Søndenaa K, Nesvik I, Breivik K, Kørner H
Department of Surgery, Rogaland Central Hospital, Stavanger, Norway.
Eur J Surg. 2001 Feb;167(2):125-9. doi: 10.1080/110241501750070583.
To study the early and late outcome of various methods of inguinal hernia repair.
Retrospective study.
Teaching hospital, Norway.
1059 repairs of inguinal hernias in men and women by 43 surgeons.
Analysis of patients charts, results of questionnaires concerning 712 hernias (67%) and follow-up consultations when needed.
Freedom from recurrence and postoperative groin symptoms after repairs of primary and recurrent hernias.
After a median follow-up of 5.5 years, range 3-8, the recurrence rate was 8% for primary repairs and 29% after recurrent hernias. The incidence of permanent pain or discomfort was unexpectedly high, being 11% after primary repairs and 15% after recurrent hernia repairs.
The number of recurrences at long-term follow-up after repairs of primary and recurrent inguinal hernias was unsatisfactory. The extent of postoperative pain was surprising as this was not given enough attention during the learning period. We have introduced a uniform treatment policy with a prospective surveillance programme with the aim of improving results in our teaching programme.
研究腹股沟疝不同修补方法的早期和远期疗效。
回顾性研究。
挪威教学医院。
43名外科医生对1059例男性和女性腹股沟疝进行的修补手术。
分析患者病历、关于712例疝（67%）的问卷调查结果，并在需要时进行随访咨询。
初次疝修补和复发性疝修补后无复发及术后腹股沟症状情况。
中位随访5.5年（范围3 - 8年），初次修补的复发率为8%，复发性疝修补后为29%。永久性疼痛或不适的发生率出乎意料地高，初次修补后为11%，复发性疝修补后为15%。
初次和复发性腹股沟疝修补术后长期随访的复发率不尽人意。术后疼痛程度令人惊讶，因为在学习阶段对此未给予足够重视。我们已引入统一的治疗策略及前瞻性监测计划，旨在改善我们教学项目中的治疗效果。
