Postoperative Complications Clinical Trial
Official title:
Laparoscopic Versus Open Mesh Repair of Bilateral Primary Inguinal Hernia 3 Armed Randomized Trial
Currently, there is a controversy regarding the best approach for simultaneous repair of bilateral inguinal hernia. The aim of this study was to compare the outcome of laparoscopic versus open repair of bilateral inguinal hernia
This prospective randomized study included 120 consecutive patients with bilateral primary
inguinal hernia treated at Alexandria university hospital in the period between June 2014 and
February 2017. Patients were randomized by sealed envelopes into 3 groups, each includes 40
patients. Group I treated by laparoscopic transabdominal preperitoneal repair using 2
separate meshes, Group II treated by open preperitoneal mesh repair, while Group III treated
by bilateral Lichtenstein repair. The 3 groups were compared regarding: operative time,
postoperative complications, pain, hospital stay, return to normal activity and work, chronic
groin pain, patient's satisfaction and 3 years recurrence rate.
Statistical Analysis: Numerical data in both groups was expressed as mean
± standard deviation (SD) and compared using One-way analysis of variance while categorical
data was expressed as percentages and compared using Chi-squared test. Logistic regression
test was used to determine predictors of postoperative complications. Differences were
considered significant at p <0.05.
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