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Lichtenstein 或 darn 手术治疗腹股沟疝修补术:前瞻性随机对照研究。

Lichtenstein or darn procedure in inguinal hernia repair: a prospective randomized comparative study.

机构信息

Kartal Research and Education Hospital, Petrol-is mh. Sh. Dursun Bakan Sk. Hilal Sit. A Blok D:21, 34862 Kartal, Istanbul, Turkey.

出版信息

Hernia. 2010 Aug;14(4):357-60. doi: 10.1007/s10029-010-0663-2. Epub 2010 May 12.

DOI:10.1007/s10029-010-0663-2
PMID:20461537
Abstract

BACKGROUND

The aim of this study was to assess the outcome of patients with inguinal hernia where the Moloney darn or Lichtenstein procedure was used as the surgical choice.

METHOD

A herniorrhaphy procedure was performed in a total of 306 patients at our clinic between January 2003 and December 2008. The duration of operations and complication and recurrent rates were compared between the two groups. Hematoma formation, seroma collection, and wound infection were accepted as early complications, whereas chronic pain, loss of sensation at the operation site, and the rejection of mesh were accepted as late complications.

RESULTS

Considering early complications as hematoma formation, the accumulation of seroma and wound infection ratios were similar in the two groups. Loss of sensation at the operation site and chronic pain, which were classified as late complications, were similar in the groups. However, in considering rejection, there were three rejections in the group where mesh was used.

CONCLUSION

The darn repair method is simple, safe, and has similar recurrence rates when compared to the Lichtenstein method in inguinal hernia patients.

摘要

背景

本研究旨在评估使用莫尔尼修补术或李金斯坦手术作为手术选择的腹股沟疝患者的治疗效果。

方法

在 2003 年 1 月至 2008 年 12 月期间,我们诊所对 306 名患者进行了疝修补术。比较了两组手术时间、并发症和复发率。血肿形成、血清肿积聚和伤口感染被认为是早期并发症,而慢性疼痛、手术部位感觉丧失和网片排斥则被认为是晚期并发症。

结果

考虑到早期并发症为血肿形成,两组的血清肿积聚和伤口感染比例相似。术后感觉丧失和慢性疼痛,被归类为晚期并发症,两组也相似。然而,在考虑排斥反应时,使用网片的组中有 3 例排斥反应。

结论

与李金斯坦手术相比,莫尔尼修补术在腹股沟疝患者中操作简单、安全,且复发率相似。

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J Surg Res. 2008 May 15;146(2):225-9. doi: 10.1016/j.jss.2007.06.016. Epub 2007 Sep 18.
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Moloney darn repair versus lichtenstein mesh hernioplasty for open inguinal hernia repair.莫洛尼疝修补术与利chtenstein补片腹股沟疝修补术治疗开放性腹股沟疝修补术的比较。 (注:这里“Lichtenstein”可能拼写有误,常见的是“Lichtenstein”,即李金斯坦,是一种疝修补术名称)
Surg Today. 2007;37(11):958-60. doi: 10.1007/s00595-007-3543-3. Epub 2007 Oct 25.
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Risk of recurrence 5 years or more after primary Lichtenstein mesh and sutured inguinal hernia repair.
开放式无张力修补术与开放式网片修补术治疗腹股沟疝的系统评价和meta 分析:随机和非随机研究。
Hernia. 2019 Jun;23(3):523-539. doi: 10.1007/s10029-019-01892-1. Epub 2019 Jan 28.
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Cochrane Database Syst Rev. 2018 Sep 13;9(9):CD011517. doi: 10.1002/14651858.CD011517.pub2.
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Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature.腹股沟疝修补术后慢性疼痛评估的一致性:文献综述
Eur Surg Res. 2017;58(1-2):1-19. doi: 10.1159/000448706. Epub 2016 Aug 27.
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Hernia. 2016 Oct;20(5):675-9. doi: 10.1007/s10029-016-1529-z. Epub 2016 Aug 13.
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A detailed analysis of outcome reporting from randomised controlled trials and meta-analyses of inguinal hernia repair.对腹股沟疝修补术随机对照试验和荟萃分析的结局报告进行详细分析。
Hernia. 2015 Feb;19(1):65-75. doi: 10.1007/s10029-014-1299-4. Epub 2014 Aug 12.
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Recurrence of inguinal herniae following removal of infected prosthetic meshes: a review of the literature.感染性假体网片取出后腹股沟疝的复发:文献复习。
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