Bessa S S, Katri K M, Abdel-Salam W N, Abdel-Baki N A
Department of General Surgery, Faculty of Medicine, University of Alexandria, Al-Azarita, Alexandria, Egypt.
Hernia. 2007 Jun;11(3):239-42. doi: 10.1007/s10029-007-0207-6. Epub 2007 Mar 2.
Use of prosthetic repairs in the management of strangulated hernias has so far been very limited due to the fear of an associated higher incidence of complications, especially those related to the presence of the mesh. The aim of this study was to prospectively determine whether the use of the Lichtenstein repair in the management of strangulated groin hernias was associated with a higher rate of wound infection and/or mesh-related complications than in the elective setting.
The results obtained from the use of the Lichtenstein repair in the management of 25 patients with strangulated groin hernias (group I) were compared to those of another 25 age- and sex-matched patients undergoing Lichtenstein repair for elective groin hernia repair (group II).
In group I, one patient (4%) developed a scrotal hematoma. No other postoperative complications were encountered, whether related or unrelated to the presence of the mesh. No complications were encountered in group II patients. Throughout the 20-month duration of the present study, no mesh had to be removed and no recurrences were encountered in either group.
The good short-term results of the present study in terms of absence of wound infection, mesh-related complications and recurrence suggest that use of the Lichtenstein repair in the management of strangulated groin hernias is safe and is not associated with a higher rate of complications compared to its use in the elective setting.
由于担心相关并发症发生率较高，尤其是与补片存在相关的并发症，目前人工修复术在绞窄性疝治疗中的应用非常有限。本研究的目的是前瞻性地确定，与择期手术相比，使用利chtenstein修补术治疗绞窄性腹股沟疝是否会导致更高的伤口感染率和/或补片相关并发症发生率。
将25例绞窄性腹股沟疝患者（I组）采用利chtenstein修补术的治疗结果，与另外25例年龄和性别匹配的择期腹股沟疝修补术患者（II组）采用利chtenstein修补术的治疗结果进行比较。
I组中，1例患者（4%）出现阴囊血肿。未遇到其他术后并发症，无论是否与补片存在相关。II组患者未出现并发症。在本研究的20个月期间，两组均未取出补片，也未出现复发。
本研究在无伤口感染、补片相关并发症和复发方面取得了良好的短期结果，表明与择期手术相比，使用利chtenstein修补术治疗绞窄性腹股沟疝是安全的，且不会导致更高的并发症发生率。
