Recurrences after conventional anterior and laparoscopic XXXX : a randomized comparison.

@entity1 @entity169 @entity158 @entity547
OBJECTIVE: To study the long-term recurrence rate and other complications after conventional and laparoscopic @entity169 . SUMMARY BACKGROUND DATA: Reliable long-term follow-up of @entity1 with @entity169 treated by laparoscopic repair techniques is lacking. METHODS: The authors performed a randomized, multicenter trial in which 487 @entity1 with @entity169 were treated by totally extraperitoneal laparoscopic repair and 507 @entity1 were treated by conventional anterior @entity547 repair. @entity1 were followed and examined for recurrence and chronic @entity158 2, 3, and 5 years after surgery. Risk factors for recurrence and chronic @entity158 were assessed. RESULTS: @entity1 who underwent conventional repair had a high risk for recurrence compared to @entity1 who underwent laparoscopic repair. Risk factors for recurrence were operative time and type of conventional repair. Predictive independent risk factors for chronic @entity158 were conventional repair (Bassini repairs and non-bassini repairs), @entity158 before surgery, and perioperative lesion of the ilioinguinal nerve. CONCLUSIONS: @entity1 with @entity169 who undergo laparoscopic repair have fewer recurrences and less chronic @entity158 than those who undergo conventional open repair. The Bassini repair produces unacceptably high recurrence rates.
