Is laparoscopic or open surgery better to prevent recurrence of an inguinal hernia in an adult man?: update
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The risk of recurrence of inguinal hernia is reduced by the use of synthetic mesh, but does not depend on the specific surgical procedure. Compared with the open approach, laparoscopy requires a longer operation (15 minutes longer on average), but decreases recovery time and reduces persistent pain and numbness. (SOR A, based on a systematic review.) Recurrence rates with laparoscopic inguinal hernia repair are highly operator dependent. (SOR A, based on 2 large randomized controlled trials [RCTs].)
Evidence Based Practice 12(9): 09-10.