Department of General Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Midwifery and Nursing School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
BMC Surg. 2024 Aug 5;24(1):222. doi: 10.1186/s12893-024-02513-0.
To assess the effectiveness of a modified Lichtenstein Repair combined with Herniorrhaphy in reducing postoperative chronic pain and enhancing recovery and quality of life in inguinal hernia patients.
This retrospective study, conducted at the Taleghani training center between January 2021 and February 2023, retrospectively examined 289 hernia surgeries, of which 130 employed a modified Lichtenstein technique. The investigation encompassed a detailed analysis of patient demographics, employed surgical techniques, operative methods with a focus on minimal dissection, and an evaluation of postoperative outcomes.
In this study of 289 participants, primarily males aged 60-80 years, the modified technique group demonstrated a notably lower incidence of hernia recurrence (1.5%) compared to the Lichtenstein group (3.1%). Additionally, the modified technique was more effective in reducing postoperative pain, with a significantly lower mean Visual Analogue Scale (VAS) score of 0.15, compared to 0.31 in the Lichtenstein group. This suggests enhanced patient comfort and a potentially quicker recovery in the modified technique group.
The modified Lichtenstein hernioplasty technique, characterized by minimal tissue trauma and precise mesh placement, emerges as an effective approach in inguinal hernia repair. It offers significant benefits in reducing postoperative discomfort and chronic pain, thereby enhancing patient recovery and overall quality of life. This method aligns with current surgical trends towards patient-centric and minimally invasive procedures.
评估改良的 Lichtenstein 修补术联合疝修补术在减少术后慢性疼痛、促进腹股沟疝患者康复和提高生活质量方面的有效性。
本回顾性研究于 2021 年 1 月至 2023 年 2 月在 Taleghani 培训中心进行，回顾性检查了 289 例疝手术，其中 130 例采用改良 Lichtenstein 技术。该研究详细分析了患者的人口统计学特征、所采用的手术技术、手术方法（重点是最小程度的解剖）以及术后结果。
在这项研究中，289 名参与者主要为 60-80 岁的男性，改良技术组的疝复发率（1.5%）明显低于 Lichtenstein 组（3.1%）。此外，改良技术在减轻术后疼痛方面更为有效，其平均视觉模拟评分（VAS）显著较低，为 0.15，而 Lichtenstein 组为 0.31。这表明改良技术组患者的舒适度更高，康复速度可能更快。
改良的 Lichtenstein 疝修补术技术具有组织创伤小和精确放置补片的特点，是一种有效的腹股沟疝修补方法。它在减轻术后不适和慢性疼痛方面具有显著优势，从而促进了患者的康复和整体生活质量。这种方法符合当前以患者为中心和微创的手术趋势。
