Abstract
Background
For the scientific evaluation of the endoscopic and open mesh techniques for the repair of inguinal hernia, meta-analyses of randomized controlled trials (RCT) are necessary. The Lichtenstein repair is one of the most common open mesh techniques and therefore of special interest.
Methods
After an extensive search of the literature and a quality assessment, a total of 34 RCT comparing endoscopic procedures both transabdominal preperitoneal (TAPP) and total extraperitoneal (TEP)—with various open mesh repairs were deemed to be suitable for a formal meta-analysis of the relevant parameters. These studies included data for 7,223 patients. Trials that used the Lichtenstein repair for the control group (23 of 34 trials) were analyzed-separately.
Results
Significant advantages for the endoscopic procedures compared with the Lichtenstein repair include a lower incidence of wound infection (Peto odds ratio, 0.39; 95% confidence interval, 0.26, 0.61), a reduction in hematoma formation (0.69 [0.54, 0.90]) and nerve injury (0.46 [0.35, 0.61]), an earlier return to normal activities or work (–1.35[–1.72, –0.97]), and fewer incidences of chronic pain syndrome (0.56[0.44, 0.70]). No difference was found in total morbidity or in the incidence of intestinal lesions, urinary bladder lesions, major vascular lesions, urinary retention and testicular problems. Significant advantages for the Lichtenstein repair include in a shorter operating time (5.45[1.18, 9.73]), a lower incidence of seroma formation (1.42[1.13, 1.79]), and fewer hernia recurrences (2.00[1.46, 2.74]). Similar results are seen when endoscopic procedures are compared with other open mesh repairs. However, in this comparison, total morbidity was lower with the endoscopic operations (0.73[0.61, 0.89]). The incidence of seroma formation, chronic pain syndromes, and hernia recurrence was not significantly different.
Conclusion
Endoscopic repairs do have advantages interms of local complications and pain-associated parameters. For more detailed evaluation further well-structured trials with improved standardization of hernia type, operative technique, and surgeons’ experience are necessary.
Similar content being viewed by others
References
K McCormack NW Scott PMNYH Go S Ross InstitutionalAuthorNameAM on behalf of the EU Hernia Trialists Collaboration (2003) Laparoscopic versus open techniques for inguinal hernia repair (Cochrane review) The Cochrane Library; Issue 4 John Wiley & sons, Ltd. Chichester (UK)
L Vale A Ludbrook A Grant (2003) ArticleTitleAssessing the cost and consequences of laparoscopic vs open methods of groin hernia repair Surg Endosc 17 844–849 Occurrence Handle1:STN:280:DC%2BD3s3nvFaktQ%3D%3D Occurrence Handle12632125
AM Grant InstitutionalAuthorNameEuropean Union Hernia Trialists Collaboration (2002) ArticleTitleLaparoscopic versus open groin hernia repair: meta-analysis of randomised trials based on individual patient data Hernia 6 2–10 Occurrence Handle1:STN:280:DC%2BD38zks12isA%3D%3D Occurrence Handle12090575
InstitutionalAuthorNameEuropean Union Hernia Trialists Collaboration (2002) ArticleTitleRepair of groin hernia with synthetic mesh: metaanalysis of randomized controlled trials Ann Surg 235 322–332
InstitutionalAuthorNameEuropean Union Hernia Trialists Collaboration (2000) ArticleTitleLaparoscopic compared with open methods of groin hernia repair: systematic review of randomized controlled trials Br J Surg 87: 860–867
MA Memon NJ Cooper MI Memon KR Abrams (2003) ArticleTitleMeta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair Br J Surg 90 1479–1492 Occurrence Handle1:STN:280:DC%2BD3srmsFOkug%3D%3D Occurrence Handle14648725
N Stylopoulos GS Gazell DW Rattner (2003) ArticleTitleA cost-utility analysis of treatment options for inguinal hernia in 1,513,008 adult patients Surg Endosc 17 180–189 Occurrence Handle1:STN:280:DC%2BD3s%2Fms12rsQ%3D%3D Occurrence Handle12415334
R Bittner (2003) ArticleTitleResults of the Magdeburg consensus Conference on Surgical hernia Repair Zentralbl Chir 128 549–550 Occurrence Handle1:STN:280:DC%2BD3szltFyrsw%3D%3D Occurrence Handle12884139
CR Voyles BJ Hamilton WD Johnson N Kano (2002) ArticleTitleMeta-analyses of laparoscopic inguinal hernia trials favors open hernia repair with preperitoneal mesh prosthesis J Surg 184 6–10
CG Schmedt BJ Leibl R Bittner (2002) ArticleTitleEndoscopic inguinal hernia repair in comparison with Shouldice and Lichtenstein repair: a systematic review of randomized trials Dig Surg 19 511–517 Occurrence Handle12499747
A Fingerhut B Millat N Bataille E Yachouchi C Dziri MJ Boudet A Paul (2001) ArticleTitleLaparoscopic hernia repair in 2000: update of the European Association for Endoscopic Surgery (E.A.E.S) Consensus Conference in Madrid, June 1994 Surg Endosc 15 1061–1065 Occurrence Handle1:STN:280:DC%2BD3MnotV2jsg%3D%3D Occurrence Handle11443425
BJ Leibl CG Schmedt M Ulrich K Kraft R Bittner (1999) ArticleTitleLaparoscopic hernia repair—the facts, but no fashion Langenbeck’s Arch Surg 384 302–311 Occurrence Handle1:STN:280:DyaK1MzmsVejuw%3D%3D
RS Chung DY Rowland (1999) ArticleTitleMeta-analyses of randomized controlled trials of laparoscopic vs conventional inguinal hernia repairs Surg Endosc 13 689–694 Occurrence Handle1:STN:280:DyaK1Mzhs1equg%3D%3D Occurrence Handle10384076
CM Cheek NA Black HB Devlin AN Kingsnorth RS Taylor DFL Watkin (1998) ArticleTitleGroin hernia surgery: a systematic review Ann R Coll Surg Engl 80 Suppl 1 S1–S80
L Krähenbühl M Schäfer MA Feodorovici Büchler (1998) ArticleTitleLaparoscopic hernia surgery: an overview Dig Surg 15 158–166 Occurrence Handle9845580
PMNYH Go (1998) ArticleTitleOverview of randomized, trials in laparoscopic inguinal hernia repair Semin Laparosc Surg 5 238–241 Occurrence Handle1:STN:280:DyaK1M%2FnsVGntA%3D%3D Occurrence Handle9854132
IMC Macintyre WFA Miles (1995) ArticleTitleCritical appraisal and current position of laparoscopic hernia repair JR Coll Surg 40 331–336 Occurrence Handle1:STN:280:BymD2Mvmt1w%3D
MacFadyen (1994) ArticleTitleInguinal herniorrhaphy: complications and recurrences Semin Laparosc Surg 1 128–140 Occurrence Handle10401048
AM Paganini E Lezoche F Carle F Carlei F Favretti F Feliciotto R Gesuita et al. (1998) ArticleTitleA randomized controlled clinical study of laparoscopic vs open tension-free inguinal hernia repair Surg Endosc 12 979–986 Occurrence Handle1:STN:280:DyaK1c3pvVehsQ%3D%3D Occurrence Handle9632874
JS Köninger M Oster M Butters (1998) ArticleTitleLeistenhernienversorgung—ein Vergleich gängiger Verfahren Chirurg 69 1340–1344 Occurrence Handle10023558
W Gontarz L Wolanski K Leksowski (1998) ArticleTitleA comparison of two “tension free” inguinal hernia repair methods—laparoscopic hernioplasty vs anterior mesh technique [Abstract] Br J Surg 85 IssueIDSuppl 2 101 Occurrence Handle9462395
P Jess K Schultz K Bendtzen OH Nielsen (2000) ArticleTitleSystemic inflammatory responses during laparoscopic and open inguinal hernia repair: a randomised prospective stydy Eur J Surg 166 540–544 Occurrence Handle1:STN:280:DC%2BD3M7gvFartA%3D%3D Occurrence Handle10965832
A Gokalp M Inal G Maralcan I Baskonus (2003) ArticleTitleA prospective randomized study of Lichtenstein open tension-free versus laparoscopic totally extraperitoneal techniques for inguinal hernia repair Acta Chir Belg 103 502–506 Occurrence Handle1:STN:280:DC%2BD3srntlektg%3D%3D Occurrence Handle14653037
JH Payne LM Grininger MT Izawa EF Podoll PJ Lindahl J Balfour (1994) ArticleTitleLaparoscopic or open inguinal herniorrhaphy? A randomized prospective trial Arch Surg 129 973–981 Occurrence Handle8080380
J Payne M Izawa P Glen L Grininger E Podoll J Balfour (1996) ArticleTitleLaparoscopic or tension-free inguinal hernia repair? A cost/benefit analysis of 200 prospectively randomized patients [Abstract] Surg Endosc 10 204
T Heikkinen K Haukipuro J Leppälä A Hulkko (1997) ArticleTitleTotal cost of laparoscopic and Lichtenstein inguinal hernia repairs: a randomized prospective study Surg Laparosc Endosc 7 1–5 Occurrence Handle1:STN:280:ByiC1cjos1A%3D Occurrence Handle9116938
T Heikkinen S Bringman P Ohtonen P Kunelis K Haukipuro A Hulkko (2004) ArticleTitleFive-year outcome of laparoscopic and Lichtenstein hernioplasties Surg Laparosc Endosc 18 518–522 Occurrence Handle1:STN:280:DC%2BD2c3gtlekug%3D%3D
B Andersson M Hallén P Leveau A Bergenfelz J Westerdahl (2003) ArticleTitleLaparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: a prospective randomized controlled trial Surgery 133 464–472 Occurrence Handle12773973
J Merello AG Guerra J Madriz GG Guerra (1997) ArticleTitleLaparoscopic TEP versus open Lichtenstein hernia repair: randomized trial [Abstract] Surg Endosc 11 545
T Colak A Tamer K Arzu A Suha (2003) ArticleTitleRandomized clinical trial comparing laparoscopic totally extraperitoneal approach with open mesh repair in inguinal hernia Surg Laparosc Endosc Percutan Tech 13 191–195 Occurrence Handle12819504
P Lal RK Kajla J Chander R Saha VK Ramteke (2003) ArticleTitleRandomized controlled study of laparoscopic total extraperitoneal vs open Lichtenstein inguinal hernia repair Surg Endosc 17 850–856 Occurrence Handle12658428
D Mahon B Decadt M Rhodes (2003) ArticleTitleProspective randomized trial of laparoscopic (transabdominal preperitoneal) versus open (mesh) repair for bilateral and recurrent inguinal hernia Surg Endosc 17 1386–1390 Occurrence Handle1:STN:280:DC%2BD2c7ks1OgtA%3D%3D Occurrence Handle12802653
CJ Filipi F Gaston-Johansson PJ McBride K Murayama J Gerhardt DA Cornet RJ Lund et al. (1996) ArticleTitleAn assessment of pain and return to normal activity: laparoscopic herniorrhaphy vs open tension-free Lichtenstein repair Surg Endosc 10 983–986 Occurrence Handle1:STN:280:ByiD38%2FhtlE%3D Occurrence Handle8864090
TJ Heikkinen K Haukipuro A Hulkko (1998) ArticleTitleA cost and outcome comparison between laparoscopic and Lichtenstein hernia operations in a day-case unit: a randomized prospective study Surg Endosc 12 1199–1203 Occurrence Handle1:STN:280:DyaK1cvislSqug%3D%3D Occurrence Handle9745056
TJ Heikkinen K Haukipuro P Koivukangas A Hulkko (1998) ArticleTitleA prospective randomized outcome and cost comparison of totally extraperitoneal endoscopic hernioplasty versus Lichtenstein hernia operation among employed patients Surg Laparosc Endosc 5 338–344
L Sarli N Pietra O Choua R Costi B Thenasseril A Giunta (1997) ArticleTitleConfronto prospettico randomizzato tra ernioplastica laparoscopica ed ernioplastica tension-free secondo Lichtenstein Acta Biomed Ateneo Parmese 68 5–10 Occurrence Handle1:STN:280:DyaK1c7jvVOgug%3D%3D
L Sarli F Villa F Marchesi (2001) ArticleTitleHernioplasty and simultaneous laparoscopic cholecystectomy: a prospective randomized study of open tension-free versus laparoscopic inguinal hernia repair Surgery 129 530–536 Occurrence Handle1:STN:280:DC%2BD3MzgvFGqsw%3D%3D Occurrence Handle11331444
L Sarli DR lusco G Sansebastiano R Costi (2001) ArticleTitleSimultaneous repair of bilateral inguinal hernias: a prospective, randomized study of open, tension-free versus laparoscopic approach Surg Laparosc Endosc Percutan Tech 11 262–267 Occurrence Handle1:STN:280:DC%2BD3Mvot1CitA%3D%3D Occurrence Handle11525372
M Picchio A Lombardi A Zolovkins M Mihelsons G La Torre (1999) ArticleTitleTension-free laparoscopic and open hernia repair: randomized controlled trial of early results World J Surg 23 1004–1009 Occurrence Handle1:STN:280:DyaK1MvksVWksQ%3D%3D Occurrence Handle10512939
S Bringman S Ramel TJ Heikkinen T Englund B Westman B Anderberg (2003) ArticleTitleTension-free inguinal hernia repair: TEP versus mesh-plug versus Lichtenstein. A prospective randomized controlled trial Ann Surg 237 142–147 Occurrence Handle12496542
L Neumayer A Giobbie-Hurder O Jonasson R Fitzgibbons D Dunlop J Gibbs D Reda et al. (2004) ArticleTitleOpen mesh versus laparoscopic mesh repair of inguinal hernia N Engl J Med 350 1819–1827 Occurrence Handle1:CAS:528:DC%2BD2cXjsVOhtLc%3D Occurrence Handle15107485
J Wellwood MJ Sculpher D Stoker GJ Nicholls C Geddes A Whitehead R Singh et al. (1998) ArticleTitleRandomised controlled trial of laparoscopic versus open repair for inguinal hernia: outcome and cost BMJ 317 103–110, Occurrence Handle1:STN:280:DyaK1czit1Wqsg%3D%3D Occurrence Handle9657784
M Douek G Smith A Oshowo DL Stroker JM Wellwood (2003) ArticleTitleProspective randomised controlled trial of laparoscopic versus open inguinal hernia mesh repair: five year follow up BMJ 326 1012–1013 Occurrence Handle1:STN:280:DC%2BD3s3itFSjtw%3D%3D Occurrence Handle12742923
J Zieren HU Zieren CA Jacobi FA Wenger JM Müller (1998) ArticleTitleProspective randomized study comparing laparoscopic and open tension-free inguinal hernia repair with Shouldice’s operation Am J Surg 175 330–333 Occurrence Handle1:STN:280:DyaK1c3islKitA%3D%3D Occurrence Handle9568665
BE Bostanci C Tetik S Ozer A Ozden (1998) ArticleTitlePosterior approaches in groin hernia repair with prosthesis: open or closed Acta Chir Belg 98 241–244 Occurrence Handle1:STN:280:DyaK1M7itFGltw%3D%3D Occurrence Handle9922810
M Suter O Martinet F Spertini (2002) ArticleTitleReduced acute phase response after laparoscopic total extraperitoneal bilateral hernia repair compared to open repair with the Stoppa procedure Surg Endosc 16 1214–1219 Occurrence Handle1:STN:280:DC%2BD38vjt1egsA%3D%3D Occurrence Handle12189483
D Wright C Paterson N Scott A Hair PJ O’Dwyer (2002) ArticleTitleFive-year follow-up of patients undergoing laparoscopic or open groin hernia repair: a randomized controlled trial Ann Surg 235 333–337 Occurrence Handle11882754
InstitutionalAuthorNameMedical Research Council Laparoscopic Groin Hernia Trial Group (2001) ArticleTitleCost-utility analysis of open versus laparoscopic groin hernia repair: results from a multicentre randomized clinical trial Br J Surg 88 653–661
NW Scott AM Grant SJ Ross A Smith IMC Macintyre PJ O’Dwyer (2000) ArticleTitlePatient-assessed outcome up to three months in a randomised controlled trial comparing laparoscopic with open groin hernia repair Hernia 4 73–79
InstitutionalAuthorNameMedical Research Council Laparoscopic Groin Hernia Trial Group (1999) ArticleTitleLaparoscopic versus open repair of groin hernia: a randomized comparison Lancet 354 185–190
DM Wright MG Hall CR Paterson PJ O’Dwyer (1999) ArticleTitleA randomized comparison of driver reaction time after open and endoscopic tension-free inguinal hernia repair Surg Endosc 13 332–334 Occurrence Handle1:STN:280:DyaK1M7psVyksw%3D%3D Occurrence Handle10094741
DM Wright A Kennedy JN Baxter GM Fullarton LM Fife GT Sunderland (1996) ArticleTitleEarly outcome after open versus extraperitoneal endoscopic tension-free hernioplasty: a randomized Surgery 119 552–557 Occurrence Handle1:STN:280:BymB3cvlsFM%3D Occurrence Handle8619212
GL Beets CD Dirksen PMNYH Go FEA Geisler CGMI Baeten G Kootstra (1999) ArticleTitleOpen or laparoseopic preperitoneal mesh repair for recurrent inguinal hernia? Surg Endosc 13 323–327 Occurrence Handle1:STN:280:DyaK1M7psVyluw%3D%3D Occurrence Handle10094739
G Champault C Barrat JM Catheline N Rizk (1998) ArticleTitleHernies de I’aine: resultants à 4 ans de deux études prospectives randomisées comparant les opérations de Shouldice et de Stoppa à I’abord laparoscopique totalement pré-péritióneal Ann Chir 52 132–136 Occurrence Handle1:STN:280:DyaK1cvisV2qtA%3D%3D Occurrence Handle9752429
GG Champault N Rizk JM Catheline R Turner P Boutelier (1997) ArticleTitleInguinal hernia repair. Totally preperitoneal laparoscopic approach versus stoppa operation: randomized trial of 100 cases Surg Laparosc Endosc 7 445–450 Occurrence Handle1:STN:280:DyaK1c%2FpvFClsw%3D%3D Occurrence Handle9438623
G Champault N Rizk JM Catheline H Riskalla P Boutelier (1996) ArticleTitleGroin hernia: pre-peritoneal laparoscopic sugery versus open (Stoppa) procedure. Prospective randomized trial: 100 cases J Chir (Paris) 133 274–280 Occurrence Handle1:STN:280:ByiC3cnlt1c%3D
N Khoury (1998) ArticleTitleA randomized prospective controlled trial of laparoscopic extraperitoneal hernia repair and mesh-plug hernioplasty: a study of 315 cases J Laparoendosc Adv Surg Tech A 8 367–372 Occurrence Handle1:STN:280:DyaK1M7htlKhtQ%3D%3D Occurrence Handle9916589
B Johansson B Hallerbäck H Glise B Anesten S Smedberg J Román (1999) ArticleTitleLaparoscopic versus open preperitoneal mesh versus conventional technique for inguinal hernia repair: a randomized multicenter trial (SCUR Hernia Repair Study) Ann Surg 230 225–231 Occurrence Handle1:STN:280:DyaK1Mznsl2ntA%3D%3D Occurrence Handle10450737
P Aitola I Airo M Matikainen (1998) ArticleTitleLaparoscopic versus open preperitoneal inguinal hernia repair: a prospective randomized trial Ann Chir Gynaecol 87 22–25 Occurrence Handle1:STN:280:DyaK1c3mtVGrtQ%3D%3D Occurrence Handle9598225
RKJ Simmermacher EB van Duyn GJ Clevers LS de Vries JMV van Vroonhoven (2000) ArticleTitlePreperitoneal mesh in groin hernia surgery: a randomized clinical trial emphasizing the surgical aspects of preperitoneal placement via a laparoscopic (TEP) or grid-iron (Ugahary) approach Hernia 4 296–298
JM Ramon X Carulla JM Hidalgo (1998) ArticleTitleStudy of quality of life in relation with the health after surgery of the endoscopic inguinal hernia vs conventional [Abstract] Br J Surg 85 Suppl II 18
C Vatansev M Belviranli F Aksoy S Tuncer M Sahin O Karahan (2002) ArticleTitleThe effects of different hernia repair methods on postoperative pain medication and CRP levels Surg Laparosc Endosc Percutan Tech 12 243–246 Occurrence Handle12193818
R Kozol PM Lange M Kosir K Beleski K Mason S Tennenberg SM Kubinec et al. (1997) ArticleTitleA prospective, randomized study of open vs laparoscopic inguinal hernia repair: an assessment of postoperative pain Arch Surg 132 292–295 Occurrence Handle1:STN:280:ByiB3sngsVY%3D Occurrence Handle9125030
JS Barkun EJ Keyser MJ Wexler GM Fried EJ Hinchey M Fernandez JL Meakins (1999) ArticleTitleShort-term outcomes in open vs. laparoscopic herniorrhaphy: confunding impact of workers compensation on convalescence J Gastrointest Surg 3 575–582 Occurrence Handle1:STN:280:DC%2BD3c%2FitF2rtA%3D%3D Occurrence Handle10554363
JS Barkun MJ Wexler EJ Hinchey D Thibeault JL Meakins (1995) ArticleTitleLaparoscopic versus open inguinal herniorrhayphy: preliminary results of a randomized controlled trial Surgery 118 703–710 Occurrence Handle1:STN:280:BymD3cnjslE%3D Occurrence Handle7570325
A Unzunköy A Cosun OF Akinici A Kocyigit (2000) ArticleTitleSystemic stress responses after laparoscopic or open hernia repair Eur J Surg 166 467–471 Occurrence Handle10890543
TE Pavlidis KS Atmatzidis CN Lazaridis BT Papaziogas JG Makris TB Papaziogas (2002) ArticleTitleComparison between modern mesh and conventional mesh methods of inguinal hernia repair Minerva Chir 57 7–12 Occurrence Handle1:STN:280:DC%2BD387gtlWntg%3D%3D Occurrence Handle11832851
M Catani R Milito ParticleDe E Spaziani M Chiaretti G Manilli S Capitano A Di Filippo et al. (2003) ArticleTitleLaparoscopic inguinal hernia repair “IPOM” vs “open tension free” preliminary results of a prospective Minerva Chir 58 783–789 Occurrence Handle1:STN:280:DC%2BD3srot1GhsQ%3D%3D Occurrence Handle14663405
Vogt (1995) ArticleTitlePreliminany results of a prospective randomized trial of laparoscopic onlay versus conventional inguinal herniorrhaphy Am J Surg 169 84–90 Occurrence Handle1:STN:280:ByqC3Mjns1I%3D Occurrence Handle7818003
PK Amid (2004) ArticleTitleLichtenstein tension-free hernioplasty: its inception, evolution, and principles Hernia 8 1–7 Occurrence Handle14505236
R Bittner S Sauerland CG Schmedt (2004) ArticleTitleComparison of endoscopic techniques versus Shouldice and other open non mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials . . . Occurrence HandleMR2120220
R Bittner C-G Schmedt J Schwarz K Kraft BJ Leibl (2002) ArticleTitleLaparoscopic transperitoneal procedure for routine repair of groin hernia Br J Surg 89 1062–1066 Occurrence Handle1:STN:280:DC%2BD38vgsVejug%3D%3D Occurrence Handle12153636
A Bobrzynski A Budzynski Z Biesiada M Kowalczyk J Lubikowski J Sienko (2001) ArticleTitleExperience—the key factor in successful laparoscopic total extraperitoneal and transabdominal preperitoneal hernia repair Hernia 5 80–83 Occurrence Handle1:STN:280:DC%2BD3MvmtFeqsA%3D%3D Occurrence Handle11505653
X Feliu-Pala M Martín-Gómez S Morales-Conde E Fernández-Sallent (2001) ArticleTitleThe impact of the surgeon’s experience on the results of laparoscopic hernia repair Surg Endosc 15 1467–1470 Occurrence Handle1:STN:280:DC%2BD383ivVSrsA%3D%3D Occurrence Handle11965467
P Jensen T Mikkelsen H Kehlet (2002) ArticleTitlePostherniorrhaphy urinary retension — effect of local, regional, and general anesthesia: a review Reg Anesth Pain Med 27 612–617 Occurrence Handle12430114
BJ Leibl CG Schmedt K Kraft M Ulrich R Bittner (2000) ArticleTitleRecurrence after endoscopic transperitoneal hernia repair (TAPP): causes, reparative technique, and results of the reoperation J Am Coll Surg 190 651–655 Occurrence Handle1:STN:280:DC%2BD3czivFCjsg%3D%3D Occurrence Handle10872999
IL Lichtenstein AG Shulman PK Amid MM Montllor (1989) ArticleTitleThe tension free hernioplasty Am J Surg 157 188–193 Occurrence Handle1:STN:280:BiaC3s3ptlA%3D Occurrence Handle2916733
MS Liem EB Duyn Particlevan Y Graaf Particlevan der TJ Vroonhoven Particlevan Coala Trial Group (2003) ArticleTitleRecurrences after conventional anterior and laparoscopic inguinal hernia repair: a randomized comparison Ann Surg 237 136–141 Occurrence Handle12496541
AS Lowham CJ Filipi RJ Fitzgibbons SuffixJr R Stoppa GE Wantz EL Felix WB Crafton (1997) ArticleTitleMechanisms of hernia recurrence after preperitoneal mesh repair: traditional and laparoscopic Ann Surg 225 422–431 Occurrence Handle1:STN:280:ByiB28bptVA%3D Occurrence Handle9114802
D Moher DJ Cook S Eastwood I Olkin D Rennie DF Stroup (1999) ArticleTitleImproving the quality of reports of meta-analyses of randomised controlled trials: the QUOROM statement. Qualitiy of Reporting of Meta-analyses Lancet 354 1896–1900 Occurrence Handle1:STN:280:DC%2BD3c%2FkvFCgtQ%3D%3D Occurrence Handle10584742
G Occelli C Barrat JM Catheline JP Voreux R Cueto-Rozon G Champault (2000) ArticleTitleLaparoscopic treatment of inguinal hernias: prospective evaluation of 757 cases treated by a totally extraperitoneal route Hernia 4 81–84
H Scheidbach C Tamme A Tannapfel H Lippert F Köckerling (2004) ArticleTitleIn vivo studies comparing the biocompatibility of various polypropylene meshes and their handling properties during endoscopic total extraperitoneal (TEP) patchplasty: an experimental study in pigs Surg Endosc 18 211–220 Occurrence Handle10.1007/s00464-003-8113-1 Occurrence Handle1:STN:280:DC%2BD2c7kvFeltg%3D%3D Occurrence Handle14691711
CG Schmedt BJ Leibl R Bittner (2002) ArticleTitleAccess-related complications in laparoscopic surgery: tips and tricks to avoid trocar complications Chirurg 73 863–876 Occurrence Handle1:STN:280:DC%2BD38nmsFemsg%3D%3D Occurrence Handle12425167
C Tamme H Scheidbach C Hampe C Schneider F Köckerling (2003) ArticleTitleTotally extraperitoneal endoscopic inguinal hernia repair (TEP) Surg Endosc 17 190–195 Occurrence Handle1:STN:280:DC%2BD3s%2Fms12qsQ%3D%3D Occurrence Handle12457220
Acknowledgments
We thank the following members of workgroup 8 of the National Consensus Conference for Hernia Surgery (Magdeburg, Germany, 28–30 November 2002) for their support: K. H. Bauer (Bochum), D. Birk (Zweibruecken), H. Keller (Donaueschingen), T. Manger (Gera), G. Meyer (Munich), and C. Peiper (Witten). Thanks also go to A. Hollins for her translation of the manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Schmedt, C.G., Sauerland, S. & Bittner, R. Comparison of endoscopic procedures vs Lichtenstein and other open mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Surg Endosc 19, 188–199 (2005). https://doi.org/10.1007/s00464-004-9126-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00464-004-9126-0