inguinal hernia repair

^[1]^[2]^[3]^[4]^[5]

Indications

laparoscopic mesh repair^[1]^[2]^[3] under general anesthesia
- less postoperative pain than with open mesh repair
- severe complications (0.05% vs 0.55%) & recurrent hernia within 2 years (0.25% vs 0.5%) more likely than with open mesh repair
open mesh repair under local anesthesia
robotic surgery

mesh migration (evaluate with non-contrast CT)
robotic surgery with highest rate of complications (unplanned reoperation, general medical complications, & wound infections): 3.5%^[5]

↑ ^1.0 ^1.1 Journal Watch 23(13):104, 2003 Douek M, Smith G, Oshowo A, Stoker DL, Wellwood JM. Prospective randomised controlled trial of laparoscopic versus open inguinal hernia mesh repair: five year follow up. BMJ 326:1012, 2003 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/12742923 <Internet> http://bmj.com/cgi/content/full/326/7397/1012
↑ ^2.0 ^2.1 Journal Watch 24(11):85, 2004 Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R Jr, Dunlop D, Gibbs J, Reda D, Henderson W; Veterans Affairs Cooperative Studies Program 456 Investigators. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med. 2004 Apr 29;350(18):1819-27. Epub 2004 Apr 25. PMID: https://www.ncbi.nlm.nih.gov/pubmed/15107485
↑ ^3.0 ^3.1 O'Reilly EA et al. A meta-analysis of surgical morbidity and recurrence after laparoscopic and open repair of primary unilateral inguinal hernia. Ann Surg 2012 May; 255:846. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22470068
↑ VA Southern Oregon Rehabilitation Center and Clinics SORCC
↑ ^5.0 ^5.1 Holleran TJ et al. Trends and outcomes of open, laparoscopic, and robotic inguinal hernia repair in the Veterans Affairs system. Hernia 2022 Jun; 26:889. PMID: https://www.ncbi.nlm.nih.gov/pubmed/33909151 https://link.springer.com/article/10.1007/s10029-021-02419-3