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Inguinal Hernia


Robotic Inguinal vs Transabdominal Laparoscopic Inguinal Hernia Repair: The RIVAL Randomized Clinical Trial
Prabhu AS, Carbonell A, Hope W, Warren J, Higgins R, Jacob B, Blatnik J, Haskins I, Alkhatib H, Tastaldi L, Fafaj A, Tu C, Rosen MJ.
JAMA Surg . 2020 May 1;155(5):380-387.

Rationale for inclusion: First RCT comparing laparoscopic vs robotic TAPP. No difference in clinical outcomes but robotic more expansive and longer operating time.

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Watchful Waiting Versus Surgery of Mildly Symptomatic or Asymptomatic Inguinal Hernia in Men Aged 50 Years and Older: A Randomized Controlled Trial.
de Goede B, Wijsmuller AR, van Ramshorst GH, van Kempen BJ, Hop WCJ, Klitsie PJ, Scheltinga MR, de Haan J, Mastboom WJB, van der Harst E, Simons MP, Kleinrensink GJ, Jeekel J, Lange JF; INCA Trialists Collaboration.
Ann Surg. 2018 Jan;267(1):42-49.

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Rationale for inclusion: 
recent look at males >50 years of age with mildly symptomatic inguinal hernia versus surgery.

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Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated groin hernias: a 10-year study.
Bessa SS, Abdel-fattah MR, Al-Sayes IA, Korayem IT.
Hernia. 2015 Dec;19(6):909-14.

Rationale for inclusion: Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated groin hernias: a 10-year study.

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Randomized clinical trial of Desarda versus Lichtenstein repair for treatment of primary inguinal hernia.
Youssef T, El-Alfy K, Farid M.
Int J Surg. 2015 Aug;20:28-34.

Rationale for inclusion: evaluation of tissue based repair compared to tension free mesh repair.

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Long-term results of a randomized controlled trial of a nonoperative strategy (watchful waiting) for men with minimally symptomatic inguinal hernias.
Fitzgibbons R Jr, Ramanan B, Arya S, Turner SA, Li X, Gibbs JO, Reda DJ; Investigators of the Original Trial.
Ann Surg. 2013 Sep;258(3):508-15.

Rationale for inclusion: Evaluation of safety of nonoperative approach to inguinal hernia in minimally symptomatic men. 

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Low recurrence rate after laparoscopic (TEP) and open (Lichtenstein) inguinal hernia repair: a randomized, multicenter trial with 5-year follow-up.
Evans MD, Williams GL, Stephenson BM.
Ann Surg. 2009 Aug;250(2):354-5.

Rationale for inclusion: RTC evaluating open versus TEP inguinal hernia repair.

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How to avoid recurrence in Lichtenstein tension-free hernioplasty.
Amid, PK.
Am J Surg. 2002 Sep;184(3):259-60.

Rationale for inclusion: Amid modification to Lichtenstein, covers key technical aspects.  

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Role of the Shouldice technique in inguinal hernia repair: a systematic review of controlled trials and a meta-analysis.
Simons MP, Kleijnen J, van Geldere D, Hoitsma HF, Obertop H.
Br J Surg. 1996 Jun;83(6):734-8.

Rationale for inclusion: evaluation of Shouldice as tissue based repair based on review of literature.

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The tension-free hernioplasty.
Lichtenstein IL, Shulman AG, Amid PK, Montllor MM.
Am J Surg. 1989 Feb;157(2):188-93.

Rationale for inclusion: original description of technique.

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