Memon Gulshan Ali, Shah Syed Kashif Ali
Gulshan Ali Memon, FRCS, MS. Professor and Dean Surgery and Allied, Department of General Surgery, Peoples University of Medical and Health Sciences for Women (PUMHS), Nawabshah, Sindh, Pakistan.
Syed Kashif Ali Shah, MS. Senior Registrar, Department of General Surgery, Peoples University of Medical and Health Sciences for Women (PUMHS), Nawabshah, Sindh, Pakistan.
Pak J Med Sci. 2017 May-Jun;33(3):699-702. doi: 10.12669/pjms.333.13257.
BACKGROUND & OBJECTIVE: The inguinal hernia accounts for 50 percent in old age males. A Lichtenstein type of operation has now become the method of choice in most developed countries but in the developing world traditional simple suture repair is still in common practice in resource limited hospitals due to the scarcity and expensive nature of the commercial prosthetic mesh. Our objective was to compare the rates of complications in Lichtenstein repair to tension free Darn repair.
Ninety two male patients from 20-60 years of age reported for direct or indirect inguinal hernia with open Mesh/Lichtenstein or darn repair in emergency or electively from January 2014 to December 2015 were enrolled in this prospective randomized control trial (RCT). The primary end point was to compare the surgical site infection, length of hospital stay and hernia recurrence with different techniques.
The hospital stay was higher in patients who had Lichtenstein repair, Superficial surgical site infections in cohort A (6.5%) and cohort B (4.36%)were noted. Complications of recurrence in Group-A were (1.5%) as compared to Group-B which had a recurrence of 6.52%.
Lichtenstein is more promising in comparison to Darn repair in terms of recurrence in inguinal hernia.
腹股沟疝在老年男性中占比50%。在大多数发达国家，李金斯坦式手术现已成为首选方法，但在发展中国家，由于商业人工补片稀缺且昂贵，资源有限的医院仍普遍采用传统的简单缝合修补术。我们的目的是比较李金斯坦修补术与无张力缝补术的并发症发生率。
本前瞻性随机对照试验（RCT）纳入了2014年1月至2015年12月期间因直接或间接腹股沟疝前来就诊的92例20 - 60岁男性患者，他们接受了开放式补片/李金斯坦修补术或缝补术，手术方式选择急诊或择期。主要终点是比较不同技术下的手术部位感染、住院时间和疝复发情况。
接受李金斯坦修补术的患者住院时间更长。A组（6.5%）和B组（4.36%）均出现了浅表手术部位感染。A组的复发并发症为（1.5%），而B组的复发率为6.52%。
就腹股沟疝复发而言，李金斯坦修补术比缝补术更具优势。
