Kaynak Burak, Celik Faik, Guner Ali, Guler Kadri, Kaya Mehmet A, Celik Melek
Fourth Surgical Department, Goztepe Training and Research Hospital, 34722 Kadikoy, Istanbul, Turkey.
Surg Today. 2007;37(11):958-60. doi: 10.1007/s00595-007-3543-3. Epub 2007 Oct 25.
To compare two tension-free techniques of inguinal hernia repair: the Moloney darn repair (MDR) and Lichtenstein mesh hernioplasty (LMH).
The subjects of this study were 651 patients from a total 732 who underwent open inguinal herniorrhaphy at our clinic between January 2000 and January 2006. We evaluated and compared analgesic requirement in the first 24 h, operative time, hospital stay, early postoperative complications, time until return to work, and recurrence, between patients who underwent MDR (group A) and patients who underwent LMH (group B).
Group B patients required less analgesia in the first 24 h than group A patients. Conversely, the mean operative time and postoperative hospital stay were shorter in group A. Early postoperative complication rates and the time until return to work did not differ significantly between the two groups. During follow-up, recurrences developed in three patients from group A and four from group B. The cost of MDR was significantly less than that of LMH.
Both MDR and LMH resulted in rapid recovery and low recurrence rates; however, the advantage of the MDR lies in the fact that it does not require mesh, so it is much less expensive.
比较两种腹股沟疝无张力修补技术：莫洛尼缝补修补术（MDR）和利希滕斯坦网片修补术（LMH）。
本研究的对象是2000年1月至2006年1月期间在我们诊所接受开放腹股沟疝修补术的732例患者中的651例。我们评估并比较了接受MDR的患者（A组）和接受LMH的患者（B组）在术后24小时内的镇痛需求、手术时间、住院时间、术后早期并发症、恢复工作的时间以及复发情况。
B组患者在术后24小时内所需的镇痛药物比A组患者少。相反，A组的平均手术时间和术后住院时间较短。两组术后早期并发症发生率和恢复工作的时间没有显著差异。在随访期间，A组有3例患者复发，B组有4例患者复发。MDR的费用明显低于LMH。
MDR和LMH均能使患者快速康复且复发率低；然而，MDR的优势在于它不需要网片，因此费用要低得多。
