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The author replies Surg Endosc (1997) 11: 1230–1231 Surgical Endoscopy © Springer-Verlag New York Inc. 1997 It is true that the TAPP and Shouldice techniques differ The pain the patients experience postoperatively deter- significantly. Their similarities are limited to their goal, mines the moment when they resume their usual activities, namely, to cure groin hernias surgically. The differences as most patients do not strain a painful groin even when comprise the anesthesia, the anatomic approach, the tech- encouraged to do so. I have no doubt that open tension-free nique itself, the materials used, the difficulty, the cost, techniques are less painful than a conventional herniorrha- and—in our hands—the results. However, a new technique phy. There still seems, however, to remain a difference in should be compared to the gold standard which—in Swit- favor of laparoscopy, especially when perioperative exer- zerland—surely is the Shouldice procedure. The aim of the cise testing is used as an adjunct to return to work in the study was to compare the results of both techniques in the comparison of methods [5]. The Shouldice Clinic [1] has hands of the same surgeons. It could not be to show the shown that the key to preventing technical errors with http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Surgical Endoscopy Springer Journals

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Surgical Endoscopy , Volume 11 (12) – Mar 19, 2014

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References (10)

Publisher
Springer Journals
Copyright
Copyright © 1997 by Springer-Verlag New York Inc.
Subject
Medicine & Public Health; Surgery; Gynecology; Gastroenterology; Hepatology; Proctology; Abdominal Surgery
ISSN
0930-2794
eISSN
1432-2218
DOI
10.1007/s004649900580
Publisher site
See Article on Publisher Site

Abstract

Surg Endosc (1997) 11: 1230–1231 Surgical Endoscopy © Springer-Verlag New York Inc. 1997 It is true that the TAPP and Shouldice techniques differ The pain the patients experience postoperatively deter- significantly. Their similarities are limited to their goal, mines the moment when they resume their usual activities, namely, to cure groin hernias surgically. The differences as most patients do not strain a painful groin even when comprise the anesthesia, the anatomic approach, the tech- encouraged to do so. I have no doubt that open tension-free nique itself, the materials used, the difficulty, the cost, techniques are less painful than a conventional herniorrha- and—in our hands—the results. However, a new technique phy. There still seems, however, to remain a difference in should be compared to the gold standard which—in Swit- favor of laparoscopy, especially when perioperative exer- zerland—surely is the Shouldice procedure. The aim of the cise testing is used as an adjunct to return to work in the study was to compare the results of both techniques in the comparison of methods [5]. The Shouldice Clinic [1] has hands of the same surgeons. It could not be to show the shown that the key to preventing technical errors with

Journal

Surgical EndoscopySpringer Journals

Published: Mar 19, 2014

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