Peker Kemal, Isik Arda, Inal Abdullah, Demiryilmaz Ismail, Yilmaz Ismayil, Emiroglu Mustafa
Department of General Surgery, Erzincan University Erzincan, Turkey.
Department of General Surgery, Tepecik Training Research Hospital Izmir, Turkey.
Int J Clin Exp Med. 2014 Feb 15;7(2):363-9. eCollection 2014.
Inguinal hernia repair is the most common surgical procedure performed by general surgeons worldwide. The Lichtenstein tension-free hernioplasty was first introduced in 1984 and evolved through 1988. Today it is the gold standard in hernia repair. The objective of this study was to determine if intra-abdominal and anal pressures changed in patients with inguinal hernias after Lichtenstein hernioplasties were performed.
A sample of 103 individuals, 92.2% of whom were male (n = 95) and 7.8% of whom were female (n = 8), aged 38.38 ± 14.03 years was used. The sample was divided into two groups: those with inguinal hernia (n = 53) and those without hernia (n = 50), who served as controls. Anal and abdominal manometric measurements were taken from each control patient at baseline and from each study patient before and after surgical repair.
Data analysis revealed differentiation of abdominal and anal pressures between the controls, the study patients before operation, and the study patients after operation. The average [SD] abdominal pressure was -2.58 mmHg [5.35] before hernia repair and 2.33 mmHG [3.62] after repair. The average [SD] abdominal pressure in the control group was 1.16 mmHg [1.96].
The Lichtenstein tension-free hernioplasty causes increases in abdominal and anal pressures, but this increase is not of a pathological level.
腹股沟疝修补术是全球普通外科医生实施的最常见的外科手术。利chtenstein无张力疝修补术于1984年首次引入，并在1988年不断发展。如今，它是疝修补术的金标准。本研究的目的是确定在实施利chtenstein疝修补术后，腹股沟疝患者的腹内压和肛管压力是否发生变化。
使用了103名个体的样本，其中92.2%为男性（n = 95），7.8%为女性（n = 8），年龄为38.38±14.03岁。样本分为两组：腹股沟疝患者（n = 53）和无疝患者（n = 50），后者作为对照组。在基线时对每个对照患者以及在手术修复前后对每个研究患者进行肛管和腹部压力测量。
数据分析显示，对照组、术前研究患者和术后研究患者之间的腹部和肛管压力存在差异。疝修补术前平均[标准差]腹内压为-2.58 mmHg [5.35]，修补术后为2.33 mmHg [3.62]。对照组的平均[标准差]腹内压为1.16 mmHg [1.96]。
利chtenstein无张力疝修补术会导致腹内压和肛管压力升高，但这种升高未达到病理水平。
