Kovács J B, Görög D, Szabó J, Fehérvári I, Járay J, Perner F
Transplantation and Surgical Clinic of Semmelweis Medical University, Budapest, Hungary.
Acta Chir Hung. 1997;36(1-4):179-81.
The authors conducted a prospective randomized trial to compare the Shouldice and the Bassini-Kirschner technique between April, 1994 and December, 1995. During this period 129 adult patients, mean age 54 (17-87) years underwent operation on primary inguinal hernias in their department. 63 Shouldice and 66 Bassini-Kirschner operations were performed by 17 surgeons. The duration of surgery, the technique of anesthesia, the perioperative complications, the duration of postoperative care, then one year after the operation the recurrence rate and the patient's subjective complains were investigated. 85 patients of 129 were examined one year after the operation in spite of that all the patients were invited for control. Both operations gave almost the same results in the perioperative period and nearly identical recurrence rate (4.44% in Shouldice and 5.0% in Bassini-Kirschner group). The patient's subjective complains were also very similar one year after the operation. The authors could not find significant difference in the results of the two types of surgery although they were well experienced with the Bassini-Kirschner operation and just starting to practice the Shouldice procedure. These facts suggest that having more experience with the Shouldice operation makes available the extreme low recurrence rate published by several authors.
作者进行了一项前瞻性随机试验，以比较1994年4月至1995年12月期间的Shouldice手术和Bassini-Kirschner手术。在此期间，该科室对129例成年原发性腹股沟疝患者进行了手术，患者平均年龄54岁（17 - 87岁）。17名外科医生实施了63例Shouldice手术和66例Bassini-Kirschner手术。对手术时间、麻醉技术、围手术期并发症、术后护理时间、术后一年的复发率以及患者的主观主诉进行了调查。尽管邀请了所有患者进行复查，但129例患者中只有85例在术后一年接受了检查。两种手术在围手术期的结果几乎相同，复发率也几乎相同（Shouldice组为4.44%，Bassini-Kirschner组为5.0%）。术后一年患者的主观主诉也非常相似。尽管作者对Bassini-Kirschner手术经验丰富，而对Shouldice手术刚刚开始实践，但他们并未发现两种手术结果存在显著差异。这些事实表明，对Shouldice手术有更多经验才能实现一些作者所公布的极低复发率。
