In this study, researchers from Sweden, compared an open tension-free hernia repair with a laparoscopic totally extraperitoneal hernia repair (TEP).
They assessed 168 men (30 to 65 years) with primary or recurrent inguinal hernia. Patients were randomized to either TEP (n = 81) or open mesh technique (n = 87). They were followed-up at 1 week, 6 weeks, and 1 year.
The research team found no difference in overall complications between the 2 groups. However, 1 patient in the TEP group underwent operation for small bowel obstruction after surgery.
|There was a higher frequency of postoperative hematomas in the open group.|
The team observed a higher frequency of postoperative hematomas in the open group.
They also determined that patients in the TEP group required less analgesic after surgery, returned to work sooner, and had a shorter time to full recovery.
The team found that 2 recurrences occurred in the TEP group 1 year after surgery.
Dr Bodil Andersson's team concluded, "The TEP technique was associated with less postoperative pain, a shorter time to full recovery, and an earlier return to work compared with the open tension-free repair".
"No difference was seen in overall complications. However, 2 recurrences did occur after 1 year in the TEP group".