Abstract.
The results of our randomized trial of 176 patients comprising primary hernias [Shouldice versus transabdominal preperitoneal approach (TAPP)] showed only slight advantages for the laparoscopically operated group compared to the conventionally operated group: less subjective pain (significant only on fifth postoperative day, p < 0.05), reduced analgesic requirement (significant only on third postoperative day, p < 0.05), significantly shorter duration of hospitalization (4 days vs. 6 days, p < 0.05) and faster return to work (27 days vs. 34 days, NS). Regarding the incidence of recurrences, there was no significant difference between the groups (two recurrences vs. one recurrence) within a follow-up period of 2 years. Postoperative morbidity was similar and the total cost was less for the TAPP group.
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Lorenz, D., Stark, E., Oestreich, K. et al. Laparoscopic Hernioplasty versus Conventional Hernioplasty (Shouldice): Results of a Prospective Randomized Trial. World J. Surg. 24, 739–746 (2000). https://doi.org/10.1007/s002689910119
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DOI: https://doi.org/10.1007/s002689910119