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