The systemic inflammatory response was normalized before or on the seventh postoperative day .
Conclusions Hernia repair elicits a systemic inflammatory response characterized by an increase in CRP , IL-6 , leukocytes , neutrophils , IL-1 , IL-10 , fibrinogen , and α1-antitrypsin and a decrease in lymphocytes and albumin .
A higher inflammatory response was found after mesh repair compared with non-mesh repair and after open mesh repair compared with laparoscopic mesh repair
Purpose All surgical procedures elicit a complex systemic inflammatory response effectuated and modulated by cytokines .
The purpose of this systematic review was to present an overview of the inflammatory response and the serum markers associated with hernia repair and to compare the response between patients treated with and without mesh .
Reduced acute phase response after laparoscopic total extraperitoneal bilateral hernia repair compared to open repair with the Stoppa procedure
Background : Although  laparoscopic hernia repair  has been shown to be associated with less postoperative pain and an earlier recovery , there is still controversy about its role in hernia surgery . In general , laparoscopy produces less trauma to tissues than open surgery . This has been reflected by the reduced acute phase inflammatory response observed after laparoscopic surgery compared to open surgery in various setting s , such as cholecystectomy or hysterectomy . The aim of this study was to evaluate the acute phase response after bilateral hernia repair by comparing the open Stoppa procedure with the laparoscopic totally extraperitoneal prosthetic repair ( TEPP ) . Methods : Patients were r and omly allocated to either technique after written informed consent was obtained . Measurements were made of complete blood count , erythrocyte sedimentation rate ( ESR ) , C-reactive protein ( CRP ) , interleukin-1b ( IL-1b ) , IL-6 , and tumor necrosis factor-a ( TNF-a ) preoperatively and 4 , 24 , and 48 h postoperatively . VAS pain scores , consumption of analgesics , and delay before resumption of normal activities were also recorded . All the procedures were performed under general anesthesia by or in the presence of the same surgeon . Results : Thirty-nine patients were included : 19 underwent the Stoppa procedure and 20 had a laparoscopic repair .  The two groups were well matched for age , sex , ASA score , and preoperative values . The operation took longer ( p < 0.001 ) in the group undergoing TEPP . Patients resumed their normal activities earlier ( p < 0.05 ) after laparoscopy . In the open group , there was a larger decrease of the lymphocyte count after 4 ( p < 0.01 ) and 24 h ( p = 0.04 ) ; an increased elevation of ESR after 48 h ( p = 0.02 ) ; a larger increase of IL-6 after 4 ( p = 0.05 ) , 24 ( p = 0.003 ) , and 48 h ( p < 0.001 ) ; and a larger increase in CRP after 24 ( p = 0.05 ) and 48 h ( p = 0.01 ) . There was no morbidity . There was no difference in postoperative IL-1b , TNF-a , total white blood cell count , polymorphonuclear count , VAS for pain , or need for analgesics between the two groups , except on the operative day . Conclusions : The acute phase inflammatory response in clearly more active after the open Stoppa procedure than after TEPP , indicating that the former is associated with increased tissue trauma . This may play a role in the earlier recovery seen after the TEPP procedure
The systemic inflammatory response was normalized before or on the seventh postoperative day .
Conclusions Hernia repair elicits a systemic inflammatory response characterized by an increase in CRP , IL-6 , leukocytes , neutrophils , IL-1 , IL-10 , fibrinogen , and α1-antitrypsin and a decrease in lymphocytes and albumin .
A higher inflammatory response was found after mesh repair compared with non-mesh repair and after open mesh repair compared with laparoscopic mesh repair
Purpose All surgical procedures elicit a complex systemic inflammatory response effectuated and modulated by cytokines .
The purpose of this systematic review was to present an overview of the inflammatory response and the serum markers associated with hernia repair and to compare the response between patients treated with and without mesh .