title: Preperitoneal repair for recurrent inguinal hernia: laparoscopic and open approach.
abstract: BACKGROUND
  The aim of this study was to investigate the outcome of preperitoneal repair using laparoscopic (TEP) and open (OPM) approach in recurrent inguinal hernia.
  
  
  METHODS
  We performed a prospective controlled nonrandomized clinical study in 188 patients with 207 recurrent inguinal hernias over a period of 5 years. TEP repair was employed for 86 repairs, and OPM was used in 121 procedures. The main outcome measurements were: recurrence rate, operating time, hospital stay, and postoperative complications.
  
  
  RESULTS
  There were three recurrences (1.7%). Two in the OPM group (1.8%) and one (1.3%) in the TEP group [ P=NS (not significant)]. The TEP procedure was faster than OPM for unilateral repair (40.8 vs 46.3 min) (P<0.001). Postoperative complications were more frequent in the OPM group (23.9%) than the TEP group (13.9%) ( P=NS). Hospital stay was significantly shorter in the TEP group (1.2 vs 3.9 days) (P<0.001).
  
  
  CONCLUSIONS
  Preperitoneal approach (open or laparoscopic) seems to be a good option in recurrent inguinal hernia when these procedures are done by experienced surgeons.
authors.affiliation: Department of Surgery, Hospital General d'Igualada, Passeig Verdaguer 128, 08700, Barcelona, Spain. 16255xfp@comb.es
authors.forename: X
authors.initials: X
authors.lastname: Feliu
authors.forename: G
authors.initials: G
authors.lastname: Torres
authors.forename: X
authors.initials: X
authors.lastname: Viñas
authors.forename: F
authors.initials: F
authors.lastname: Martínez-Ródenas
authors.forename: E
authors.initials: E
authors.lastname: Fernández-Sallent
authors.forename: J
authors.initials: J
authors.lastname: Pie
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012086:Reoperation