Srsen Darko, Druzijanić Nikica, Pogorelić Zenon, Perko Zdravko, Juricić Josko, Kraljević Damir, Krnić Dragan, Bilan Kanito, Mimica Zeljko
Department of Surgery, University Hospital Split and Split University School of Medicine, Split, Croatia.
Hepatogastroenterology. 2008 Nov-Dec;55(88):2112-5.
BACKGROUND/AIMS: An inguinal hernia is a usual medical problem. The golden standard for its treatment is Lichtenstein's repair. But, there are still some dilemmas about inguinal hernia repair technique, including the role of laparoscopy. The aim of this study is to analyze patient's quality of life after Lichtenstein's or laparoscopic inguinal hernia repair.
Retrospective analysis of medical documentation of 216 operated patients during the year 2006 at the Department of digestive surgery, University hospital Split, Croatia using tension free mesh repair procedures: Lichtenstein or laparoscopy (TAPP). Among the other data, the analysis includes use of antibiotic prophylaxis and thrombosis prophylaxis. The quality of life analysis was performed using the Short form 36 questionnaire (SF-36).
We operated 212 (98.15%) males and 4 (1.85%) females. The average age of operated patients was 60.15 +/- 13.98 years. The antibiotic prophylaxis was prescribed to 22 (10.19%) patients with some of risk factors for wound infection. We did not register any secondary wound infection. Thrombosis prophylaxis was prescribed to all patients and there were no complications. The quality of life analysis showed no statistically significant differences between Lichtenstein and laparoscopic procedure with slightly better results for laparoscopic procedure in some of the SF-36's domains.
There are no differences in quality of life between the patients operated with Lichtenstein or laparoscopic procedure. Despite that, we believe that laparoscopy has its place for inguinal hernia repair especially for recurrent and bilateral hernias.
背景/目的：腹股沟疝是一种常见的医学问题。其治疗的金标准是李金斯坦修补术。但是，关于腹股沟疝修补技术仍存在一些困境，包括腹腔镜的作用。本研究的目的是分析李金斯坦修补术或腹腔镜腹股沟疝修补术后患者的生活质量。
回顾性分析2006年克罗地亚斯普利特大学医院消化外科216例接受手术患者的医疗记录，采用无张力网片修补手术：李金斯坦修补术或腹腔镜完全腹膜外疝修补术（TAPP）。除其他数据外，分析还包括抗生素预防和血栓形成预防的使用情况。使用简短健康调查问卷（SF-36）进行生活质量分析。
我们共为212例（98.15%）男性和4例（1.85%）女性实施了手术。手术患者的平均年龄为60.15±13.98岁。22例（10.19%）有伤口感染危险因素的患者接受了抗生素预防。我们未记录到任何继发性伤口感染。所有患者均接受了血栓形成预防，且无并发症发生。生活质量分析显示，李金斯坦修补术和腹腔镜手术之间在统计学上无显著差异，在SF-36的某些领域中，腹腔镜手术的结果略好。
接受李金斯坦修补术或腹腔镜手术的患者在生活质量方面没有差异。尽管如此，我们认为腹腔镜手术在腹股沟疝修补中仍有其应用价值，尤其是对于复发性和双侧疝。
