{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T15:52:28Z","timestamp":1784130748504,"version":"3.55.0"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T00:00:00Z","timestamp":1610582400000},"content-version":"vor","delay-in-days":638,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T00:00:00Z","timestamp":1555459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T00:00:00Z","timestamp":1555459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,6,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The short-term results of the TULIP trial comparing transinguinal preperitoneal (TIPP) inguinal hernia repair with the Lichtenstein method have been reported with follow-up of 1 year. After TIPP repair, fewer patients had chronic postoperative inguinal pain (CPIP); they had better health status and lower costs. The present study reports the long-term outcomes of this trial.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>All surviving patients initially randomized in the TULIP trial were contacted. Patients were interviewed by telephone and sent a questionnaire. Those reporting any complaints were invited for outpatient review. Chronic pain, hernia recurrence and reoperation were documented, along with any sensory change or disturbance of sexual activity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 302 patients initially randomized, 251 (83\u00b71 per cent) were included in the analysis (119 TIPP, 132 Lichtenstein), with a median follow-up of 85 (range 74\u2013117) months. Of 25 patients with chronic postoperative inguinal pain after 1 year, only one, who underwent Lichtenstein repair, still had groin pain at long-term follow-up. The overall hernia recurrence rate was 2\u00b78 per cent (7 patients), with no difference between the groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Both TIPP and Lichtenstein hernia repairs are durable. Patients with chronic postoperative inguinal pain after 1 year can be reassured that the groin pain tends to fade over time.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.11178","type":"journal-article","created":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T09:49:52Z","timestamp":1555494592000},"page":"856-861","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Long-term results from a randomized comparison of open transinguinal preperitoneal hernia repair and the Lichtenstein method (TULIP trial)"],"prefix":"10.1093","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7855-938X","authenticated-orcid":false,"given":"W J V","family":"B\u00f6kkerink","sequence":"first","affiliation":[{"name":"Department of Surgery, Radboud University Medical Centre, Nijmegen, the Netherlands"},{"name":"Department of Surgery, Elisabeth TweeSteden Hospital, Tilburg, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G G","family":"Koning","sequence":"additional","affiliation":[{"name":"Department of Surgery, Bernhoven Hospital, Uden, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Malagic","sequence":"additional","affiliation":[{"name":"Department of Surgery, Radboud University Medical Centre, Nijmegen, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Hout","sequence":"additional","affiliation":[{"name":"Department of Surgery, Elisabeth TweeSteden Hospital, Tilburg, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C J H M","family":"Laarhoven","sequence":"additional","affiliation":[{"name":"Department of Surgery, Radboud University Medical Centre, Nijmegen, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P W H E","family":"Vriens","sequence":"additional","affiliation":[{"name":"Department of Surgery, Elisabeth TweeSteden Hospital, Tilburg, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,4,17]]},"reference":[{"key":"2021011409343775600_bjs11178-bib-0001","author":"Central Bureau of Statistics","year":"2016","journal-title":"Statline Open Database, Dataset Of Health Numbers, Inguinal Hernia"},{"key":"2021011409343775600_bjs11178-bib-0002","author":"British Hernia Society","year":"2016","journal-title":"Commissioning Guide: Groin Hernia"},{"key":"2021011409343775600_bjs11178-bib-0003","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10029-017-1668-x","article-title":"International guidelines for groin hernia management","volume":"22","author":"HerniaSurge Group","year":"2018","journal-title":"Hernia"},{"key":"2021011409343775600_bjs11178-bib-0004","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1097\/00000658-200203000-00003","article-title":"Repair of groin hernia with synthetic mesh: meta-analysis of randomized controlled trials","volume":"235","author":"EU Hernia Trialists Collaboration","year":"2002","journal-title":"Ann Surg"},{"key":"2021011409343775600_bjs11178-bib-0005","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1016\/j.amjsurg.2007.02.012","article-title":"Chronic pain after mesh repair of inguinal hernia: a systematic review","volume":"194","author":"Nienhuijs","year":"2007","journal-title":"Am J Surg"},{"key":"2021011409343775600_bjs11178-bib-0006","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1093\/gastro\/got002","article-title":"Open transinguinal preperitoneal mesh repair of inguinal hernia: a targeted systematic review and meta-analysis of published randomized controlled trials","volume":"1","author":"Sajid","year":"2013","journal-title":"Gastroenterol Rep (Oxf)"},{"key":"2021011409343775600_bjs11178-bib-0007","first-page":"CD008034","article-title":"Open preperitoneal techniques versus Lichtenstein repair for elective inguinal hernias","author":"Willaert","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"2021011409343775600_bjs11178-bib-0008","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1007\/s10029-006-0079-1","article-title":"Inguinal hernia: preperitoneal placement of a memory-ring patch by anterior approach. 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