Lichtenstein, Stoppa, Nyhus and Rutkow. Laparoscopic repair is minimally invasive approach and the two main methods are trans-abdominal preperitoneal (TAPP) repair and totally extraperitoneal (TEP) repair. The TEP method accesses the hernia site through the pre-peritoneal plane without ingoing the peritoneal cavity and is now the number one method. Inclusive milieu research showed that Lichtenstein and TEP repairs are at present the methods of preference in their particular open and laparoscopic categories for inguinal hernia repair. So, this review focuses on comparing these two methods in terms of clinical and cost effectiveness. For the purposes of this review, an inclusive online literature search was undertaken during May 2014 using the EBM reviews, EMBASE, MEDLINE and SpringerLink data bases. All published randomized controlled trials after 1995 with sample size of over 100 and which were printed in English language and had compared the effectiveness of laparoscopic inguinal hernia repair with open mesh inguinal hernia repair were eligible for inclusion.

Keywords


Hernia; Peritoneal; Effectiveness.

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References


Horeyseck G, Roland F, Rolfes N. Tension-free repair of inguinal hernia: laparoscopic (TAPP) versus open (Lichtenstein) repair. Chirurg 1996; 67:1036–40.

Wellwood J, Sculpher MJ, Stoker D, Nicholls GJ, Geddes C, Whitehead A. Randomised controlled trial of laparoscopic versus open mesh repair for inguinal hernia: outcome and cost. BMJ 1998; 317:103-10.

Wauschkuhn CA, Schwarz J, Boekeler U, Bittner R. Laparoscopic inguinal hernia repair: gold standard in bilateral hernia repair? Results of more than 2800 patients in comparison to literature. Surg Endosc 2010; 24:3026-30.

Schumpelick V, Treutner KH, Arlt G. Inguinal hernia repair in adults. Lancet1994; 344:375-9.

Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am 2003; 83:1045-51.

Vale L, Ludbrook A, Grant A. Assessing the costs and consequences of laparoscopic vs open methods of groin hernia repair: a systematic review. Surg Endosc 2003; 17: 844-9.

Tokumura H, Rikiyama T, Harada N. Laparoscopic biliary surgery, Nippon Geka Gakkai Zasshi 2002;103:737-4.

Wright DM, Kennedy A,Baxter JN. Early outcome after open versus extra peritoneal endoscopic tensions free hernioplasty. A randomized clinical trial. Ann Surg 1996; 119:552-7.

Eklund A, Carlsson P, Rosenblad A, Montgomery A, Bergkvist L. Long-term cost-minimization analysis comparing laparoscopic with open (Lichtenstein) inguinal hernia repair. Br J Surg 2010; 97:765-71.

Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R, Dunlop D. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med 2004; 350:1819-27.

Colak T, Akca T, Kanik A, Aydin S. Randomized clinical trial comparing laparoscopic totally extraperitoneal approach with open mesh repair in inguinal hernia. Surg Laparosc EndoscPercutan Tech 2003; 13:191-5.

Bringman S, Ramel S, Heikkinen T, Englund T, Westman B, Anderberg B. Tension-free inguinal hernia repair: TEP versus mesh-plug versus Lichtenstein: a prospective randomized controlled trial. Ann Surg 2003; 237:142-7.

Langeveld HR, Van’t Riet M, Weidema WF, Stassen LPS, Steyerberg EW. Total extraperitoneal inguinal hernia repair compared with Lichtenstein (the level-trial): a randomized controlled trial. Ann Surg 2010; 251:819-24.

Gokalp A, Inal M, Maralcan G, Baskonus I. A prospective randomized study of Lichtenstein open tension-free versus laparoscopic totally extraperitoneal techniques for inguinal hernia repair. Acta Chir Belg2003; 103:502-6.

Andersson B, Hallen M, Leveau P, Bergenfelz A, Westerdahl J. Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: a prospective randomized controlled trial. Surgery 2003; 133:464-72.

Karthikesalingam A, Markar SR, Holt PJ, Praseedom RK. Meta-analysis of randomized controlled trials comparing laparoscopic with open mesh repair of recurrent inguinal hernia. Br J Surg 2010; 97:4-11.

Tanphiphat C, Tanprayoon T, Sangsubhan C, Chatamra K. Laparoscopic vs open inguinal hernia repair. A randomized, controlled trial. Surg Endosc 1999; 12:846-51.

Kozol R, Lange PM, Kosir M, Beleski K, Mason K, Tennenberg S. A prospective, randomized study of open vs. laparoscopic inguinal hernia repair: an assessment of postoperative pain. Arch Surg 1997; 132:292-5.

Khajanchee YS, Kenyon TA, Hansen PD, Swanstrom LL. Economic evaluation of laparoscopic and open inguinal herniorrhaphies: the effect of cost-containment measures and internal hospital policy decisions on costs and charges. Hernia 2004; 8:196-202.

Liem MS. Comparison of conventional anterior surgeryand laparoscopic surgery for inguinal-hernia repair. N Engl J Med 1997; 336:1541-7.

Lau H, Patil NG, Yuen WK. Day-case endoscopic totally extra-peritoneal inguinal hernioplasty versus open Lichtenstein hernioplasty for unilateral primary inguinal hernia in males A randomized trial. Surg Endosc 2006; 20:76-81.

Hallan M, Bergenfelz , Westerdahl J. Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair:long-term follow-up of a randomized controlled trial. Surgery 2008; 143:313-7.


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