A comparison of outcomes between open and laparoscopic surgical repair of recurrent XXXX .

@entity1 @entity169 @entity260
BACKGROUND: Inguinal hernia recurrence after surgical repair is a major concern. The authors report their experience with open and laparoscopic repair of recurrent @entity169 . METHODS: After institutional review board approval, a retrospective review was performed with the charts of 197 @entity1 who had undergone surgical repair of recurrent @entity169 from January 2000 through August 2009, and the data for 172 @entity1 who met the inclusion criteria were analyzed. Surgical variables and clinical outcomes were compared using Student's t test, the Mann-Whitney U test, chi-square, and Fisher's exact test as appropriate. RESULTS: The review showed that 172 @entity1 had undergone either open mesh repair (n=61) or laparoscopic mesh repair (n=111) for recurrent @entity169 . @entity260 were experienced by 8 @entity1 in the open group and 17 @entity1 in laparoscopic group (p=0.70). Five @entity1 (8.2%) in the open group and four @entity1 (3.6%) in the laparoscopic group had re-recurrent @entity169 (p=0.28). Four @entity1 in the open group (9.5%) and no @entity1 in the laparoscopic group had recurrence during long-term follow-up evaluation (p=0.046). In the laparoscopic group, 76 @entity1 (68.5%) underwent total extraperitoneal (TEP) repair, and 35 @entity1 (31.5%) had transabdominal preperitoneal (TAPP) repair. @entity260 were experienced by 13 @entity1 in the TEP group and 4 @entity1 in the TAPP group (p=0.44). Two @entity1 (2.6%) in the TEP group and two @entity1 (5.7%) in the TAPP group had re-recurrent @entity169 (p=0.59). CONCLUSIONS: This retrospective review showed no statistical difference in the re-recurrence rate between the two techniques during short-term follow-up evaluation. However, the laparoscopic technique had a significantly lower re-recurrence rate than the open technique during long-term follow-up evaluation. Both procedures were comparable in terms of intra- and @entity260 . Among laparoscopic techniques, TEP and TAPP repair are acceptable methods for the repair of recurrent @entity169 . A multicenter prospective randomized control trial is needed to confirm the findings of this study.
