A randomized comparison of physical performance following laparoscopic and open inguinal hernia repair. The Coala Trial Group.
BACKGROUND
Return to normal activity after laparoscopic inguinal hernia repair has been reported to occur sooner than after conventional repair.


METHODS
As part of a randomized study, the ability of patients to return to normal activity was assessed by measuring abdominal muscular performance with an exercise test. In addition, patients completed a questionnaire concerning activities of daily life (ADL) and were asked when they returned to normal activities. All patients were given similar instructions for resumption of activities.


RESULTS
Patients who had a laparoscopic repair returned to normal activities sooner (6 versus 10 days; P = 0.0003). One week after operation, these patients were able to perform more repetitions of both exercise (14 versus two straight leg raises; 16 versus seven curled sit ups; both P < 0.0001) and their ADL scores were significantly better (89 versus 72; P = 0.0001).


CONCLUSIONS
Laparoscopic hernia repair results in a quicker recovery.
Liem
M S
MS
Department of General Surgery, University Hospital Utrecht, The Netherlands.
van der Graaf
Y
Y
Zwart
R C
RC
Geurts
I
I
van Vroonhoven
T J
TJ
D000203:Activities of Daily Living; D005260:Female; D006552:Hernia, Inguinal / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012008:Recurrence; D016896:Treatment Outcome