Hidalgo M, Castillo M J, Eymar J L, Hidalgo A
Department in General and gastroenterology, Universidad Complutense Madrid, Surgery 12 de Octubre University Hospital, Madrid, Spain.
Hernia. 2005 Oct;9(3):242-4. doi: 10.1007/s10029-005-0334-x. Epub 2005 Oct 22.
This was a prospective, randomised study undertaken from January 2001 to July 2003 firstly to assess the possibility of using glues to fix meshes, secondly to verify whether or not this leads to a higher hernia recurrence rate, and thirdly to assess post-operative pain.
This study covered a total of 55 patients with bilateral hernias who presented similar characteristics on both sides and on whom fixation of the mesh was undertaken differently, depending on the side. On the right side polypropylene sutures were used (prolene 2/0), while on the left, attachment was done using glue (Tissucol).
Results were similar in both inguinal regions, although there was less post-operative pain and less inflammatory reaction on the left side. There was no hernia recurrence in the follow-up at the end of 1 year.
这是一项从2001年1月至2003年7月进行的前瞻性随机研究,首先评估使用胶水固定补片的可能性,其次验证这是否会导致更高的疝复发率,第三评估术后疼痛情况。
本研究共纳入55例双侧疝患者,其双侧具有相似特征,根据不同侧别采用不同的补片固定方法。右侧使用聚丙烯缝线(2/0普理灵),而左侧使用胶水(组织黏合剂)进行固定。
尽管左侧术后疼痛较轻且炎症反应较少,但双侧腹股沟区的结果相似。1年末的随访中未出现疝复发。