Muldoon R L, Marchant K, Johnson D D, Yoder G G, Read R C, Hauer-Jensen M
Department of Surgery, Central Arkansas Veterans Healthcare System and University of Arkansas for Medical Sciences, 4301 West Markham, Slot 725, Little Rock, AR 72205, USA.
Hernia. 2004 May;8(2):98-103. doi: 10.1007/s10029-003-0174-5. Epub 2003 Nov 19.
Male veterans with unilateral primary inguinal hernia, classified intraoperatively as Gilbert Type III or IV, were randomized to subaponeurotic (Lichtenstein, n=126) or preperitoneal (Read-Rives, n=121) repair under general or spinal anesthesia. The two groups of patients were comparable in age, body weight index, comorbidities, and size and type of hernia. Of the 247 patients enrolled, 224 were followed for at least 2 years (median 82 months, range 24-110 months), 16 were lost to follow-up, and seven died from causes unrelated to the surgery. The average operative time of the Read-Rives repair was 9 min longer than that of the Lichtenstein repair. There were no wound infections, and the frequencies of other short- and long-term complications were low and similar in the two groups. Six patients developed hernia recurrence, five in the Lichtenstein group (4.3%), and one in the Read-Rives group (<1%), ( P=0.21). Both anterior repairs are associated with low postoperative morbidity and recurrence rates. The Lichtenstein repair is technically easier and less time consuming. There is no statistically significant difference in the recurrence rate between the two repairs.
患有单侧原发性腹股沟疝且术中分类为吉尔伯特Ⅲ型或Ⅳ型的男性退伍军人，在全身麻醉或脊髓麻醉下被随机分为腱膜下修补术（利chtenstein术式，n = 126）或腹膜前修补术（Read - Rives术式，n = 121）。两组患者在年龄、体重指数、合并症以及疝的大小和类型方面具有可比性。在纳入的247例患者中，224例至少随访了2年（中位时间82个月，范围24 - 110个月），16例失访，7例因与手术无关的原因死亡。Read - Rives修补术的平均手术时间比利chtenstein修补术长9分钟。两组均无伤口感染，其他短期和长期并发症的发生率较低且相似。6例患者出现疝复发，利chtenstein组5例（4.3%），Read - Rives组1例（<1%），（P = 0.21）。两种前路修补术术后发病率和复发率均较低。利chtenstein修补术在技术上更简单且耗时更少。两种修补术之间的复发率无统计学显著差异。
