Verstraete L, Swannet H
Department of Surgery, St.-Elisabeth Ziekenhuis, Godveerdegemstr 69, 9620 Zottegem, Belgium.
Hernia. 2003 Dec;7(4):185-90. doi: 10.1007/s10029-003-0144-y. Epub 2003 Sep 3.
This retrospective study of 142 consecutive males operated on, including the learning-curve period, is aimed at evaluating the long-term outcome (>3 years) of Lichtenstein hernia repair. The response rate was 95%. One recurrence (0.7%) and one femoral hernia occurred. Pain persisted more than 2 weeks in 26% of patients, more than 3 months in 8%, and after 3 years in 4%. The corresponding figures for discomfort without need for analgesics are 49, 14, and 11%. Paresthesia persisted over 1 year in 9%. Morbidity due to extensive section of the cremaster muscle and shooting nuisance during ejaculation occurred in four patients. The mean social inactivity period was 3.2 weeks, the time to work resumption 5.4 weeks. The Lichtenstein hernioplasty proved to have a low recurrence rate and immediate morbidity, but the prevalence of chronic pain or discomfort are not to be underestimated.
这项对142例连续接受手术的男性患者（包括学习曲线阶段）进行的回顾性研究，旨在评估利希滕斯坦疝修补术的长期疗效（>3年）。应答率为95%。出现1例复发（0.7%）和1例股疝。26%的患者疼痛持续超过2周，8%的患者疼痛持续超过3个月，4%的患者疼痛持续3年后仍存在。无需使用镇痛药的不适相应比例分别为49%、14%和11%。9%的患者感觉异常持续超过1年。4例患者出现因提睾肌广泛切断导致的并发症以及射精时的刺痛。平均社交活动停止期为3.2周，恢复工作时间为5.4周。利希滕斯坦疝修补术复发率低且即刻并发症少，但慢性疼痛或不适的发生率不可低估。
