Kux M, Fuchsjäger N, Feichter A
Chirurgische Abteilung, St.-Josef-Krankenhaus Wien.
Chirurg. 1994 Jan;65(1):59-62; discussion 63.
209 primary inguinal hernias in patients older than 60 years with high risk for recurrence and for surgery were randomly allocated to Shouldice repair (107 hernias) or Lichtenstein patch (102 hernias). Over a 30 months period there was one recurrence in the Lichtenstein group. The amount of local anesthetic and postoperative pain medication was significantly reduced in the Lichtenstein group, 9.8% of repairs requiring no pain medication at all, and 29.4% none on the first postoperative day. No other hernia repair is as painless, innocuous, and easily performed under local anesthesia as the Lichtenstein patch. Both, Lichtenstein and Shouldice, serve their purpose almost ideally when done correctly.
209例年龄大于60岁、复发风险和手术风险高的原发性腹股沟疝患者被随机分为Shouldice修补术组（107例疝）或Lichtenstein补片修补术组（102例疝）。在30个月的时间里，Lichtenstein组有1例复发。Lichtenstein组局部麻醉药和术后止痛药的用量显著减少，9.8%的修补术根本不需要止痛药，29.4%的患者术后第一天不需要止痛药。没有其他疝修补术能像Lichtenstein补片修补术那样在局部麻醉下如此无痛、无害且易于操作。Lichtenstein修补术和Shouldice修补术如果操作正确，几乎都能完美地达到治疗目的。
