Weber G, Kassai M, Csontos Z, Czuczor C, Horváth P O
1st Department of Surgery, Medical School of University, Pécs, Hungary.
Acta Chir Hung. 1999;38(2):219-20.
In inguinal hernia repair, different laparoscopic and open techniques of tension-free repair using synthetic meshes have been reported to result in better patient comfort and lower recurrence rates compared with conventional procedures like Shouldice's or Bassini's operation. In comparison with the laparoscopic procedure, open tension-free repair can be performed under local anaesthesia and is less expensive. For these reasons, the recent trend in inguinal hernia surgery, has been towards using an open, mesh-based tensionless repair (Lichtenstein technique). To evaluate and support the widespread use of this technique in Hungary a large, prospective multicentre trial was initiated at 15 March 1999. Prospective registration of 1500 hernia operation using Lichtenstein technique is undertaken that is carried out in 15 hospitals. Postoperative outcome, complications and recurrence is recorded through a five years period. The case presentation and data collection is internet based. Each center participating in the study is connected by internet to the coordinating center and all information concerning this study is sent by this way. This system is able to generate actual statistical data in every moment of the study.
在腹股沟疝修补术中，与传统手术如肖尔代斯手术或巴西尼手术相比，据报道，使用合成补片的不同腹腔镜和开放无张力修补技术能让患者感觉更舒适，复发率更低。与腹腔镜手术相比，开放无张力修补术可在局部麻醉下进行，且费用更低。由于这些原因，腹股沟疝手术的最新趋势是采用开放的、基于补片的无张力修补术（利希滕斯坦技术）。为了评估并支持该技术在匈牙利的广泛应用，1999年3月15日启动了一项大型前瞻性多中心试验。对在15家医院进行的1500例采用利希滕斯坦技术的疝手术进行前瞻性登记。术后结果、并发症和复发情况会在五年期间进行记录。病例呈现和数据收集基于互联网。参与该研究的每个中心都通过互联网与协调中心相连，有关这项研究的所有信息都通过这种方式发送。该系统能够在研究的每个时刻生成实际的统计数据。
