Küttel J C, Peterli R, Schüpfer C, Horn R, Muller C, Grötzinger U
Chirurgische Kliniken Spital Uster.
Helv Chir Acta. 1991 May;57(6):931-4.
In a prospective randomized trial we analyzed the perioperative management, complications, and the recurrence rate of inguinal hernia repair using either resorbable (polydioxanone, PDS) or non-absorbable (polyamide, Ethilon) suture material. From January 1988 to June 1989, 484 consecutive transversalis fascia repairs were performed in 425 adult patients with inguinal or femoral hernia. Local anaesthesia was used in 273 cases. At least one year postoperatively, 390 patients with 445 repairs had a clinical follow-up. The recurrence rate after 360 primary herniae was 3.3% (Ethilon 2.3%, PDS 4.3%) while 5.9% rerecurrences were found following operation for recurrent hernia (Ethilon 2.5%, PDS 8.9%). The differences in the recurrence rates following the use of polyamide or polydioxanone were not statistically significant. Complications occurred in 5.2%. The postoperative hospital stay averaged 3.8 days and work was resumed after a mean of 3.9 weeks.
在一项前瞻性随机试验中，我们分析了使用可吸收缝线（聚二氧六环酮，PDS）或不可吸收缝线（聚酰胺，Ethilon）进行腹股沟疝修补术的围手术期管理、并发症及复发率。1988年1月至1989年6月，对425例患有腹股沟疝或股疝的成年患者连续进行了484例腹横筋膜修补术。273例采用局部麻醉。术后至少一年，对390例患者的445次修补术进行了临床随访。360例原发性疝修补术后的复发率为3.3%（Ethilon为2.3%，PDS为4.3%），而复发性疝手术后的复发率为5.9%（Ethilon为2.5%，PDS为8.9%）。使用聚酰胺或聚二氧六环酮后复发率的差异无统计学意义。并发症发生率为5.2%。术后平均住院时间为3.8天，平均3.9周后恢复工作。
