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A randomized comparison of physical performance following laparoscopic and open inguinal hernia repair

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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 exercises (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).

Conclusion Laparoscopic hernia repair results in a quicker recovery.
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Document Type: Research Article

Affiliations: 1: Departments of General Surgery and 2: Clinical Epidemiology, University Hospital Utrecht, PO Box 85.500, 3508 GA Utrecht, The Netherlands

Publication date: January 1, 1997

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