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Laparoscopic hernia repair reduced recovery time and days of postoperative analgesia use better than Shouldice repair

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 QUESTION: In men with a primary unilateral hernia, is laparoscopic repair better than Shouldice repair for shortening recovery time without increasing the complication and recurrence rates?


Randomised (allocation concealed*), unblinded,* controlled trial with a median follow-up of 12 months.


The surgical department of a district hospital in Nyborg, Denmark.


287 men who were 18–75 years of age, had a primary unilateral hernia, and were referred for elective surgery. Exclusion criteria were irreducible hernias and unfitness for general anaesthesia. 268 patients (93%, median age 48 y) were assessed at 1 month; follow-up at 24 months was 91%.


Patients were allocated to transabdominal preperitoneal laparoscopic repair (n=146) or open hernia repair (n=141). In the laparoscopic group, …

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  • Source of funding: no external funding.

  • For correspondence: Dr P Juul, Department of Surgery, Nyborg Hospital, 5800 Nyborg, Denmark. FAX +45-6331-2801.

  • * See glossary.