Johanet H, Sorrentino J, Bellouard A, Benchetrit S
Service de Chirurgie Générale et Digestive, Groupe Hospitalier Bichat-Claude-Bernard, Paris.
Ann Chir. 1999;53(4):297-301.
A multicentre prospective study was conducted to evaluate the effective duration of time off work following inguinal hernia repair. From 1st October to 30 November 1997, 14 surgeons repaired 459 hernias in 359 patients, corresponding to 28.8% of salaried workers, 10.9% self-employed and 4.8% civil servants. 46% of patients were retired. Only 6.9% of patients were treated by reconstruction of the inguinal floor without mesh, 59.6% were operated by laparoscopy and a conventional prosthesis repair was performed in 33.2%. There were 0.6% of complications or modifications of the postoperative course. The mean effective time off work was 17.5 days after unilateral repair and 24.7 days after bilateral repair. For unilateral repairs, no significant difference was observed between occupational groups in terms of effective time off work, in the absence of complications. In contrast, patients of these occupational groups presented a shorter time off work following an uncomplicated TAPP repair than after plug-Lichtenstein repair. In the group of salaried workers, a significant difference was observed between patients undergoing TAPP or TEP repair and those undergoing plug-Lichtenstein repair.
一项多中心前瞻性研究旨在评估腹股沟疝修补术后的有效误工时长。1997年10月1日至11月30日,14位外科医生为359例患者修补了459例疝,其中受薪工人占28.8%,个体经营者占10.9%,公务员占4.8%。46%的患者已退休。仅6.9%的患者采用无补片的腹股沟管后壁重建术治疗,59.6%接受腹腔镜手术,33.2%进行传统假体修补。术后出现并发症或病程改变的占0.6%。单侧修补术后的平均有效误工时间为17.5天,双侧修补术后为24.7天。对于单侧修补,在无并发症的情况下,各职业组之间在有效误工时间方面未观察到显著差异。相比之下,这些职业组的患者在无并发症的TAPP修补术后的误工时间比疝环充填式无张力疝修补术后短。在受薪工人组中,接受TAPP或TEP修补的患者与接受疝环充填式无张力疝修补的患者之间观察到显著差异。