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比较低密度和高密度补片治疗双侧腹股沟疝患者的随机临床试验

Randomized Clinical Trial Comparing Low Density High Density Meshes in Patients with Bilateral Inguinal Hernia.

作者信息

Carro Jose Luis Porrero, Riu Sol Villar, Lojo Beatriz Ramos, Latorre Lucia, Garcia Maria Teresa Alonso, Pardo Benito Alcaide, Naranjo Oscar Bonachia, Herrero Alberto Marcos, Cabezudo Carlos Sanchez, Herreras Esther Quiros

出版信息

Am Surg. 2017 Dec 1;83(12):1352-1356.

PMID:29336753
Abstract

We present a randomized clinical trial to compare postoperative pain, complications, feeling of a foreign body, and recurrence between heavyweight and lightweight meshes in patients with bilateral groin hernia. Sixty-seven patients with bilateral hernia were included in our study. In each patient, the side of the lightweight mesh was decided by random numbers table. Pain score was measured by visual analogue scale, on 1st, 3rd, 5th, and 7th postoperative day, and one year after the surgery. There were no statistically significative differences between both meshes in postoperative complications. About differences of pain average, there were statistically significant differences only on the 1st postoperative day (P <0.01) and the 7th postoperative day (P <0.05). In the review after a year, there were no statistically significative differences in any parameter. In our study, we did not find statistically significative differences between lightweight and heavyweight meshes in postoperative pain, complications, feeling of a foreign body, and recurrence, except pain on 1st and 7th postoperative day.

摘要

我们开展了一项随机临床试验,比较双侧腹股沟疝患者使用重磅补片和轻量补片后的术后疼痛、并发症、异物感及复发情况。67例双侧疝患者纳入我们的研究。对每例患者,通过随机数字表决定使用轻量补片的一侧。术后第1天、第3天、第5天、第7天及术后1年采用视觉模拟评分法测量疼痛评分。两种补片术后并发症无统计学显著差异。关于平均疼痛差异,仅在术后第1天(P<0.01)和术后第7天(P<0.05)有统计学显著差异。术后1年复查时,任何参数均无统计学显著差异。在我们的研究中,除术后第1天和第7天的疼痛外,我们未发现轻量补片和重磅补片在术后疼痛、并发症、异物感及复发方面有统计学显著差异。

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Am Surg. 2017 Dec 1;83(12):1352-1356.
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引用本文的文献

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Is mesh pore size in polypropylene meshes associated with the outcome in Lichtenstein inguinal hernia repair: a registry-based analysis of 22,141 patients.聚丙烯网片的网孔大小与李金斯坦腹股沟疝修补术的结局有关吗?基于注册的 22141 例患者的分析。
Hernia. 2024 Aug;28(4):1293-1307. doi: 10.1007/s10029-024-03029-5. Epub 2024 May 1.
2
Definition of Mesh Weight and Pore Size in Groin Hernia Repair: A Systematic Scoping Review of Randomised Controlled Trials.腹股沟疝修补术中网片重量和孔径的定义:随机对照试验的系统综述
J Abdom Wall Surg. 2023 Apr 13;2:11179. doi: 10.3389/jaws.2023.11179. eCollection 2023.
3
Update of the international HerniaSurge guidelines for groin hernia management.
国际疝外科学院腹股沟疝管理指南更新。
BJS Open. 2023 Sep 5;7(5). doi: 10.1093/bjsopen/zrad080.
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Long-term outcomes after Lichtenstein repair using titanium-coated mesh: A retrospective cohort study.使用钛涂层补片行Lichtenstein修补术后的长期结局:一项回顾性队列研究。
Pak J Med Sci. 2021 Jan-Feb;37(1):81-86. doi: 10.12669/pjms.37.1.2694.