Ersoz Feyzullah, Culcu Serdar, Duzkoylu Yigit, Bektas Hasan, Sari Serkan, Arikan Soykan, Deniz Mehmet Mehdi
Istanbul Education and Research Hospital, General Surgery Clinic, Istanbul, Turkey.
Surg Res Pract. 2016;2016:8041515. doi: 10.1155/2016/8041515. Epub 2016 Apr 21.
Aim. Although inguinal hernia repair is the most frequently performed surgical procedure in the world, the best repair method has not gained acceptance yet. The ideal repair must be safe, simple, and easy to perform and require minimal dissection which provides enough exploration, maintain patient's comfort in the early stage, and also be cost-effective, reducing operation costs, labor loss, hospital stay, and recurrence. Materials and Methods. There were eighty-five patients between the ages of 18 and 75, diagnosed with inguinal hernia in our clinic. Lichtenstein procedure for hernia repair was performed under spinal anesthesia in all patients. Forty-two patients had the standard procedure and, in 43 patients, the polypropylene mesh was used without fixation. All patients were examined and questioned on the 7th day of the operation in terms of pain, scrotal edema, and the presence of seroma and later on in the 6th postoperative month in terms of paresthesia, neuropraxia, and recurrence by a single physician. Results. Operative time and pain scores in the nonfixation group were significantly lower, without any increase in rates of recurrence. Conclusion. Based on these findings, in Lichtenstein hernia repair method, nonfixation technique can be used safely with better results.
目的。尽管腹股沟疝修补术是世界上最常施行的外科手术，但最佳的修补方法尚未得到认可。理想的修补术必须安全、简单且易于实施，需要最少的解剖操作，同时能提供足够的探查，在早期保持患者舒适，并且具有成本效益，能降低手术成本、劳动力损失、住院时间和复发率。材料与方法。我们诊所诊断出85例年龄在18至75岁之间的腹股沟疝患者。所有患者均在脊髓麻醉下进行利chtenstein疝修补术。42例患者采用标准手术，43例患者使用聚丙烯补片但未固定。所有患者在术后第7天接受检查并就疼痛、阴囊水肿和血清肿情况接受询问，术后第6个月由同一位医生就感觉异常、神经失用和复发情况进行询问。结果。未固定组的手术时间和疼痛评分显著更低，且复发率没有任何增加。结论。基于这些发现，在利chtenstein疝修补术中，不固定技术可以安全使用且效果更好。
