Palermo Mariano, Acquafresca Pablo A, Bruno Miguel, Tarsitano Francisco
Department of General Surgery, Hospital Nacional Profesor Alejandro Posadas, Buenos Aires, Argentina.
Arq Bras Cir Dig. 2015 Jul-Sep;28(3):157-60. doi: 10.1590/S0102-67202015000300002.
Inguinal hernia repair is the most common procedure in general surgery and 80,000 operations are performed annually in Great Britain, 100,000 in France and 700,000 in the US. Given its high frequency has a major impact, both in the medical and economic aspects.
Analyze the immediate postoperative complications comparing mesh versus non mesh hernioplasty.
Randomized control trial, with the enrollment of 263 patients underwent surgery for inguinal hernia randomized by randomization table. Treatment (mesh, Lichtenstein or without mesh, Bassini technique) was assigned using sequentially numbered opaque envelopes having fulfilled the inclusion criteria. The variables analyzed were: postoperative pain, seroma, hematoma, infection, return to normal activities and recurrence.
The mean age was 55.5 years, 88% patients were male and 12% female. The pain was higher in patients operated with mesh.
The inguinal hernia repair mesh group had less immediate postoperative complications and significantly earlier return to work than hernioplasty without mesh, this being one of the most important conclusions.
腹股沟疝修补术是普通外科最常见的手术，在英国每年进行80000例手术，在法国为100000例，在美国为700000例。鉴于其高发性，在医学和经济方面都有重大影响。
比较使用补片与不使用补片的疝修补术的术后即刻并发症。
随机对照试验，通过随机数字表将263例行腹股沟疝手术的患者随机分组。使用已满足纳入标准的顺序编号不透明信封分配治疗方法（补片，Lichtenstein术式或不使用补片，Bassini术式）。分析的变量包括：术后疼痛、血清肿、血肿、感染、恢复正常活动情况及复发情况。
平均年龄为55.5岁，88%为男性患者，12%为女性患者。使用补片手术的患者疼痛更严重。
腹股沟疝修补补片组术后即刻并发症更少，恢复工作明显早于未使用补片的疝修补术，这是最重要的结论之一。
