Bisgaard T, Bay-Nielsen M, Christensen I J, Kehlet H
Danish Hernia Database, Department of Gastroenterology, Hvidovre University Hospital, Hvidovre, Denmark.
Br J Surg. 2007 Aug;94(8):1038-40. doi: 10.1002/bjs.5756.
The risk of recurrence of inguinal hernia within 5 years of repair is lower after mesh than sutured repair in men, but no large-scale studies have compared the risk of recurrence beyond 5 years.
The Danish Hernia Database prospectively collects data on almost all primary inguinal hernia repairs in men (older than 18 years). This study used data recorded over 8 years, analysing reoperations for recurrent hernia in the intervals 0-30 months, 30-60 months and 60-96 months after operation.
The reoperation rate was significantly lower after Lichtenstein open mesh repairs than open sutured repairs (Cox hazard ratio (HR) 0.45 (95 per cent confidence interval (c.i.) 0.39 to 0.51) for 0-30 months after surgery; HR 0.38 (95 per cent c.i. 0.29 to 0.49) for 30-60 months). In 13 674 primary inguinal hernia repairs with an observation interval of 5 years or more, the risk of reoperation after Lichtenstein repair was a quarter of that after sutured repair (HR 0.25 (95 per cent c.i. 0.16 to 0.40) for 60-96 months after surgery). After 5 years, the reoperation rate increased continuously after sutured repair but not after mesh repair.
Lichtenstein mesh repair for inguinal hernia prevented recurrence beyond 5 years after the primary operation, but sutured repair did not.
男性腹股沟疝修补术后5年内，使用补片修补后的复发风险低于缝合修补，但尚无大规模研究比较5年以上的复发风险。
丹麦疝病数据库前瞻性收集了几乎所有男性（年龄大于18岁）原发性腹股沟疝修补的数据。本研究使用了8年期间记录的数据，分析术后0至30个月、30至60个月和60至96个月期间复发性疝的再次手术情况。
利chtenstein开放式补片修补术后的再次手术率显著低于开放式缝合修补（术后0至30个月的Cox风险比（HR）为0.45（95%置信区间（c.i.）为0.39至0.51）；30至60个月的HR为0.38（95% c.i.为0.29至0.49））。在13674例观察期为5年或更长时间的原发性腹股沟疝修补术中，利chtenstein修补术后再次手术的风险是缝合修补术后的四分之一（术后60至96个月的HR为0.25（95% c.i.为0.16至0.40））。5年后，缝合修补术后的再次手术率持续上升，而补片修补术后则没有。
利chtenstein补片修补腹股沟疝可预防初次手术后5年以上的复发，但缝合修补则不能。
