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Original Article

Open Mesh versus Laparoscopic Mesh Repair of Inguinal Hernia

Leigh Neumayer, M.D., Anita Giobbie-Hurder, M.S., Olga Jonasson, M.D., Robert Fitzgibbons, Jr., M.D., Dorothy Dunlop, Ph.D., James Gibbs, Ph.D., Domenic Reda, Ph.D., and William Henderson, Ph.D. for the Veterans Affairs Cooperative Studies Program 456 Investigators

N Engl J Med 2004; 350:1819-1827April 29, 2004

Abstract

Background

Repair of inguinal hernias in men is a common surgical procedure, but the most effective surgical technique is unknown.

Methods

We randomly assigned men with inguinal hernias at 14 Veterans Affairs (VA) medical centers to either open mesh or laparoscopic mesh repair. The primary outcome was recurrence of hernias at two years. Secondary outcomes included complications and patient-centered outcomes.

Results

Of the 2164 patients who were randomly assigned to one of the two procedures, 1983 underwent an operation; two-year follow-up was completed in 1696 (85.5 percent). Recurrences were more common in the laparoscopic group (87 of 862 patients [10.1 percent]) than in the open group (41 of 834 patients [4.9 percent]; odds ratio, 2.2; 95 percent confidence interval, 1.5 to 3.2). The rate of complications was higher in the laparoscopic-surgery group than in the open-surgery group (39.0 percent vs. 33.4 percent; adjusted odds ratio, 1.3; 95 percent confidence interval, 1.1 to 1.6). The laparoscopic-surgery group had less pain initially than the open-surgery group on the day of surgery (difference in mean score on a visual-analogue scale, 10.2 mm; 95 percent confidence interval, 4.8 to 15.6) and at two weeks (6.1 mm; 95 percent confidence interval, 1.7 to 10.5) and returned to normal activities one day earlier (adjusted hazard ratio for a shorter time to return to normal activities, 1.2; 95 percent confidence interval, 1.1 to 1.3). In prespecified analyses, there was a significant interaction between the surgical approach (open or laparoscopic) and the type of hernia (primary or recurrent) (P=0.012). Recurrence was significantly more common after laparoscopic repair than after open repair of primary hernias (10.1 percent vs. 4.0 percent), but rates of recurrence after repair of recurrent hernias were similar in the two groups (10.0 percent and 14.1 percent, respectively).

Conclusions

The open technique is superior to the laparoscopic technique for mesh repair of primary hernias.

Media in This Article

Figure 1Flow Chart of Patients Screened for Participation in the Study.
Figure 2Difference between the Open-Repair and Laparoscopic-Repair Groups in Pain Scores on a Visual-Analogue Scale over Time, after Adjustment for Stratification Factors.
Article

Surgical repair of inguinal hernias is a common procedure in adult men. However, recurrence of hernias has been reported to occur after repair in 15 percent or more cases, and postoperative pain and disability are frequent.1-5 When traditional surgical methods are used, outcomes after repair of recurrent hernias have been worse than after primary repair.6,7 After the introduction of tension-free surgical repair with the use of prosthetic mesh, recurrence rates were reported to be less than 5 percent, and patients' comfort was reported to be substantially improved over that obtained by the traditional, tension-producing techniques.8,9 Local anesthesia is used, and patients are discharged within a few hours. A laparoscopic method of performing a tension-free repair has subsequently been reported to result in low recurrence rates and to be associated with substantially less pain in the immediate postoperative period and earlier return to normal activities than the open-repair technique.10,11 The laparoscopic technique, however, requires general anesthesia, and it is more often associated with serious intraoperative complications than is open repair,11-13 although such complications are infrequent.

We conducted a multicenter, randomized trial to compare recurrence rates and other outcomes after either of two standardized tension-free herniorrhaphies: open repair and laparoscopic repair.

Methods

Study Population, Recruitment, Study Interventions, and Follow-up

Men presenting to general-surgery clinics at 14 Veterans Affairs (VA) medical centers who were 18 years of age or older, had a diagnosis of inguinal hernia, and gave written informed consent were eligible for random assignment to open tension-free repair or laparoscopic tension-free repair. Patients in American Society of Anesthesiologists (ASA) class IV (i.e., those who had systemic disease that is a constant threat to life) or class V (i.e., those who were unlikely to survive for 24 hours, with or without an operation)14 were excluded, as were those who had contraindications to general anesthesia, bowel obstruction, bowel strangulation, peritonitis, bowel perforation, local or systemic infection, contraindications to pelvic laparoscopy, a history of repair with mesh, or a life expectancy of less than two years. Patients who were participating in another trial were also excluded. Randomization was carried out by a computer-generated, permuted-block sequence and was stratified according to the type of hernia (primary or recurrent), whether the hernia was unilateral or bilateral, and the study site (the VA medical center). In patients with bilateral hernias, both sides were repaired simultaneously; one side was chosen randomly by the coordinating center to be the “study” hernia to be included in the intention-to-treat analysis. The protocol was approved by the human-rights committee of the Hines VA Cooperative Studies Program and by the institutional review board at each site. Details of the study design can be found in a previous report.15

All the patients underwent standardized repairs by attending surgeons who had performed (and documented) 25 open or 25 laparoscopic repairs in order to qualify to perform the open or the laparoscopic procedure, respectively.16,17 The participating surgeons' self-reported experience was recorded at the beginning of each operation. The surgeons agreed to follow a precise protocol, including pretrial submission of a videotaped laparoscopic procedure that was reviewed by a surgeon member of the study's executive committee. The presence of the attending surgeon at the operating table throughout the procedure was required. The open procedure was performed according to the Lichtenstein method, as described by Amid.18 Laparoscopic repairs were performed either by a transabdominal preperitoneal approach or by a totally extraperitoneal approach.19-22 All repairs involved the use of mesh. Recurrent hernias were repaired by the same standardized procedures as were primary hernias. All the patients were given standardized postoperative instructions that did not restrict their activities unless the activities caused pain.

Determination of the Primary Outcome

The primary outcome of the trial was recurrence of a hernia within two years after the repair. The patients were followed for a minimum of two years. Postoperatively, each patient was examined at two weeks, at three months, and yearly thereafter to determine the presence or absence of recurrence by a surgeon who had not been involved in that patient's operation. Recurrences were confirmed by examination by an independent surgeon, by ultrasound examination, or during a second operation. A patient with bilateral hernias who had a recurrence on the side opposite the side of the study hernia was considered not to have had a recurrence in the intention-to-treat analysis.

Determination of Secondary Outcomes

Secondary outcomes were complications, death, and patient-centered outcomes. Complications were assessed intraoperatively and at specified intervals postoperatively. Long-term complications were assessed at the three-month and annual visits. Life-threatening complications were defined before the start of the study and were assessed for 30 days after the procedure. All deaths and life-threatening complications were reviewed by an independent end-points committee to determine whether the event was related to the operation.

Patient-centered outcomes (pain, functional status, and activity levels) were assessed at baseline, two weeks, three months, six months, and yearly thereafter. Pain was assessed with the use of a visual-analogue scale on the day of the operation and daily until the first postoperative visit (at two weeks).23 Functional status was assessed with the Medical Outcomes Study 36-item Short-Form General Health Survey (SF-36) questionnaire, version 2.24

Organization and Monitoring

Each site was visited by the principal investigator or coprincipal investigator during the first few months of the study to ensure compliance with study protocols. Deaths and life-threatening complications were determined to be related or unrelated to the treatment by an independent committee consisting of a surgeon, an anesthesiologist, and a pathologist.

Statistical Analysis

The study was designed to detect a 3 percent difference in recurrence rates between the groups with a sample of 2200 patients and a power of 80 percent.15 The members of the data and safety monitoring board terminated enrollment one month early because they determined that the study had sufficient power to detect a difference in the rate of recurrence within two years. The study included 1983 patients who underwent surgery, and thus it had more than 88 percent power to distinguish a difference of 4 percentage points in recurrence rates, allowing a two-sided type I error rate of 5 percent and six interim analyses of the primary end point.

In the primary analysis, the two-year rates of recurrence were compared between the two groups according to the intention to treat. The two-year rates of recurrence were compared with the use of O'Brien–Fleming boundaries to account for sequential monitoring of the primary outcome.25 All 95 percent confidence intervals for the two-year recurrence rates were adjusted for sequential monitoring, as were the 95 percent confidence intervals for the rates or mean values of each secondary outcome. Subgroup analyses of the primary outcome are presented as adjusted odds ratios calculated from logistic-regression analyses after adjustment for stratification factors (primary or recurrent hernia, unilateral or bilateral hernia, and study site). Proportions were compared on the basis of adjusted odds ratios obtained by logistic-regression analysis to control for stratification factors. Differences in outcomes related to pain and functional status were compared by multiple linear-regression analysis, with generalized estimating equations used to control for stratification factors and to account for repeated assessments. Differences in the times to return to normal activity, after adjustment for stratification factors, were assessed by Cox regression analysis. Statistical tests were not adjusted for comparisons related to multiple secondary end points or subgroup analyses. Analyses controlling for stratification factors were prespecified.

Results

Baseline Characteristics of the Patients

Between January 1999 and November 2001, 3518 eligible patients were screened (Figure 1Figure 1Flow Chart of Patients Screened for Participation in the Study.). Of these patients, 2164 (61.5 percent) with inguinal hernias met the entry criteria and were randomly assigned to either open or laparoscopic hernia repair. The two-year follow-up period ended in November 2003 and was completed in 85.5 percent (1696) of the 1983 patients who underwent surgery (85.0 percent of the open group and 87.4 percent of the laparoscopic group). Ninety-seven of the 989 patients assigned to laparoscopic repair (9.8 percent) instead underwent open repair, and 16 of the 994 patients assigned to open repair (1.6 percent) instead underwent laparoscopic repair. Intraoperative conversion to open herniorrhaphy accounted for approximately half the patients in the laparoscopic group who did not undergo the assigned repair; the others were switched to open repair for technical reasons discovered at the time of surgery or the patient's preference.

Table 1Table 1Baseline Characteristics of the Patients, According to Treatment Group. shows the baseline characteristics of the patients according to treatment group. Demographic characteristics, the characteristics of the hernia, coexisting conditions, and ASA classifications were similar in the two groups.

Recurrence

The intention-to-treat analysis showed that at two years, recurrences were more common in the laparoscopic group (in which there were 87 recurrences among 862 patients [10.1 percent]) than in the open group (in which there were 41 recurrences among 834 patients [4.9 percent]; odds ratio, 2.2; 95 percent confidence interval, 1.5 to 3.2) (Table 2Table 2Characteristics of the Repair Procedures, Postoperative Complications, and Recurrences at Two Years.). The difference remained significant in logistic-regression analysis that controlled for stratification factors (primary or recurrent hernia, unilateral or bilateral hernia, and study site). Rates of recurrence were statistically similar when analyzed in cohorts enrolled in the first, second, or third year of the study.

Similar results were obtained in an analysis in which patients were classified as treated, with the 113 patients who crossed over from their assigned procedure classified according to the procedure actually performed. In patients with bilateral hernias who had a recurrence on the nonstudy side (five patients in the open group and eight in the laparoscopic group), inclusion of these recurrences did not materially affect the results (data not shown).

In additional prespecified analyses, we found a significant interaction between treatment group and the type of hernia (primary or recurrent) (P=0.012) but not between treatment group and whether the hernia was unilateral or bilateral (P=0.29). With respect to the repair of primary hernias, the recurrence rate was significantly higher among patients who underwent the laparoscopic procedure (79 recurrences among 781 patients [10.1 percent]) than among those who underwent the open procedure (30 recurrences among 756 patients [4.0 percent]; adjusted odds ratio, 2.9; 95 percent confidence interval, 1.8 to 4.5). The same was not true with respect to the repair of recurrent hernias; the number of recurrences was similar: 8 of 81 patients in the laparoscopic group had a recurrence (10.0 percent), as compared with 11 of 78 such patients in the open group (14.1 percent; adjusted odds ratio, 0.7; 95 percent confidence interval, 0.3 to 2.0).

Complications and Death

Overall, 718 of the 1983 patients who underwent a repair procedure (36.2 percent) had at least one complication; there were 386 complications among the 989 patients in the laparoscopic group (39.0 percent) and 332 among the 994 patients in the open group (33.4 percent) (adjusted odds ratio, 1.3; 95 percent confidence interval, 1.1 to 1.6) (Table 2). Intraoperative, immediate postoperative, and life-threatening complications occurred significantly more frequently in the laparoscopic group than in the open group. The rate of long-term complications (those assessed at three months and at yearly visits) were similar in the two groups (Table 2).

Within 30 days after the operation there were two deaths in the laparoscopic group (both considered to be related to the surgery) and none in the open group. The two-year mortality rates were not different between the groups: over the two-year follow-up period there were 32 deaths in the laparoscopic group (3.2 percent) and 34 deaths in the open group (3.4 percent) (adjusted odds ratio, 1.0; 95 percent confidence interval, 0.6 to 1.6). Four deaths were determined by the end-points committee to be related to the operation. The causes of death in these patients were a pulmonary embolus on postoperative day 3 (in the laparoscopic group); an intestinal injury during laparoscopic repair (in the laparoscopic group); a perioperative myocardial infarction, which led to coronary-artery bypass surgery and death 60 days after the repair (in the laparoscopic group); and, 2 years after the repair, complications from a bowel obstruction in a femoral hernia (which presumably was missed at the time of the study operation) (in the open group).

Patient-Centered Outcomes

Patients in the open-repair group had significantly greater levels of pain (at rest, at work or during exercise, and during normal activities) than did those in the laparoscopic group during the two-week postoperative assessment period. On the day of surgery, the difference in the mean score on the visual-analogue scale was greatest (10.2 mm [95 percent confidence interval, 4.8 to 15.6]), but the score decreased to 6.1 mm (95 percent confidence interval, 1.7 to 10.5) by the time of the two-week assessment. The two treatment groups were similar with respect to all pain assessments by the time the three-month visit took place (Figure 2Figure 2Difference between the Open-Repair and Laparoscopic-Repair Groups in Pain Scores on a Visual-Analogue Scale over Time, after Adjustment for Stratification Factors.).

The time to the resumption of daily activities was significantly shorter among those undergoing laparoscopic repair (median time, four days) than among those undergoing open repair (five days) (adjusted hazard ratio for a shorter time to return to normal activities, 1.2; 95 percent confidence interval, 1.1 to 1.3). Approximately half the patients (859) were sexually active before the operation; the time to the resumption of sexual activity was similar in the two groups (median time, 14 days in the laparoscopic group and 14 days in the open group). More patients in the laparoscopic group than in the open group were able to perform specific activities (e.g., climbing stairs and engaging in vigorous activities, such as shoveling or weight lifting) at two weeks. At three months of follow-up, however, differences in activity level between the groups were not apparent.

Both groups had improved function at three months relative to preoperative levels of function, according to physical-component scores and mental-component scores on the SF-36. There were no differences between the groups in the improvement in these scores at two years (data not shown).

Surgeons' Experience

We also performed a post hoc evaluation of the association between surgeons' self-reported experience (the number of procedures previously performed that involved use of the same technique [open or laparoscopic] as that for the planned operation, categorized as 0 to 25, 26 to 50, 51 to 75, 76 to 150, 151 to 250, and more than 250) and rates of hernia recurrence. The recurrence rate associated with laparoscopic repair was greater than 10 percent for the 58 surgeons who reported having performed 250 or fewer laparoscopic repairs in any category, whereas the recurrence rate was less than 5 percent for the 20 surgeons who reported having performed more than 250 laparoscopic repairs (P<0.001 for the comparison of this category to all other categories). For open repairs, there was no significant difference in the rate of recurrence between the most experienced group of surgeons (those who had performed more than 250 repairs) and surgeons with less experience (P=0.12). On the basis of the finding in the laparoscopic group, we defined “highly experienced” surgeons as those who reported having performed more than 250 repairs that involved use of the same technique as that for the planned operation. During the study period, 15 of 117 surgeons in the open group (12.8 percent) and 5 of 69 in the laparoscopic group (7.2 percent) gained enough experience to move into that category. The interaction between surgeons' experience and the treatment group was significant (P=0.013).

Among primary-hernia repairs performed by highly experienced surgeons, recurrence rates did not vary significantly according to the type of procedure: of 253 such procedures in the laparoscopic group, recurrences occurred after 13 (5.1 percent), and of 635 such procedures in the open group, recurrences occurred after 26 (4.1 percent; adjusted odds ratio, 1.3; 95 percent confidence interval, 0.6 to 2.7). For less experienced surgeons performing primary repairs, the recurrence rate was greater after laparoscopic procedures (65 recurrences after 528 such repairs [12.3 percent]) than after open procedures (3 recurrences after 121 such repairs [2.5 percent]; adjusted odds ratio, 7.4; 95 percent confidence interval, 2.1 to 26.6). Among repairs of recurrent hernias performed by highly experienced surgeons, fewer recurrences were recorded after laparoscopic repair (1 recurrence after 28 such repairs [3.6 percent]) than after open repair (11 recurrences after 64 such repairs [17.2 percent]; adjusted odds ratio, 0.3; 95 percent confidence interval, 0.1 to 1.0), but the numbers were small. The number of recurrent hernia repairs performed by less experienced surgeons was insufficient to analyze (with a power below 25 percent to detect a difference of 15 percent).

Discussion

This multicenter, randomized trial compared two tension-free, mesh-based hernia-repair techniques: the Lichtenstein open procedure and the laparoscopic procedure. Overall, recurrence rates were higher among patients whose hernias were repaired by the laparoscopic technique. There was significant interaction between the surgical approach and the type of hernia (primary or recurrent). Recurrence rates were significantly higher after laparoscopic repair of primary hernias than after open repair of primary hernias, but recurrence rates associated with the two techniques were similar for the repair of recurrent hernias. The presence of bilateral hernias did not alter the rate of recurrence after either procedure.

Intraoperative, immediate postoperative, and life-threatening complications were more frequent in the laparoscopic-repair group than in the open-repair group, although rates of long-term complications and mortality rates were similar in the two groups. These results are consistent with others' findings.11,12

As other studies have reported, patients who underwent a laparoscopic repair returned to their usual activities one day sooner than those who underwent an open repair.11,12 Differences in activity levels were not apparent three months after the procedure and thereafter. Patients who underwent an open repair experienced significantly higher levels of pain than those who underwent a laparoscopic repair, both on the day of operation and at two weeks, but no significant differences were apparent after two weeks. Though statistically significant, the magnitude of the differences in pain may not be clinically meaningful.26,27 Results of sequential SF-36 assessments showed no significant differences between the two groups at any time. Because of the large number of secondary end points considered over several periods, some statistically significant findings could have occurred by chance alone.

In contrast to other findings published before this study was initiated, indicating that surgeons' learning curve for laparoscopic hernia repair plateaued after as few as 30 cases,16,17 post hoc analyses in our study showed a decrease in the rate of recurrence only among surgeons who reported having previously performed more than 250 procedures. Recurrence rates among surgeons who had performed 250 or fewer laparoscopic hernia repairs were consistently above 10 percent. Among primary repairs performed by highly experienced surgeons (those who had performed more than 250 procedures), recurrence rates appeared to be similar for hernias repaired by the laparoscopic approach and those repaired by the open approach. These findings should be interpreted cautiously.

The rates of recurrence after repair of a recurrent hernia did not differ significantly between the groups. The high rate of recurrences after the repair of recurrent hernias by the open technique may be due to the presence of scarring, making further surgery difficult.

The overall increased rate of recurrence after laparoscopic repair in our study could be due to several factors. The high rate of retention in the study allowed us to assess recurrences thoroughly during the two-year follow-up period. In addition, objective assessment of recurrence was performed by an independent surgeon. The results of our large, multicenter, randomized trial may be a good indicator of the results that can be expected in the general population when hernia repair is performed by surgeons who are practicing outside of specialized centers.

This study has several limitations. The average age of the men enrolled was high, and their health-related quality of life was below that of the general population.15 Information on surgeons' experience was self-reported and may not have been precise. We excluded patients who had previously undergone a hernia repair with the use of mesh, and thus the data cannot be generalized to second repair procedures in these difficult cases. We conclude that for primary hernias, the open technique of tension-free repair is superior to the laparoscopic technique, both in terms of recurrence rates and in terms of safety.

Supported by the Cooperative Studies Program of the Department of Veterans Affairs Office of Research and Development.

Dr. Fitzgibbons reports holding patents for an articulating stapler and a trocar site-closing device. He also reports serving as an expert consultant in matters involving a laparoscopic clip applier and hernia-repair mesh.

We are indebted to the American College of Surgeons for its support and to Margaret Ring Gillock for her editorial contributions. This study would not have been possible without the vision of James Carrico, M.D., who died before its completion.

Source Information

From the Veterans Affairs (VA) Medical Center and the Department of Surgery, University of Utah, Salt Lake City (L.N.); the VA Cooperative Studies Program Coordinating Center, Hines, Ill. (A.G.-H., D.R.); the Department of Surgery, University of Illinois College of Medicine, Chicago (O.J.); the Department of Surgery, Creighton University, Omaha, Nebr. (R.F.); the Institute for Health Services Research and Policy Studies, Northwestern University Feinberg School of Medicine, Chicago (D.D., J.G.); and the Health Outcomes Program, University of Colorado, Aurora (W.H.).

Address reprint requests to Dr. Neumayer at VAMC-112, 500 Foothill Dr., Salt Lake City, UT 84148, or at .

The Veterans Affairs Cooperative Studies Program 456 Investigators are listed in the Appendix.

Appendix

Members of VA Cooperative Study 456 were as follows (asterisks denote former participants): Chair — L. Neumayer (VA Medical Center, Salt Lake City); Biostatistician — A. Giobbie-Hurder; Health Scientist — J.O. Gibbs; Lead Health Economist — D.M. Hynes; Health Economist — K. Stroupe; Patient-Centered Outcomes Consultant — M. McCarthy; National Study Coordinator — R. Denwood*; Clinical Nurse Coordinator — S. Hatton-Ward; Data and Safety Monitoring Board — R. Bell (Northwestern University Medical School, Chicago), H. Buchwald (Chair) (University of Minnesota School of Medicine, Minneapolis), K.S. Ephgrave (VA Medical Center, Iowa City, Iowa), and R. Woolson (Medical University of South Carolina, Charleston); Executive Committee — C.J. Carrico (deceased) (University of Texas Southwestern Medical Center, Dallas), D. Dunlop and J.O. Gibbs (Northwestern University, Chicago), R.J. Fitzgibbons, Jr. (Creighton University, Omaha, Nebr.), W.G. Henderson (University of Colorado Health Outcomes Program, Aurora), A. Giobbie-Hurder, D.M. Hynes, and D. Reda (Acting Director) (Cooperative Studies Program Coordinating Center, Hines, Ill.), K. Itani (VA Medical Center, Houston), O. Jonasson (University of Illinois College of Medicine, Chicago), L. Kim (VA Medical Center, Dallas), M.J. London (VA Medical Center, San Francisco), L. Neumayer (Chair) (VA Medical Center, Salt Lake City), and T.N. Pappas (VA Medical Center, Durham, N.C.); End Points Committee — M.E. Arregui (Surgery, St. Vincent's Hospital and Healthcare Service, Indianapolis), M.J. Bishop (Anesthesiology, VA Medical Center, Seattle), and E. Jensen (Pathology, VA Medical Center, Salt Lake City); VA Central Office (Washington, D.C.) — J. Feussner (Chief Research and Development Officer), S. Berkowitz (Assistant Director, Cooperative Studies Program), and J. Gough (Program Assistant, Cooperative Studies Program); Site personnel — B. Bass, G. Bochicchio, C. Alvarez,* and K.B. Stem (Baltimore); J.J. Gleysteen, K. Mitchell, and R. Ragoza* (Birmingham, Ala.); G. Rodkey, R. Dennis, D. Soybel,* J. Gordon,* M. Campasano, B. Dionian,* and J. Moriuchi* (Boston); B. Miedema and K. Crews (Columbia, Mo.); T. Anthony, C. Willis, and C. Rowder* (Dallas); S. Tennenberg, R. Kozol,* and C. Yales (Detroit); N. Lee (Durham, N.C.); S. Brown (Houston); R. Muldoon,* D. Johnson,* and K. Marchant (Little Rock, Ark.); E. Mangiante, K. Phillips, K. VanFrank, F. Hatmaker,* and A. Collins* (Memphis, Tenn.); D.M. Hinson and B. Salabsky (Salt Lake City); Q.Y. Duh and M. Marovich (San Francisco); C. Mendez, T. Durant, and B. Wright* (Tampa, Fla.); G. Glantz, E.H. Livingston,* and W. Murphy (West Los Angeles, Calif.); S. Hatton-Ward and B. Redfield (Chair's Office, Salt Lake City); K. Tir, S. Heard, J. Motyka, and C. Sullivan* (Cooperative Studies Program Coordinating Center, Hines, Ill.).

References

References

  1. 1

    French Associations for Surgical Research, Oberlin P, Boudet MJ, et al. Recurrence after inguinal hernia repair: prognostic facts in a prospective study of 1706 hernias. Br J Surg 1995;82:Suppl 1:65-65 abstract.
    Web of Science

  2. 2

    Friis E, Lindahl F. The tension-free hernioplasty in a randomized trial. Am J Surg 1996;172:315-319
    CrossRef | Web of Science | Medline

  3. 3

    Cunningham J, Temple WJ, Mitchell P, Nixon JA, Preshaw RM, Hagen NA. Cooperative hernia study: pain in the postrepair patient. Ann Surg 1996;224:598-602
    CrossRef | Web of Science | Medline

  4. 4

    Kumar S, Wilson RG, Nixon SJ, Macintyre IM. Chronic pain after laparoscopic and open mesh repair of groin hernia. Br J Surg 2002;89:1476-1479
    CrossRef | Web of Science | Medline

  5. 5

    Rowntree LG. National program for physical fitness: revealed and developed on the basis of 13,000,000 physical examinations of Selective Service registrants. JAMA 1944;125:821-827
    Web of Science

  6. 6

    Sondenaa K, Nesvik I, Breivik K, Korner H. Long-term follow-up of 1059 consecutive primary and recurrent inguinal hernias in a teaching hospital. Eur J Surg 2001;167:125-129
    CrossRef | Medline

  7. 7

    Condon RE, Nyhus LM. Complications of groin hernia. In: Nyhus LM, Condon RE, eds. Hernia. 4th ed. Philadelphia: J.B. Lippincott, 1995:269-82.

  8. 8

    Amid PK, Shulman AG, Lichtenstein IL. Open “tension-free“ repair of inguinal hernias: the Lichtenstein technique. Eur J Surg 1996;162:447-453
    Medline

  9. 9

    Kark AE, Kurzer M, Belsham PA. Three thousand one hundred seventy-five primary inguinal hernia repairs: advantages of ambulatory open mesh repair using local anesthesia. J Am Coll Surg 1998;86:447-456
    CrossRef | Web of Science

  10. 10

    Liem MSL, van der Graaf Y, van Steensel CJ, et al. Comparison of conventional anterior surgery and laparoscopic surgery for inguinal-hernia repair. N Engl J Med 1997;336:1541-1547
    Full Text | Web of Science | Medline

  11. 11

    The MRC Laparoscopic Groin Hernia Trial Group. Laparoscopic versus open repair of groin hernia: a randomised comparison. Lancet 1999;354:185-190
    CrossRef | Web of Science | Medline

  12. 12

    McCormack K, Scott NW, Go PM, Ross S, Grant AM. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev 2003;1:CD001785-CD001785
    Medline

  13. 13

    Fitzgibbons RJ Jr, Camps J, Cornet DA, et al. Laparoscopic inguinal herniorrhaphy: results of a multicenter trial. Ann Surg 1995;221:3-13
    CrossRef | Web of Science | Medline

  14. 14

    New classification of physical status. Anesthesiology 1963;24:111-111

  15. 15

    Neumayer L, Jonasson O, Fitzgibbons R, et al. Tension-free inguinal hernia repair: the design of a trial to compare open and laparoscopic surgical techniques. J Am Coll Surg 2003;196:743-752
    CrossRef | Web of Science | Medline

  16. 16

    Wright D, O'Dwyer PJ. The learning curve for laparoscopic hernia repair. Semin Laparosc Surg 1998;5:227-232
    Medline

  17. 17

    Liem MSL, van Steensel CJ, Boelhouwer RU, et al. The learning curve for totally extraperitoneal laparoscopic inguinal hernia repair. Am J Surg 1996;171:281-285
    CrossRef | Web of Science | Medline

  18. 18

    Amid PK. Lichtenstein open tension-free hernioplasty. Woodbury, Conn.: Ciné-Med, 1997 (video). (ACS CC-1869.) (Accessed April 5, 2004, at http://www.cine-med.com.)

  19. 19

    Smith CD. Inguinal herniorrhaphy: posterior buttressed mesh repair via laparoscopy (TEP). Woodbury, Conn.: Ciné-Med, 1997 (video). (ACS CC-1866.) (Accessed April 5, 2004, at http://www.cine-med.com.)

  20. 20

    Fitzgibbons RJ Jr. Transabdominal preperitoneal laparoscopic inguinal herniorrhaphy. Woodbury, Conn.: Ciné-Med, 1997 (video). (ACS CC-1871.) (Accessed April 5, 2004, at http://www.cine-med.com.)

  21. 21

    Payne JH Jr, Grininger LM, Izawa MT, Podoll EF, Lindahl PJ, Balfour J. Laparoscopic or open inguinal herniorrhaphy? A randomized prospective trial. Arch Surg 1994;129:973-981
    Web of Science | Medline

  22. 22

    McKernan JB, Laws HL. Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach. Surg Endosc 1993;7:26-28
    CrossRef | Web of Science | Medline

  23. 23

    Acute Pain Management Guideline Panel. Acute pain management: operative or medical procedures and trauma. Clinical practice guideline. Rockville, Md.: Agency for Health Care Policy and Research, February 1992. (AHCPR publication no. 92-0032.)

  24. 24

    Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992;30:473-483
    CrossRef | Web of Science | Medline

  25. 25

    Data Analysis Products Division. S+SeqTrial user's manual. Seattle: MathSoft, February 2000.

  26. 26

    Gallagher EJ, Liebman M, Bijur PE. Prospective validation of clinically important changes in pain severity measured on a visual analog scale. Ann Emerg Med 2001;38:633-638
    CrossRef | Web of Science | Medline

  27. 27

    Bird SB, Dickson EW. Clinically significant changes in pain along the visual analog scale. Ann Emerg Med 2001;38:639-643
    CrossRef | Web of Science | Medline

Citing Articles (237)

Citing Articles

  1. 1

    Thai T. Nguyen, Howard N. Winfield. 2012. Laparoscopic Abdominal Wall Hernias: Incisional, Parastomal, and Inguinal Hernia Repairs. , 1160-1178.
    CrossRef

  2. 2

    Benjamin Zendejas, Tatiana Ramirez, Trahern Jones, Admire Kuchena, Jaime Martinez, Shahzad M. Ali, Christine M. Lohse, David R. Farley. (2012) Trends in the utilization of inguinal hernia repair techniques: a population-based study. The American Journal of Surgery
    CrossRef

  3. 3

    Sergio Castorina, Tonia Luca, Giovanna Privitera, Hussein El-Bernawi. (2012) An evidence-based approach for laparoscopic inguinal hernia repair: Lessons learned from over 1,000 repairs. Clinical Anatomyn/a-n/a
    CrossRef

  4. 4

    Jonathan Cook, Craig Ramsay. 2011. Learning Curves. , 43-54.
    CrossRef

  5. 5

    R. Bittner, J. Schwarz. (2011) Inguinal hernia repair: current surgical techniques. Langenbeck's Archives of Surgery
    CrossRef

  6. 6

    Ayhan Mesci, Burak Korkmaz, Ayhan Dinckan, Taner Colak, Nilüfer Balci, Güner Ogunc. (2011) Digital evaluation of the muscle functions of the lower extremities among inguinal hernia patients treated using three different surgical techniques: a prospective randomized study. Surgery Today
    CrossRef

  7. 7

    Can Kucuk. (2011) Single-incision laparoscopic transabdominal preperitoneal herniorrhaphy for recurrent inguinal hernias: preliminary surgical results. Surgical Endoscopy 25:10, 3228-3234
    CrossRef

  8. 8

    Benjamin Zendejas, David A. Cook, Roberto Hernández-Irizarry, Marianne Huebner, David R. Farley. (2011) Mastery Learning Simulation-Based Curriculum for Laparoscopic TEP Inguinal Hernia Repair. Journal of Surgical Education
    CrossRef

  9. 9

    Takahide Yokoyama, Akira Kobayashi, Toshiki Kikuchi, Ken Hayashi, Shinichi Miyagawa. (2011) Transabdominal Preperitoneal Repair for Obturator Hernia. World Journal of Surgery 35:10, 2323-2327
    CrossRef

  10. 10

    F. Feroci, E. Lenzi, M. Baraghini, M. Scatizzi. (2011) Analysis of outcome of Lichtenstein groin hernia repair by surgeons-in-training versus a specialized surgeon. Hernia 15:5, 591-592
    CrossRef

  11. 11

    Asuri Krishna, M. C. Misra, Virinder Kumar Bansal, Subodh Kumar, S. Rajeshwari, Anjolie Chabra. (2011) Laparoscopic inguinal hernia repair: transabdominal preperitoneal (TAPP) versus totally extraperitoneal (TEP) approach: a prospective randomized controlled trial. Surgical Endoscopy
    CrossRef

  12. 12

    Duy Tran, Josée Gaboriault, Suzon Collette, Lynne Senécal, Michel Morin, Anne Boucher, Raymond Dandavino. (2011) Obstructive uropathy caused by an inguinal hernia in a kidney transplant recipient: Report of hernia cure by the shouldice technique. Dialysis & Transplantation 40:9, 413-414
    CrossRef

  13. 13

    Benjamin Zendejas, David A. Cook, Juliane Bingener, Marianne Huebner, William F. Dunn, Michael G. Sarr, David R. Farley. (2011) Simulation-Based Mastery Learning Improves Patient Outcomes in Laparoscopic Inguinal Hernia Repair. Annals of Surgery 254:3, 502-511
    CrossRef

  14. 14

    R. H. Fortelny, A. H. Petter-Puchner, C. May, W. Jaksch, T. Benesch, Z. Khakpour, H. Redl, K. S. Glaser. (2011) The impact of atraumatic fibrin sealant vs. staple mesh fixation in TAPP hernia repair on chronic pain and quality of life: results of a randomized controlled study. Surgical Endoscopy
    CrossRef

  15. 15

    I. Shaikh, B. Olabi, V. M. Y. Wong, S. J. Nixon, S. Kumar. (2011) NICE guidance and current practise of recurrent and bilateral groin hernia repair by Scottish surgeons. Hernia 15:4, 387-391
    CrossRef

  16. 16

    I. D. Gukas, F. Massouh. (2011) Serious life-threatening complication 5 years after laparoscopic totally extraperitoneal hernia repair: case report and discussion of the literature. Hernia 15:4, 459-462
    CrossRef

  17. 17

    Jonathan Carter, Quan-Yang Duh. (2011) Laparoscopic Repair of Inguinal Hernias. World Journal of Surgery 35:7, 1519-1525
    CrossRef

  18. 18

    Wolfgang Matthias Johann Reinpold, Jennifer Nehls, Albrecht Eggert. (2011) Nerve Management and Chronic Pain After Open Inguinal Hernia Repair. Annals of Surgery 254:1, 163-168
    CrossRef

  19. 19

    Nilay R. Shah, Dean J. Mikami, Charles Cook, Andrei Manilchuk, Clayton Hodges, Vanchad R. Memark, Eric T. Volckmann, Clinton R. Hall, Steven Steinberg, Bradley Needleman, Jeffrey W. Hazey, W. Scott Melvin, Vimal K. Narula. (2011) A comparison of outcomes between open and laparoscopic surgical repair of recurrent inguinal hernias. Surgical Endoscopy 25:7, 2330-2337
    CrossRef

  20. 20

    Vipul D. Yagnik, Bhargav D. Yagnik. (2011) Outcomes in patients who underwent both laparoscopic and open inguinal hernia repairs (Re: ANZ J. Surg. 2010; 80: 381-2). ANZ Journal of Surgery 81:6, 487-488
    CrossRef

  21. 21

    Alexandra Brandt-Kerkhof, Marjolein Mierlo, Niels Schep, Nondo Renken, Laurents Stassen. (2011) Follow-up period of 13 years after endoscopic total extraperitoneal repair of inguinal hernias: a cohort study. Surgical Endoscopy 25:5, 1624-1629
    CrossRef

  22. 22

    A. Valverde, N. Goasguen, R. Houdart, H. Mosnier. (2011) La pratique chirurgicale a ses raisons que les recommandations de pratique clinique ignorent. Journal de Chirurgie Visc&#xE9;rale 148:2, 87-88
    CrossRef

  23. 23

    A. Valverde, N. Goasguen, R. Houdart, H. Mosnier. (2011) Current surgical practice has reasons that medical guidelines cannot know. Journal of Visceral Surgery 148:2, e75-e76
    CrossRef

  24. 24

    G. Chan, C.-K. Chan. (2011) The characteristics of inguinal hernia recurrence in the modern era and the long-term outcomes after re-operation. Hernia 15:2, 193-199
    CrossRef

  25. 25

    Danny A. Sherwinter, Amar Gupta, Jeremy G. Eckstein. (2011) Natural Orifice Translumenal Endoscopic Surgery Inguinal Hernia Repair: A Survival Canine Model. Journal of Laparoendoscopic & Advanced Surgical Techniques 21:3, 209-213
    CrossRef

  26. 26

    Ricardo Jordão Duarte. (2011) Editorial Comment. Journal of Endourology1-6
    CrossRef

  27. 27

    Alfred Rossi, Daniel Rossi, Mathew Rossi, Phillip Rossi. (2011) Continuity of care in a rural critical access hospital: Surgeons as primary care providers. The American Journal of Surgery 201:3, 359-362
    CrossRef

  28. 28

    Benjamin Zendejas, Edwin O. Onkendi, Rushin D. Brahmbhatt, Christine M. Lohse, Susan M. Greenlee, David R. Farley. (2011) Long-term outcomes of laparoscopic totally extraperitoneal inguinal hernia repairs performed by supervised surgical trainees. The American Journal of Surgery 201:3, 379-384
    CrossRef

  29. 29

    (2011) Operation Compared with Watchful Waiting in Elderly Male Inguinal Hernia Patients: A Review and Data Analysis. Journal of the American College of Surgeons 212:2, 251-259.e4
    CrossRef

  30. 30

    Ke Gong, Nengwei Zhang, Yiping Lu, Bin Zhu, Zhanzhi Zhang, Dexiao Du, Xia Zhao, Haijun Jiang. (2011) Comparison of the open tension-free mesh-plug, transabdominal preperitoneal (TAPP), and totally extraperitoneal (TEP) laparoscopic techniques for primary unilateral inguinal hernia repair: a prospective randomized controlled trial. Surgical Endoscopy 25:1, 234-239
    CrossRef

  31. 31

    Yo Kurashima, Liane S. Feldman, Salman Al-Sabah, Pepa A. Kaneva, Gerald M. Fried, Melina C. Vassiliou. (2011) A tool for training and evaluation of laparoscopic inguinal hernia repair: the Global Operative Assessment of Laparoscopic Skills-Groin Hernia (GOALS-GH). The American Journal of Surgery 201:1, 54-61
    CrossRef

  32. 32

    Christopher C. Kyle, Matthew K. H. Hong, Benjamin J. Challacombe, Anthony J. Costello. (2010) Outcomes after concurrent inguinal hernia repair and robotic-assisted radical prostatectomy. Journal of Robotic Surgery 4:4, 217-220
    CrossRef

  33. 33

    David W. Page. (2010) Surgical Competence Today: What Have We Gained? What Have We Lost?. Southern Medical Journal 103:12, 1232-1234
    CrossRef

  34. 34

    P. K. Chowbey, N. Garg, A. Sharma, R. Khullar, V. Soni, M. Baijal, T. Mittal. (2010) Prospective randomized clinical trial comparing lightweight mesh and heavyweight polypropylene mesh in endoscopic totally extraperitoneal groin hernia repair. Surgical Endoscopy 24:12, 3073-3079
    CrossRef

  35. 35

    Ka-Chun Ng, Kwok-Wa Wong, Francis Pik-Tim Mok. (2010) An Early Experience of a Novel Technique: “No Touch Approach” Preperitoneal Hernioplasty for the Incarcerated Inguinal Hernia. Journal of Laparoendoscopic & Advanced Surgical Techniques 20:10, 851-855
    CrossRef

  36. 36

    T. T. Goo, M. Lawenko, W. K. Cheah, C. Tan, D. Lomanto. (2010) Endoscopic total extraperitoneal repair of recurrent inguinal hernia: a 5-year review. Hernia 14:5, 477-480
    CrossRef

  37. 37

    Paola Losi, Silvia Burchielli, Dario Spiller, Valentina Finotti, Silvia Kull, Enrica Briganti, Giorgio Soldani. (2010) Cyanoacrylate Surgical Glue as an Alternative to Suture Threads for Mesh Fixation in Hernia Repair. Journal of Surgical Research 163:2, e53-e58
    CrossRef

  38. 38

    Georgia Dedemadi, George Sgourakis, Arnold Radtke, Alexandros Dounavis, Ines Gockel, Ioannis Fouzas, Constantine Karaliotas, Evangelos Anagnostou. (2010) Laparoscopic versus open mesh repair for recurrent inguinal hernia: a meta-analysis of outcomes. The American Journal of Surgery 200:2, 291-297
    CrossRef

  39. 39

    Aviad Hoffman, Eyal Leshem, Oded Zmora, Orit Nachtomi, Moshe Shabtai, Amram Ayalon, Danny Rosin. (2010) The combined laparoscopic approach for the treatment of incarcerated inguinal hernia. Surgical Endoscopy 24:8, 1815-1818
    CrossRef

  40. 40

    David H. Berger, Courtney J. Balentine. (2010) Role of the VA in training surgical scientists. Surgery 148:2, 171-177
    CrossRef

  41. 41

    A. E. M. Pool, J. J. Harlaar, P. T. Hoed, W. F. Weidema, R. N. Veen. (2010) Long-term follow-up evaluation of chronic pain after endoscopic total extraperitoneal repair of primary and recurrent inguinal hernia. Surgical Endoscopy 24:7, 1707-1711
    CrossRef

  42. 42

    Hester R. Langeveld, Martijne vanʼt Riet, Wibo F. Weidema, Laurents P. S. Stassen, Ewout W. Steyerberg, Johan Lange, Hendrik J. Bonjer, Johannes Jeekel. (2010) Total Extraperitoneal Inguinal Hernia Repair Compared With Lichtenstein (the LEVEL-Trial). Annals of Surgery 251:5, 819-824
    CrossRef

  43. 43

    A. Eklund, P. Carlsson, A. Rosenblad, A. Montgomery, L. Bergkvist, C. Rudberg. (2010) Long-term cost-minimization analysis comparing laparoscopic with open (Lichtenstein) inguinal hernia repair. British Journal of Surgery 97:5, 765-771
    CrossRef

  44. 44

    A. Eklund, A. Montgomery, L. Bergkvist, C. Rudberg. (2010) Chronic pain 5 years after randomized comparison of laparoscopic and Lichtenstein inguinal hernia repair. British Journal of Surgery 97:4, 600-608
    CrossRef

  45. 45

    A. Karthikesalingam, S. Markar, P. Holt, R. Praseedom. (2010) Authors' reply: Meta-analysis of randomized controlled trials comparing laparoscopic with open mesh repair of recurrent inguinal hernia (Br J Surg 2010; 97: 4-11). British Journal of Surgery 97:4, 621-622
    CrossRef

  46. 46

    I. Sucullu, A. I. Filiz, B. Sen, Y. Ozdemir, E. Yucel, H. Sinan, H. Sen, O. Dandin, Y. Kurt, B. Gulec, M. Ozyurt. (2010) The effects of inguinal hernia repair on testicular function in young adults: a prospective randomized study. Hernia 14:2, 165-169
    CrossRef

  47. 47

    G. Sgourakis, G. Dedemadi. (2010) Letter 1: Meta-analysis of randomized controlled trials comparing laparoscopic with open mesh repair of recurrent inguinal hernia (Br J Surg 2010; 97: 4-11). British Journal of Surgery 97:4, 620-620
    CrossRef

  48. 48

    Kamal M.F. Itani. (2010) Reply. Journal of the American College of Surgeons 210:3, 371
    CrossRef

  49. 49

    Laurents P. S. Stassen, Willem A. Bemelman, Jeroen Meijerink. (2010) Risks of minimally invasive surgery underestimated: a report of the Dutch Health Care Inspectorate. Surgical Endoscopy 24:3, 495-498
    CrossRef

  50. 50

    Mohamad W. Salkini, Allan J. Hamilton. (2010) The Effect of Age on Acquiring Laparoscopic Skills. Journal of Endourology 24:3, 377-379
    CrossRef

  51. 51

    Pankaj Garg, Geetha R. Menon, Mahesh Rajagopal, Mohamed Ismail. (2010) Laparoscopic total extraperitoneal repair of recurrent inguinal hernias. Surgical Endoscopy 24:2, 450-454
    CrossRef

  52. 52

    Satona Tanaka, Masahiro Kikuichi, Masaki Wakasugi, Keisuke Minamimura, Akihisa Umemura, Tooru Hirata, Masayoshi Sakamoto. (2010) Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons) 35:2, 120-125
    CrossRef

  53. 53

    E. Just, X. Botet, S. Martínez, D. Escolà, I. Moreno, E. Duque. (2010) Reduction of the complication rate in Liechtenstein hernia repair. International Journal of Surgery 8:6, 462-465
    CrossRef

  54. 54

    A. Karthikesalingam, S. R. Markar, P. J. E. Holt, R. K. Praseedom. (2010) Meta-analysis of randomized controlled trials comparing laparoscopic with open mesh repair of recurrent inguinal hernia. British Journal of Surgery 97:1, 4-11
    CrossRef

  55. 55

    Masaya YAMOTO, Yoshiki MOROTOMI, Miki YAMAMOTO, Seikann HAI, Hiromu TANAKA. (2010) UTILITY OF LAPAROSCOPIC PERCUTANEOUS EXTRAPERITONEAL CLOSURE FOR TREATING ADULT PATIENTS WITH INGUINAL HERNIA. Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 71:9, 2255-2260
    CrossRef

  56. 56

    Bhavin C. Shah, Matthew R. Goede, Robert Bayer, Shelby L. Buettner, Stacy J. Putney, Corrigan L. McBride, Dmitry Oleynikov. (2009) Does type of mesh used have an impact on outcomes in laparoscopic inguinal hernia?. The American Journal of Surgery 198:6, 759-764
    CrossRef

  57. 57

    Douglas S. Smink, Ian M. Paquette, Samuel R.G. Finlayson. (2009) Utilization of Laparoscopic and Open Inguinal Hernia Repair: A Population-Based Analysis. Journal of Laparoendoscopic & Advanced Surgical Techniques 19:6, 745-748
    CrossRef

  58. 58

    Kamal M.F. Itani, Robert Fitzgibbons, Samir S. Awad, Quan-Yang Duh, George S. Ferzli. (2009) Management of Recurrent Inguinal Hernias. Journal of the American College of Surgeons 209:5, 653-658
    CrossRef

  59. 59

    D. L. Sanders, D. H. Samarakoon, S. W. Ganshirt, C. S. Porter, A. N. Kingsnorth. (2009) A two-centre blinded randomised control study comparing the Lichtenstein patch, Perfix® plug and ProLoop® plug in the repair of primary inguinal hernia. Hernia 13:5, 499-503
    CrossRef

  60. 60

    Gerwin A. Bernhardt, Peter Kornprat, Herwig Cerwenka, Azab El-Shabrawi, Hans-Jörg Mischinger. (2009) Do We Follow Evidence-Based Medicine Recommendations During Inguinal Hernia Surgery? Results of a Survey Covering 2441 Hernia Repairs in 2007. World Journal of Surgery 33:10, 2050-2055
    CrossRef

  61. 61

    M. J. Schurr, L. D. Faucher. (2009) A prospective, randomized, comparative trial of a COX-2 selective nonsteroidal anti-inflammatory drug versus placebo in inguinal herniorrhaphy patients. Hernia 13:5, 491-497
    CrossRef

  62. 62

    René Gordon Holzheimer. (2009) Inguinal Hernia Repair: What to do with the Evidence?. World Journal of Surgery 33:10, 2056-2057
    CrossRef

  63. 63

    Patrick L Ergina, Jonathan A Cook, Jane M Blazeby, Isabelle Boutron, Pierre-Alain Clavien, Barnaby C Reeves, Christoph M Seiler. (2009) Challenges in evaluating surgical innovation. The Lancet 374:9695, 1097-1104
    CrossRef

  64. 64

    Arne Eklund, Leif Bergkvist, Claes Rudberg, Agneta Montgomery, Ib Rasmussen, Rune Sandbu. (2009) Low Recurrence Rate After Laparoscopic (TEP) and Open (Lichtenstein) Inguinal Hernia Repair. Annals of Surgery 250:2, 355
    CrossRef

  65. 65

    Marc Miserez, Maurice Arregui, Thue Bisgaard, Marc Huyghe, Siska Van Bruwaene, Ellen Peeters, Freddy Penninckx. (2009) A Standardized Resident Training Program in Endoscopic Surgery in General and in Laparoscopic Totally Extraperitoneal (TEP) Inguinal Hernia Repair in Particular. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 19:4, e125-e129
    CrossRef

  66. 66

    M. P. Simons, T. Aufenacker, M. Bay-Nielsen, J. L. Bouillot, G. Campanelli, J. Conze, D. Lange, R. Fortelny, T. Heikkinen, A. Kingsnorth, J. Kukleta, S. Morales-Conde, P. Nordin, V. Schumpelick, S. Smedberg, M. Smietanski, G. Weber, M. Miserez. (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13:4, 343-403
    CrossRef

  67. 67

    Emanuele Lo Menzo, Seth A. Spector, Alberto Iglesias, Jose M. Martinez, Jorge Huaco, Vincent DeGennaro, Atul K. Madan. (2009) Management of Recurrent Inguinal Hernias After Total Extraperitoneal (TEP) Herniorrhaphies. Journal of Laparoendoscopic & Advanced Surgical Techniques 19:4, 475-478
    CrossRef

  68. 68

    Martyn D. Evans, Gethin L. Williams, Brian M. Stephenson. (2009) Low Recurrence Rate After Laparoscopic (TEP) and Open (Lichtenstein) Inguinal Hernia Repair. Annals of Surgery 250:2, 354-355
    CrossRef

  69. 69

    K. Slim. (2009) Laparoscopic totally extraperitoneal inguinal hernia repair: lessons learned from 3,100 hernia repairs over 15 years. Surgical Endoscopy 23:7, 1687-1688
    CrossRef

  70. 70

    Danny A. Sherwinter, Jeremy G. Eckstein. (2009) Feasibility study of natural orifice transluminal endoscopic surgery inguinal hernia repair. Gastrointestinal Endoscopy 70:1, 126-130
    CrossRef

  71. 71

    E. Prieto-Díaz-Chávez, J. L. Medina-Chávez, R. Anaya-Prado. (2009) A cost-effectiveness analysis of tension-free versus shouldice inguinal hernia repair: a randomized double-blind clinical trial. Hernia 13:3, 233-238
    CrossRef

  72. 72

    F. Berrevoet, C. Sommeling, S. Gendt, C. Breusegem, B. Hemptinne. (2009) The preperitoneal memory-ring patch for inguinal hernia: a prospective multicentric feasibility study. Hernia 13:3, 243-249
    CrossRef

  73. 73

    Mohamed Ismail, Mahak Garg, Mahesh Rajagopal, Pankaj Garg. (2009) Impact of Closed-suction Drain in Preperitoneal Space on the Incidence of Seroma Formation After Laparoscopic Total Extraperitoneal Inguinal Hernia Repair. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 19:3, 263-266
    CrossRef

  74. 74

    Constantin Aurel Wauschkuhn, Jochen Schwarz, Reinhard Bittner. (2009) Laparoscopic transperitoneal inguinal hernia repair (TAPP) after radical prostatectomy: is it safe? Results of prospectively collected data of more than 200 cases. Surgical Endoscopy 23:5, 973-977
    CrossRef

  75. 75

    Om Tantia, Mayank Jain, Shashi Khanna, Bimalendu Sen. (2009) Laparoscopic repair of recurrent groin hernia: results of a prospective study. Surgical Endoscopy 23:4, 734-738
    CrossRef

  76. 76

    Axel Häcker, Gunter Janetschek. (2009) Case Report : Loss of Hernia Mesh after Simultaneous Laparoscopic Extraperitoneal Lymphadenectomy, Radical Prostatectomy, and Hernioplasty. Journal of Endourology 23:2, 287-292
    CrossRef

  77. 77

    Hun Jin Kim, Hee Seon Ryu, Young Hoe Hur, Jung Chul Kim, Shin Kon Kim, Chan Yong Park. (2009) Inguinal Hernia Repair under Local Anesthesia in Octogenarians. Journal of the Korean Surgical Society 77:5, 338
    CrossRef

  78. 78

    Kang-Woong Jun, Hun Jung, Sung-Jeep Kim, Kyong-Hwa Jun, Hyung-Min Chin, Jun-Gi Kim, Woo-Bae Park. (2009) The Comparative Analysis between Laparoscopic Total Extraperitoneal Repair and Open Tissue Repair: Initial Experience of a Single Institute. Journal of the Korean Surgical Society 77:4, 273
    CrossRef

  79. 79

    Arne S. Eklund, Agneta K. Montgomery, Ib C. Rasmussen, Rune P. Sandbue, Leif Å. Bergkvist, Claes R. Rudberg. (2009) Low Recurrence Rate After Laparoscopic (TEP) and Open (Lichtenstein) Inguinal Hernia Repair. Annals of Surgery 249:1, 33-38
    CrossRef

  80. 80

    Michael J. Englesbe. (2009) Intraoperative Consultation as an Instrument of Quality Management. World Journal of Surgery 33:1, 12-13
    CrossRef

  81. 81

    S. D. Walter, A. S. Ismaila, P. J. Devereaux, . (2008) Statistical issues in the design and analysis of expertise-based randomized clinical trials. Statistics in Medicine 27:30, 6583-6596
    CrossRef

  82. 82

    K. J. Dickinson, M. Thomas, A. S. Fawole, P. J. Lyndon, C. M. White. (2008) Predicting chronic post-operative pain following laparoscopic inguinal hernia repair. Hernia 12:6, 597-601
    CrossRef

  83. 83

    J. Rosenberg, M. Bay-Nielsen. (2008) Current status of laparoscopic inguinal hernia repair in Denmark. Hernia 12:6, 583-587
    CrossRef

  84. 84

    Johannes Christian Lauscher, Kamal Yafaei, Heinz Johannes Buhr, Jörg-Peter Ritz. (2008) Laparoscopic and Open Inguinal Hernia Repair With Alloplastic Material. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 18:5, 457-463
    CrossRef

  85. 85

    Jon Gould. (2008) Laparoscopic versus Open Inguinal Hernia Repair. Surgical Clinics of North America 88:5, 1073-1081
    CrossRef

  86. 86

    Jonathan A. Cook, Craig R. Ramsay, John Norrie. (2008) Recruitment to publicly funded trials — Are surgical trials really different?. Contemporary Clinical Trials 29:5, 631-634
    CrossRef

  87. 87

    Rosalia Patti, Piero Luigi Almasio, Salvatore Buscemi, Fausto Famà, Antonio Craxì, Gaetano Di Vita. (2008) Inguinal hernioplasty improves the quality of life in patients with cirrhosis. The American Journal of Surgery 196:3, 373-378
    CrossRef

  88. 88

    Ulf Fränneby, Gabriel Sandblom, Olof Nyrén, Pär Nordin, Ulf Gunnarsson. (2008) Self-Reported Adverse Events after Groin Hernia Repair, A Study Based on a National Register. Value in Health 11:5, 927-932
    CrossRef

  89. 89

    Mahesh C. Misra, Sareesh Kumar, Virinder K. Bansal. (2008) Total extraperitoneal (TEP) mesh repair of inguinal hernia in the developing world: comparison of low-cost indigenous balloon dissection versus direct telescopic dissection: a prospective randomized controlled study. Surgical Endoscopy 22:9, 1947-1958
    CrossRef

  90. 90

    M. Staarink, R. N. Veen, W. C. Hop, W. F. Weidema. (2008) A 10-year follow-up study on endoscopic total extraperitoneal repair of primary and recurrent inguinal hernia. Surgical Endoscopy 22:8, 1803-1806
    CrossRef

  91. 91

    H. Pokorny, A. Klingler, T. Schmid, R. Fortelny, C. Hollinsky, R. Kawji, E. Steiner, H. Pernthaler, R. Függer, M. Scheyer. (2008) Recurrence and complications after laparoscopic versus open inguinal hernia repair: results of a prospective randomized multicenter trial. Hernia 12:4, 385-389
    CrossRef

  92. 92

    Carmen Paradis. (2008) Bias in Surgical Research. Annals of Surgery 248:2, 180-188
    CrossRef

  93. 93

    Brent K. Hollenbeck, Rodney L. Dunn, J. Stuart Wolf, Martin G. Sanda, David P. Wood, Scott M. Gilbert, Alon Z. Weizer, James E. Montie, John T. Wei. (2008) Development and validation of the convalescence and recovery evaluation (CARE) for measuring quality of life after surgery. Quality of Life Research 17:6, 915-926
    CrossRef

  94. 94

    Junsheng Li, Yanan Zhang, Haolin Hu, Whenhao Tang. (2008) Early experience of performing a modified Kugel hernia repair with local anesthesia. Surgery Today 38:7, 603-608
    CrossRef

  95. 95

    Haggi Mazeh, Nahum Beglaibter, Ronit Grinbaum, Yaacov Samet, Mahmoud Badriyyah, Oded Zamir, Herbert R. Freund. (2008) Laparoscopic Inguinal Hernia Repair on a General Surgery Ward: 5 Years' Experience. Journal of Laparoendoscopic & Advanced Surgical Techniques 18:3, 373-376
    CrossRef

  96. 96

    E. Boldo. (2008) Pain after laparascopic bilateral hernioplasty. Surgical Endoscopy 22:5, 1206-1209
    CrossRef

  97. 97

    Jonas Roller, Matthias W. Laschke, Shneh Sethi, Mathias Herrmann, Michael D. Menger. (2008) Prolene–Monocryl-composite meshes do not increase microvascular Staphylococcus aureus adherence and do not sensitize for leukocytic inflammation. Langenbeck's Archives of Surgery 393:3, 349-357
    CrossRef

  98. 98

    David J. Biau, Jens A. Halm, Hamid Ahmadieh, William N. Capello, Johannes Jeekel, Isabelle Boutron, Raphaël Porcher. (2008) Provider and Center Effect in Multicenter Randomized Controlled Trials of Surgical Specialties: An Analysis on Patient-level Data. Annals of Surgery 247:5, 892-898
    CrossRef

  99. 99

    G. Campanelli, G. Champault, M. Hidalgo Pascual, A. Hoeferlin, A. Kingsnorth, J. Rosenberg, M. Miserez. (2008) Randomized, controlled, blinded trial of Tissucol/Tisseel for mesh fixation in patients undergoing Lichtenstein technique for primary inguinal hernia repair: rationale and study design of the TIMELI trial. Hernia 12:2, 159-165
    CrossRef

  100. 100

    B. Todd Heniford, Amanda L. Walters, Amy E. Lincourt, Yuri W. Novitsky, William W. Hope, Kent W. Kercher. (2008) Comparison of Generic Versus Specific Quality-of-Life Scales for Mesh Hernia Repairs. Journal of the American College of Surgeons 206:4, 638-644
    CrossRef

  101. 101

    R. Douglas Matthews, Leigh Neumayer. (2008) Inguinal Hernia in the 21st Century: An Evidence-Based Review. Current Problems in Surgery 45:4, 261-312
    CrossRef

  102. 102

    G. L. Legnani, M. Rasini, S. Pastori, D. Sarli. (2008) Laparoscopic trans-peritoneal hernioplasty (TAPP) for the acute management of strangulated inguino-crural hernias: a report of nine cases. Hernia 12:2, 185-188
    CrossRef

  103. 103

    C. Schug-Paß, C. Tamme, F. Sommerer, A. Tannapfel, H. Lippert, F. Köckerling. (2008) A lightweight, partially absorbable mesh (Ultrapro) for endoscopic hernia repair: experimental biocompatibility results obtained with a porcine model. Surgical Endoscopy 22:4, 1100-1106
    CrossRef

  104. 104

    Graziano Ceccarelli, Luciano Casciola, Massimo Codacci Pisanelli, Alberto Bartoli, Lelio Di zitti, Alessandro Spaziani, Alessia Biancafarina, Massimo Stefanoni, Alberto Patriti. (2008) Comparing fibrin sealant with staples for mesh fixation in laparoscopic transabdominal hernia repair: a case control-study. Surgical Endoscopy 22:3, 668-673
    CrossRef

  105. 105

    Shih-Chung Wu, Chih-Chi Wang, Chee-Cheng Yong. (2008) QUADRAPOD MESH FOR POSTERIOR WALL RECONSTRUCTION IN ADULT INGUINAL HERNIAS. ANZ Journal of Surgery 78:3, 182-184
    CrossRef

  106. 106

    R. Schwab, O. Schumacher, K. Junge, M. Binnebösel, U. Klinge, H. P. Becker, V. Schumpelick. (2008) Biomechanical analyses of mesh fixation in TAPP and TEP hernia repair. Surgical Endoscopy 22:3, 731-738
    CrossRef

  107. 107

    S. Massaron, S. Bona, U. Fumagalli, P. Valente, R. Rosati. (2008) Long-term sequelae after 1,311 primary inguinal hernia repairs. Hernia 12:1, 57-63
    CrossRef

  108. 108

    Mark C. Takata, Quan-Yang Duh. (2008) Laparoscopic Inguinal Hernia Repair. Surgical Clinics of North America 88:1, 157-178
    CrossRef

  109. 109

    E. P. Pélissier, D. Blum, Ph. Ngo, O. Monek. (2008) Transinguinal preperitoneal repair with the Polysoft patch: prospective evaluation of recurrence and chronic pain. Hernia 12:1, 51-56
    CrossRef

  110. 110

    M. A. Carlson, C. T. Frantzides, V. K. Shostrom, L. E. Laguna. (2008) Minimally invasive ventral herniorrhaphy: an analysis of 6,266 published cases. Hernia 12:1, 9-22
    CrossRef

  111. 111

    D. Akolekar, S. Kumar, L. R. Khan, A. C. Beaux, S. J. Nixon. (2008) Comparison of recurrence with lightweight composite polypropylene mesh and heavyweight mesh in laparoscopic totally extraperitoneal inguinal hernia repair: an audit of 1,232 repairs. Hernia 12:1, 39-43
    CrossRef

  112. 112

    Stephen H. Gray, Mary T. Hawn, Kamal M.F. Itani. (2008) Surgical Progress in Inguinal and Ventral Incisional Hernia Repair. Surgical Clinics of North America 88:1, 17-26
    CrossRef

  113. 113

    Kiran Turaga, Robert J. Fitzgibbons, Varun Puri. (2008) Inguinal Hernias: Should We Repair?. Surgical Clinics of North America 88:1, 127-138
    CrossRef

  114. 114

    Benjamin Woods, Leigh Neumayer. (2008) Open Repair of Inguinal Hernia: An Evidence-Based Review. Surgical Clinics of North America 88:1, 139-155
    CrossRef

  115. 115

    (2008) CrossRef Listing of Deleted DOIs. CrossRef Listing of Deleted DOIs
    CrossRef

  116. 116

    Alessandro Squizzato, Achille Venco. (2008) Thromboprophylaxis in day surgery. International Journal of Surgery 6, S29-S30
    CrossRef

  117. 117

    Fred Perkins, Tabitha Washington. 2008. Preemptive Analgesia and Prevention of Chronic Pain Syndromes after Surgery. , 335-341.
    CrossRef

  118. 118

    K.I. Bland. (2008) Cost Effectiveness of Laparoscopic Versus Open Mesh Hernia Operation: Results of a Department of Veterans Affairs Randomized Clinical Trial. Yearbook of Surgery 2008, 318-320
    CrossRef

  119. 119

    Richard D. Matthews, Thomas Anthony, Lawrence T. Kim, Jia Wang, Robert J. Fitzgibbons, Anita Giobbie-Hurder, Domenic J. Reda, Kamal M.F. Itani, Leigh A. Neumayer. (2007) Factors associated with postoperative complications and hernia recurrence for patients undergoing inguinal hernia repair: a report from the VA Cooperative Hernia Study Group. The American Journal of Surgery 194:5, 611-617
    CrossRef

  120. 120

    Esther H. Chen, Christine S. Cho, Frances S. Shofer, Angela M. Mills, Jill M. Baren. (2007) Resident Exposure to Critical Patients in a Pediatric Emergency Department. Pediatric Emergency Care 23:11, 774-778
    CrossRef

  121. 121

    Douglas M. Dahl. (2007) Editorial Comment. The Journal of Urology 178:4, 1299
    CrossRef

  122. 122

    William C. Meyers, Edward Yoo, Octavia N. Devon, Nikhil Jain, Marcia Horner, Cato Lauencin, Adam Zoga. (2007) Understanding “Sports Hernia” (Athletic Pubalgia): The Anatomic and Pathophysiologic Basis for Abdominal and Groin Pain in Athletes. Operative Techniques in Sports Medicine 15:4, 165-177
    CrossRef

  123. 123

    K. E. Buch, M. Reiner, C. M. Divino. (2007) Hemoperitoneum following inguinal hernia repair: a case report. Hernia 11:5, 459-461
    CrossRef

  124. 124

    Simon Nienhuijs, Erik Staal, Luc Strobbe, Camiel Rosman, Hans Groenewoud, Rob Bleichrodt. (2007) Chronic pain after mesh repair of inguinal hernia: a systematic review. The American Journal of Surgery 194:3, 394-400
    CrossRef

  125. 125

    James O. Gibbs, Anita Giobbie-Hurder, Perry Edelman, Martin McCarthy, Robert J. Fitzgibbons. (2007) Does Delay of Hernia Repair in Minimally Symptomatic Men Burden the Patient’s Family?. Journal of the American College of Surgeons 205:3, 409-412
    CrossRef

  126. 126

    Edward H. Livingston. (2007) Limitations of the US Food and Drug Administration laparoscopic banding trial. The American Journal of Surgery 194:3, 346-348
    CrossRef

  127. 127

    George S. Ferzli, Eric D. Edwards, George E. Khoury. (2007) Chronic Pain after Inguinal Herniorrhaphy. Journal of the American College of Surgeons 205:2, 333-341
    CrossRef

  128. 128

    T. Bisgaard, M. Bay-Nielsen, I. J. Christensen, H. Kehlet. (2007) Risk of recurrence 5 years or more after primary Lichtenstein mesh and sutured inguinal hernia repair. British Journal of Surgery 94:8, 1038-1040
    CrossRef

  129. 129

    C. A. S. Berende, J. P. Ruurda, C. E. V. B. Hazenberg, J. G. Olsman, H. J. A. A. Geffen. (2007) Inguinal hernia treatment with the Prolene Hernia System in a Dutch regional training hospital. Hernia 11:4, 303-306
    CrossRef

  130. 130

    Parveen Abedin, Jane Daniels, Khalid S Khan. (2007) Health technology assessment in obstetrics and gynaecology. Part 2: application in practice. The Obstetrician & Gynaecologist 9:3, 181-187
    CrossRef

  131. 131

    Samir S. Awad, Sasi Yallalampalli, Ahmad M. Srour, Charles F. Bellows, Daniel Albo, David H. Berger. (2007) Improved outcomes with the Prolene Hernia System mesh compared with the time-honored Lichtenstein onlay mesh repair for inguinal hernia repair. The American Journal of Surgery 193:6, 697-701
    CrossRef

  132. 132

    M. Butters, J. Redecke, J. Köninger. (2007) Long-term results of a randomized clinical trial of Shouldice, Lichtenstein and transabdominal preperitoneal hernia repairs. British Journal of Surgery 94:5, 562-565
    CrossRef

  133. 133

    W. B. Bowne, C. B. Morgenthal, A. E. Castro, P. Shah, G. S. Ferzli. (2007) The Role of Endoscopic Extraperitoneal Herniorrhaphy: Where Do We Stand in 2005?. Surgical Endoscopy 21:5, 707-712
    CrossRef

  134. 134

    Lapo Bencini, Riccardo Lulli, Maria Paolina Mazzetti. (2007) Experience of Laparoscopic Hernia Repair in a Laparoscopically Oriented Unit of a Large Community Hospital. Journal of Laparoendoscopic & Advanced Surgical Techniques 17:2, 200-204
    CrossRef

  135. 135

    M. J. A. Loos, R. M. H. Roumen, M. R. M. Scheltinga. (2007) Chronic sequelae of common elective groin hernia repair. Hernia 11:2, 169-173
    CrossRef

  136. 136

    A. R. Wijsmuller, J. F. M. Lange, D. Geldere, M. P. Simons, G. J. Kleinrensink, W. C. J. Hop, J. Jeekel, J. F. Lange. (2007) Surgical techniques preventing chronic pain after Lichtenstein hernia repair: state-of-the-art vs daily practice in the Netherlands. Hernia 11:2, 147-151
    CrossRef

  137. 137

    A. Eklund, C. Rudberg, C. -E. Leijonmarck, I. Rasmussen, L. Spangen, G. Wickbom, U. Wingren, A. Montgomery. (2007) Recurrent inguinal hernia: randomized multicenter trial comparing laparoscopic and Lichtenstein repair. Surgical Endoscopy 21:4, 634-640
    CrossRef

  138. 138

    F. Lovisetto, S. Zonta, E. Rota, L. Bottero, G. Faillace, G. Turra, A. Fantini, M. Longoni. (2007) Laparoscopic transabdominal preperitoneal (TAPP) hernia repair: surgical phases and complications. Surgical Endoscopy 21:4, 646-652
    CrossRef

  139. 139

    Benjamin C. Lee, David M. Rodin, Ketul K. Shah, Douglas M. Dahl. (2007) Laparoscopic inguinal hernia repair during laparoscopic radical prostatectomy. BJU International 99:3, 637-639
    CrossRef

  140. 140

    Ralph E. Butler, Rachel Burke, James J. Schneider, Harpreet Brar, Paul A. Lucha. (2007) The economic impact of laparoscopic inguinal hernia repair: results of a double-blinded, prospective, randomized trial. Surgical Endoscopy 21:3, 387-390
    CrossRef

  141. 141

    Faruk Coskun, M. Mahir Özmen. (2007) Response to Losanoff JE and Amid PK. Hernia 11:1, 87-88
    CrossRef

  142. 142

    Y. Nieuwenhove, F. Vansteenkiste, T. Vierendeels, K. Coenye. (2007) Open, preperitoneal hernia repair with the Kugel patch: a prospective, multicentre study of 450 repairs. Hernia 11:1, 9-13
    CrossRef

  143. 143

    R. N. Veen, P. Baat, M. P. Heijboer, G. Kazemier, B. J. Punt, R. S. Dwarkasing, H. J. Bonjer, C. H. J. Eijck. (2007) Successful endoscopic treatment of chronic groin pain in athletes. Surgical Endoscopy 21:2, 189-193
    CrossRef

  144. 144

    E. Kuhry, R. N. Veen, H. R. Langeveld, E. W. Steyerberg, J. Jeekel, H. J. Bonjer. (2007) Open or endoscopic total extraperitoneal inguinal hernia repair? A systematic review. Surgical Endoscopy 21:2, 161-166
    CrossRef

  145. 145

    Vic Velanovich. (2007) Using quality-of-life measurements in clinical practice. Surgery 141:2, 127-133
    CrossRef

  146. 146

    N. Inaki, M. Waseda, M. O. Schurr, M. Braun, G. F. Buess. (2007) Experimental results of mesh fixation by a manual manipulator in a laparoscopic inguinal hernia repair model. Surgical Endoscopy 21:2, 197-201
    CrossRef

  147. 147

    K.I. Bland. (2007) Prospective nationwide analysis of laparoscopic versus Lichtenstein repair of inguinal hernia. Yearbook of Surgery 2007, 267-268
    CrossRef

  148. 148

    Dirk Weyhe, Orlin Belyaev, Christophe Müller, Kirsten Meurer, Karl-Heinz Bauer, Georgios Papapostolou, Waldemar Uhl. (2007) Improving Outcomes in Hernia Repair by the Use of Light Meshes—A Comparison of Different Implant Constructions Based on a Critical Appraisal of the Literature. World Journal of Surgery 31:1, 234-244
    CrossRef

  149. 149

    D. M. Frey, A. Wildisen, C. T. Hamel, M. Zuber, D. Oertli, J. Metzger. (2007) Randomized clinical trial of Lichtenstein's operationversus mesh plug for inguinal hernia repair. British Journal of Surgery 94:1, 36-41
    CrossRef

  150. 150

    Wendy Husser, Leigh Neumayer. (2006) Olga Jonasson, MD. Annals of Surgery 244:6, 839-840
    CrossRef

  151. 151

    Venkat Devarajan, Xiuzhong Wang, Yunhe Shen, Robert Eberhart, Mark J. Watson, Dan Jones, Leo Villegas. (2006) A novel laparoscopic mesh placement part task trainer. The International Journal of Medical Robotics and Computer Assisted Surgery 2:4, 312-320
    CrossRef

  152. 152

    V. Puri, E. Felix, R. J. Fitzgibbons. (2006) Laparoscopic vs conventional tension free inguinal herniorrhaphy: 2005 Society of American Gastrointestinal Endoscopic Surgeons (SAGES) annual meeting debate. Surgical Endoscopy 20:12, 1809-1816
    CrossRef

  153. 153

    R. Bittner. (2006) Laparoscopic surgery today (Br J Surg 2006; 93: 779–780). British Journal of Surgery 93:11, 1433-1433
    CrossRef

  154. 154

    E. I. Benizri, A. Rahili, S. Avallone, J. C. Balestro, J. Caï, D. Benchimol. (2006) Open inguinal hernia repair by plug and patch: the value of fibrin sealant fixation. Hernia 10:5, 389-394
    CrossRef

  155. 155

    Denise M. Hynes, Kevin T. Stroupe, Ping Luo, Anita Giobbie-Hurder, Domenic Reda, Margaret Kraft, Kamal Itani, Robert Fitzgibbons, Olga Jonasson, Leigh Neumayer. (2006) Cost Effectiveness of Laparoscopic Versus Open Mesh Hernia Operation: Results of a Department of Veterans Affairs Randomized Clinical Trial. Journal of the American College of Surgeons 203:4, 447-457
    CrossRef

  156. 156

    Kevin T. Stroupe, Larry M. Manheim, Ping Luo, Anita Giobbie-Hurder, Denise M. Hynes, Olga Jonasson, Domenic J. Reda, James O. Gibbs, Dorothy D. Dunlop, Robert J. Fitzgibbons. (2006) Tension-Free Repair Versus Watchful Waiting for Men with Asymptomatic or Minimally Symptomatic Inguinal Hernias: A Cost-Effectiveness Analysis. Journal of the American College of Surgeons 203:4, 458-468
    CrossRef

  157. 157

    D. Weyhe, C. Winnemöller, A. Hellwig, K. Meurer, H. Plugge, K. Kasoly, H. Laubenthal, K.-H. Bauer, W. Uhl. (2006) Das Aus für die minimal-invasive Leistenhernienversorgung durch § 115 b SGB V. Der Chirurg 77:9, 844-855
    CrossRef

  158. 158

    A. Eklund, C. Rudberg, S. Smedberg, L. K. Enander, C. E. Leijonmarck, J. Österberg, A. Montgomery. (2006) Short-term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair. British Journal of Surgery 93:9, 1060-1068
    CrossRef

  159. 159

    JC Dumville, A Manca, HC Kitchener, ARB Smith, L Nelson, DJ Torgerson. (2006) Cost-effectiveness analysis of open colposuspension versus laparoscopic colposuspension in the treatment of urodynamic stress incontinence. BJOG: An International Journal of Obstetrics & Gynaecology 113:9, 1014-1022
    CrossRef

  160. 160

    Ulf Fr??nneby, Gabriel Sandblom, P??r Nordin, Olof Nyr??n, Ulf Gunnarsson. (2006) Risk Factors for Long-term Pain After Hernia Surgery. Annals of Surgery 244:2, 212-219
    CrossRef

  161. 161

    G. S. Ferzli, G. E. Khoury. (2006) Treating recurrence after a totally extraperitoneal approach. Hernia 10:4, 341-346
    CrossRef

  162. 162

    Mary T. Hawn, Kamal M. Itani, Anita Giobbie-Hurder, Martin McCarthy, Olga Jonasson, Leigh A. Neumayer. (2006) Patient-reported outcomes after inguinal herniorrhaphy. Surgery 140:2, 198-205
    CrossRef

  163. 163

    David R. Urbach, Julie L. Harnish, Jodi Herold McIlroy, David L. Streiner. (2006) A measure of quality of life after abdominal surgery. Quality of Life Research 15:6, 1053-1061
    CrossRef

  164. 164

    Kiran K. Turaga, Nitin Garg, Molly Coeling, Kelly Smith, Bardia Amirlak, Nicholas Jaszczak, Barb Elliott, James Manion, Charles Filipi. (2006) Inguinal hernia repair in a developing country. Hernia 10:4, 294-298
    CrossRef

  165. 165

    E. K. Aasvang, M. Bay-Nielsen, H. Kehlet. (2006) Pain and functional impairment 6 years after inguinal herniorrhaphy. Hernia 10:4, 316-321
    CrossRef

  166. 166

    K. Slim, J. Chipponi. (2006) Laparoscopic surgery today. British Journal of Surgery 93:7, 779-780
    CrossRef

  167. 167

    Reinhard Bittner. (2006) Laparoscopic Surgery—15 Years After Clinical Introduction. World Journal of Surgery 30:7, 1190-1203
    CrossRef

  168. 168

    L. Neumayer. (2006) Reply. Surgical Endoscopy 20:7, 1144-1145
    CrossRef

  169. 169

    G. Dedemadi, G. Sgourakis, C. Karaliotas, T. Christofides, G. Kouraklis, C. Karaliotas. (2006) Comparison of laparoscopic and open tension-free repair of recurrent inguinal hernias: a prospective randomized study. Surgical Endoscopy 20:7, 1099-1104
    CrossRef

  170. 170

    Peter Beddy, Paul F. Ridgway, Tony Geoghegan, Colin Peirce, Pradeep Govender, Francis B.V. Keane, William C. Torreggiani, Kevin C.P. Conlon. (2006) Inguinal Hernia Repair Protects Testicular Function: A Prospective Study of Open and Laparoscopic Herniorraphy. Journal of the American College of Surgeons 203:1, 17-23
    CrossRef

  171. 171

    Maximo Deysine. (2006) Inguinal herniorrhaphy: 25-year results of technical improvements leading to reduced morbidity in 4,029 patients. Hernia 10:3, 207-212
    CrossRef

  172. 172

    E. P. Pélissier. (2006) Inguinal hernia: preperitoneal placement of a memory-ring patch by anterior approach. Preliminary experience. Hernia 10:3, 248-252
    CrossRef

  173. 173

    R. Schwab, J. Conze, A. Willms, U. Klinge, H.-P. Becker, V. Schumpelick. (2006) Rezidivleistenhernienreparation nach vorangegangener Netzimplantation. Der Chirurg 77:6, 523-530
    CrossRef

  174. 174

    R. Schwab, A. Willms, A. Kröger, H. P. Becker. (2006) Less chronic pain following mesh fixation using a fibrin sealant in TEP inguinal hernia repair. Hernia 10:3, 272-277
    CrossRef

  175. 175

    Eske Kvanner Aasvang, Bo Møhl, Morten Bay-Nielsen, Henrik Kehlet. (2006) Pain related sexual dysfunction after inguinal herniorrhaphy. Pain 122:3, 258-263
    CrossRef

  176. 176

    A. H. Petter-Puchner, R. H. Fortelny, R. Mittermayr, N. Walder, W. Öhlinger, H. Redl. (2006) Adverse effects of porcine small intestine submucosa implants in experimental ventral hernia repair. Surgical Endoscopy 20:6, 942-946
    CrossRef

  177. 177

    A Holzer, S T. Jirecek, U M. Illievich, J Huber, R J. Wenzl. (2006) Laparoscopic Versus Open Myomectomy: A Double-Blind Study to Evaluate Postoperative Pain. Anesthesia & Analgesia 102:5, 1480-1484
    CrossRef

  178. 178

    A. Alani, F. Duffy, P. J. O’Dwyer. (2006) Laparoscopic or open preperitoneal repair in the management of recurrent groin hernias. Hernia 10:2, 156-158
    CrossRef

  179. 179

    Rosa Fernández-Lobato, Aurea Tartas-Ruiz, Francisco Javier Jiménez-Miramón, Francisco Javier Marín-Lucas, Juan Carlos Ruiz Adana-Belbel, Manuel Limones Esteban. (2006) Stoppa procedure in bilateral inguinal hernia. Hernia 10:2, 179-183
    CrossRef

  180. 180

    A. I. Gilbert, M. F. Graham, J. Young, B. G. Patel, K. Shaw. (2006) Closer to an ideal solution for inguinal hernia repair: comparison between general surgeons and hernia specialists. Hernia 10:2, 162-168
    CrossRef

  181. 181

    Sergio Alfieri, Fabio Rotondi, Andrea Di Giorgio, Uberto Fumagalli, Antonio Salzano, Dario Di Miceli, Marco Pericoli Ridolfini, Antonio Sgagari, Giovannibattista Doglietto. (2006) Influence of Preservation Versus Division of Ilioinguinal, Iliohypogastric, and Genital Nerves During Open Mesh Herniorrhaphy. Annals of Surgery 243:4, 553-558
    CrossRef

  182. 182

    T. Heikkinen, S. Wollert, J. Österberg, S. Smedberg, S. Bringman. (2006) Early results of a randomised trial comparing Prolene and VyproII-mesh in endoscopic extraperitoneal inguinal hernia repair (TEP) of recurrent unilateral hernias. Hernia 10:1, 34-40
    CrossRef

  183. 183

    Jonathan L. Meakins. (2006) Evidence-Based Surgery. Surgical Clinics of North America 86:1, 1-16
    CrossRef

  184. 184

    Simon Bergman, Liane S. Feldman, Jeffrey S. Barkun. (2006) Evaluating Surgical Outcomes. Surgical Clinics of North America 86:1, 129-149
    CrossRef

  185. 185

    H. Lau, N. G. Patil, W. K. Yuen. (2006) Day-case endoscopic totally extraperitoneal inguinal hernioplasty versus open Lichtenstein hernioplasty for unilateral primary inguinal hernia in males. Surgical Endoscopy 20:1, 76-81
    CrossRef

  186. 186

    J. Vironen, J. Nieminen, A. Eklund, P. Paavolainen. (2006) Randomized clinical trial of Lichtenstein patch or Prolene Hernia System® for inguinal hernia repair. British Journal of Surgery 93:1, 33-39
    CrossRef

  187. 187

    Günter Horeyseck. 2006. Leistenhernie – offene Verfahren. , 243-256.
    CrossRef

  188. 188

    Ingo Leister, Heinz Becker. 2006. Leistenhernie endoskopische Verfahren. , 257-265.
    CrossRef

  189. 189

    Steven C. Stain. (2005) Gastrointestinal Conditions. Journal of the American College of Surgeons 201:6, 940-947
    CrossRef

  190. 190

    Asım Cingi, Manuk N. Manukyan, Bahadır M. Güllüolu, Afşar Barlas, Cumhur Yeen, Rıfat Yalın, Nuray Yılmaz, A. Özdemir Aktan. (2005) Use of Resterilized Polypropylene Mesh in Inguinal Hernia Repair: A Prospective, Randomized Study. Journal of the American College of Surgeons 201:6, 834-840
    CrossRef

  191. 191

    Alexander H. Petter-Puchner, R. Fortelny, R. Mittermayr, W. Öhlinger, H. Redl. (2005) Fibrin sealing versus stapling of hernia meshes in an onlay model in the rat. Hernia 9:4, 322-329
    CrossRef

  192. 192

    William G. Cheadle. (2005) The Veterans Affairs research program: scientific and clinical excellence relevant to veterans’ healthcare needs. The American Journal of Surgery 190:5, 655-661
    CrossRef

  193. 193

    J. A. Halm, J. Heisterkamp, R. U. Boelhouwer, P. T. Hoed, W. F. Weidema. (2005) Totally extraperitoneal repair for bilateral inguinal hernia: Does mesh configuration matter?. Surgical Endoscopy 19:10, 1373-1376
    CrossRef

  194. 194

    Simon Bergman, Liane S Feldman, Nancy E Mayo, Franco Carli, Maurice Anidjar, Dennis R Klassen, Christopher G Andrew, Melina C Vassiliou, Donna D Stanbridge, Gerald M Fried. (2005) Measuring Surgical Recovery: The Study of Laparoscopic Live Donor Nephrectomy. American Journal of Transplantation 5:10, 2489-2495
    CrossRef

  195. 195

    M Mahir Özmen, Faruk Coskun. (2005) Response to Losanoff JE and Amid PK. Hernia 9:3, 302-303
    CrossRef

  196. 196

    P. Wara, M. Bay-Nielsen, P. Juul, J. Bendix, H. Kehlet. (2005) Prospective nationwide analysis of laparoscopicversus Lichtenstein repair of inguinal hernia. British Journal of Surgery 92:10, 1277-1281
    CrossRef

  197. 197

    D. Arvidsson, F. H. Berndsen, L. G. Larsson, C.-E. Leijonmarck, G. Rimbäck, C. Rudberg, S. Smedberg, L. Spangen, A. Montgomery. (2005) Randomized clinical trial comparing 5-year recurrence rate after laparoscopicversus Shouldice repair of primary inguinal hernia. British Journal of Surgery 92:9, 1085-1091
    CrossRef

  198. 198

    Leigh Neumayer, Robert Fitzgibbons, Kamal Itani, Olga Jonasson. (2005) Laparoscopic Inguinal Hernia Repair. Journal of the American College of Surgeons 201:3, 486-487
    CrossRef

  199. 199

    S. D. Schwaitzberg, D. B. Jones, L. Grunwaldt, D. W. Rattner. (2005) Laparoscopic hernia in the light of the Veterans Affairs Cooperative Study 456: more rigorous studies are needed. Surgical Endoscopy 19:9, 1288-1289
    CrossRef

  200. 200

    Patrick J.O’Dwyer, Ahmed Alani, Alex McConnachie. (2005) Groin Hernia Repair: Postherniorrhaphy Pain. World Journal of Surgery 29:8, 1062-1065
    CrossRef

  201. 201

    Martin McCarthy, Chih-Hung Chang, A. Simon Pickard, Anita Giobbie-Hurder, Donald D. Price, Olga Jonasson, James Gibbs, Robert Fitzgibbons, Leigh Neumayer. (2005) Visual Analog Scales for Assessing Surgical Pain. Journal of the American College of Surgeons 201:2, 245-252
    CrossRef

  202. 202

    Martin McCarthy, Olga Jonasson, Chih-Hung Chang, A. Simon Pickard, Anita Giobbie-Hurder, James Gibbs, Perry Edelman, Robert Fitzgibbons, Leigh Neumayer. (2005) Assessment of Patient Functional Status after Surgery. Journal of the American College of Surgeons 201:2, 171-178
    CrossRef

  203. 203

    Parviz K. Amid. (2005) Groin Hernia Repair: Open Techniques. World Journal of Surgery 29:8, 1046-1051
    CrossRef

  204. 204

    Craig John Taylor, Tim Wilson. (2005) Long-term results of laparoscopic totally extraperitoneal inguinal herniorrhaphy. ANZ Journal of Surgery 75:8, 637-639
    CrossRef

  205. 205

    Maurice E. Arregui, Susan B. Young. (2005) Groin Hernia Repair by Laparoscopic Techniques: Current Status and Controversies. World Journal of Surgery 29:8, 1052-1057
    CrossRef

  206. 206

    B. J. Lammers, P. E. Goretzki, T. Otto. (2005) Aktuelle Aspekte der Hernienchirurgie. Der Urologe 44:7, 774-779
    CrossRef

  207. 207

    Mark Wilkiemeyer, Theodore N. Pappas, Anita Giobbie-Hurder, Kamal M. F. Itani, Olga Jonasson, Leigh A. Neumayer. (2005) Does Resident Post Graduate Year Influence the Outcomes of Inguinal Hernia Repair?. Annals of Surgery 241:6, 879-884
    CrossRef

  208. 208

    Simon Willem Nienhuijs, Oliver B.A. Boelens, Luc J.A. Strobbe. (2005) Pain after Anterior Mesh Hernia Repair. Journal of the American College of Surgeons 200:6, 885-889
    CrossRef

  209. 209

    M. Gholghesaei, H. R. Langeveld, R. Veldkamp, H. J. Bonjer. (2005) Costs and quality of life after endoscopic repair of inguinal hernia vs open tension-free repair: a review. Surgical Endoscopy 19:6, 816-821
    CrossRef

  210. 210

    Silvio Nadalin, Andreas Paul, Massimo Malag??, J??rgen Treckmann, Randolph Schaffer, Christoph E. Broelsch, Thomas Otto. (2005) Laparoscopic Inguinal Hernia Repair as a Potential Complicating Factor in Kidney Transplantation. Transplantation 79:12, 1767-1768
    CrossRef

  211. 211

    D. H. Lange, Th. J. Aufenacker, M. Roest, R. K. J. Simmermacher, D. J. Gouma, M. P. Simons. (2005) Inguinal hernia surgery in The Netherlands: a baseline study before the introduction of the Dutch Guidelines. Hernia 9:2, 172-177
    CrossRef

  212. 212

    Douglas G. Altman. (2005) Why We Need Confidence Intervals. World Journal of Surgery 29:5, 554-556
    CrossRef

  213. 213

    S. K. Saha. (2005) Hernioplasty: a new approach against the recurrence. Hernia 9:2, 134-139
    CrossRef

  214. 214

    R. C. Read, A. I. Gilbert. (2005) Reply to Amid, “A strategy for circumventing the problem of prostate surgery subsequent to preperitoneal repair”. Hernia 9:2, 202-203
    CrossRef

  215. 215

    Haytham M.A. Kaafarani, Kamal M.F. Itani, Anita Giobbie-Hurder, John J. Gleysteen, Martin McCarthy, James Gibbs, Leigh Neumayer. (2005) Does Surgeon Frustration and Satisfaction with the Operation Predict Outcomes of Open or Laparoscopic Inguinal Hernia Repair?. Journal of the American College of Surgeons 200:5, 677-683
    CrossRef

  216. 216

    Lorelei J. Grunwaldt, Steven D. Schwaitzberg, David W. Rattner, Daniel B. Jones. (2005) Is laparoscopic inguinal hernia repair an operation of the past?. Journal of the American College of Surgeons 200:4, 616-620
    CrossRef

  217. 217

    Patrick Chien, Khalid Khan, Ben W. Mol. (2005) How to interpret the findings of the eVALuate study. BJOG: An International Journal of Obstetrics and Gynaecology 112:4, 391-393
    CrossRef

  218. 218

    Elías Rodríguez-Cuéllar, Rafael Villeta, Pedro Ruiz, Juan Alcalde, José Ignacio Landa, José Luis Porrero, Manuel Gómez, Eduardo Jaurrieta. (2005) Proyecto nacional para la gestión clínica de procesos asistenciales.Tratamiento quirúrgico de la hernia inguinal. Cirugía Española 77:4, 194-202
    CrossRef

  219. 219

    Leigh A. Neumayer. (2005) Invited commentary. Journal of the American College of Surgeons 200:3, 397-398
    CrossRef

  220. 220

    C. G. Schmedt, S. Sauerland, R. Bittner. (2005) Comparison of endoscopic procedures vs Lichtenstein and other open mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Surgical Endoscopy 19:2, 188-199
    CrossRef

  221. 221

    Philip Wai-Yan Chiu, Sok-Fei Hon, Paul Bo-San Lai, Enders Kwok-Wai Ng. (2005) Laparoscopic totally extraperitoneal inguinal hernioplasty: The use of a contoured three-dimensional mesh. Annals of the College of Surgeons Hong Kong 9:1, 25-27
    CrossRef

  222. 222

    Leigh A. Neumayer, Atul A. Gawande, Jia Wang, Anita Giobbie-Hurder, Kamal M. F. Itani, Robert J. Fitzgibbons, Domenic Reda, Olga Jonasson. (2005) Proficiency of Surgeons in Inguinal Hernia Repair. Transactions of the ... Meeting of the American Surgical Association 123:&amp;NA;, 49-56
    CrossRef

  223. 223

    Marc Miserez, Erik Totte, Benoit Navez. (2005) To the Editor. World Journal of Surgery 29:1, 116-119
    CrossRef

  224. 224

    H. M. A. Kaafarani, K. M. F. Itani. (2005) The surgeon's ego and reporting of clinical failure. British Journal of Surgery 92:1, 122-122
    CrossRef

  225. 225

    Kamal M.F. Itani, Leigh Neumayer, Domenic Reda, Lawrence Kim, Thomas Anthony. (2004) Repair of ventral incisional hernia: The design of a randomized trial to compare open and laparoscopic surgical techniques. The American Journal of Surgery 188:6, 22-29
    CrossRef

  226. 226

    Earl Gaar. (2004) Errors in laparoscopic surgery. Journal of Surgical Oncology 88:3, 153-160
    CrossRef

  227. 227

    Samir S. Awad. (2004) Evidence-based approach to hernia surgery. The American Journal of Surgery 188:6, 1-2
    CrossRef

  228. 228

    Shawn P. Fagan, Samir S. Awad. (2004) Abdominal wall anatomy: The key to a successful inguinal hernia repair. The American Journal of Surgery 188:6, 3-8
    CrossRef

  229. 229

    U. Klinge, K. Junge, P. R. Mertens. (2004) Herniosis: A biological approach. Hernia 8:4, 300-301
    CrossRef

  230. 230

    Leigh Neumayer. (2004) Design and conduct issues in surgical clinical trials. The American Journal of Surgery 188:6, 17-21
    CrossRef

  231. 231

    Philip S. Barie. (2004) Oh Lord! I've Got Those Clinical Research Blues. Surgical Infections 5:4, 327-342
    CrossRef

  232. 232

    Samir S. Awad, Shawn P. Fagan. (2004) Current approaches to inguinal hernia repair. The American Journal of Surgery 188:6, 9-16
    CrossRef

  233. 233

    (2004) Scientific surgery. British Journal of Surgery 91:12, 1656-1656
    CrossRef

  234. 234

    (2004) Open Mesh versus Laparoscopic Mesh Hernia Repair. New England Journal of Medicine 351:14, 1463-1465
    Full Text

  235. 235

    Raymond J. Lanzafame. (2004) Ethics in Reporting: Truth and the Scientific Literature. Photomedicine and Laser Surgery 22:4, v-vi
    CrossRef

  236. 236

       . (2004) Open liesbreukoperatie beter. Huisarts en Wetenschap 47:6, 560-560
    CrossRef

  237. 237

    Jacobs, Danny O., . (2004) Mesh Repair of Inguinal Hernias — Redux. New England Journal of Medicine 350:18, 1895-1897
    Full Text

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