Laparoscopic versus open inguinal herniorrhaphy: Preliminary results of a randomized controlled trial

摘要: Background. Benefits of laparoscopic herniorrhaphy (LH) over open hernia repair (OH) remain unproved. Methods. Interim analysis a prospective randomized controlled trial compared OH with LH where study outcomes were measured by third-party evaluators through patient interviews. Results. Both groups well matched for all baseline parameters, although patients anticipated quicker postoperative recovery than (p=0.014). No significant difference was noted in operating time or surgeon operative satisfaction. The median duration hospital stay 1 day both groups; made use significantly less narcotics (p=0.02). observed the durations convalescence (LH, 9.6±7.6 days; OH, 10.9±7.4 days). Greater improvements quality life exhibited month after operation (p=0.035), one two measures used. A greater percentage seemed “very satisfied their operation” (p=0.07). Complication rates similar, and single recurrence, group, has been follow-up 14 months. Conclusions. Direct cost measurements showed to be 40% more expensive context Canadian-type health care system. To date, benefits pain possibly have detected group.