Jaiswal Lt Col Shyam S, Chaudhry Brig Rajan, Agrawal Maj Amit
Department of Surgery, Armed Forces Medical College, Pune, 411 040 India.
Indian J Surg. 2009 Apr;71(2):84-8. doi: 10.1007/s12262-009-0022-7. Epub 2009 May 2.
The Lichtenstein mesh hernioplasty is currently the most popular operative technique for open repair of inguinal hernia. The incidence of chronic groin pain (CGP) following this procedure is reported to be high. However, since our experience did not support this observation, this study was undertaken at our centre, to assess the incidence of CGP following Lichtenstein mesh hernioplasty.
A prospective study was conducted on all patients undergoing elective hernia repair at a tertiary care teaching hospital. The patients underwent Lichtenstein mesh hernioplasty and were followed up for the primary outcome measures of development of recurrence and Chronic Groin Pain.
A total of 470 patients were enrolled for the study. Out of these 16 patients never reported for follow up after discharge from hospital. The remaining 454 patients with 510 primary inguinal hernias were included in the study. Of these 449 patients were male and 5 were female. The mean follow-up period was 14 months (range - six months to twenty four months). One patient had recurrence of hernia and CGP was reported in four patients. In all four patients CGP was mild and was well controlled with oral NSAIDS used on SOS basis.
The incidence of CGP in our study is 0.78% for the number of operated hernias. This is not only considerably less than what is generally reported but is also less disabling.
目前，李金斯坦无张力疝修补术是腹股沟疝开放修补术中最常用的手术技术。据报道，该手术后慢性腹股沟疼痛（CGP）的发生率较高。然而，由于我们的经验并不支持这一观察结果，因此我们中心开展了这项研究，以评估李金斯坦无张力疝修补术后CGP的发生率。
对一家三级护理教学医院所有接受择期疝修补术的患者进行了一项前瞻性研究。患者接受了李金斯坦无张力疝修补术，并对复发和慢性腹股沟疼痛的主要结局指标进行了随访。
共有470例患者纳入本研究。其中16例患者出院后未进行随访。其余454例患有510例原发性腹股沟疝的患者被纳入研究。其中男性449例，女性5例。平均随访期为14个月（范围 - 6个月至24个月）。1例患者出现疝复发，4例患者报告有CGP。在所有4例患者中，CGP均为轻度，按需使用口服非甾体抗炎药可得到良好控制。
在我们的研究中，手术疝的CGP发生率为0.78%。这不仅远低于一般报道的发生率，而且致残性也较低。
