Hulme-Moir M, Kyle S
Department of General Surgery, Taranaki Base Hospital, New Plymouth, New Zealand.
Aust N Z J Surg. 1998 Nov;68(11):801-3. doi: 10.1111/j.1445-2197.1998.tb04681.x.
This study was undertaken to assess the outcome of Lichtenstein's tension-free mesh inguinal herniorrhaphy as practised by surgeons in a provincial centre in Taranaki, New Zealand.
A prospective audit was carried out on all patients who underwent this procedure in Taranaki. They were followed up at 1 month and again at 1 year. Results were entered on a standardized pro forma.
One hundred and twenty-four patients underwent 134 repairs by four different surgeons and their registrars. Eighty-two per cent of them had a general anaesthetic, and 13% had local anaesthestic. Twenty-five per cent of the repairs were performed as day surgery and a further 53% required overnight stays. Complication rates were 6% in hospital, 12.7% at I month and 8% at 1 year. Recurrence occurred in one repair (0.9%) and there were no cases of mesh rejection. The wound infection rate was 3% and all were minor. Only 45% of the patients who had an inguinal hemiorrhaphy were employed and they took an average of 16 days (range 2-30) to return to work. Over half felt that that they could have returned to normal activities within 2 weeks.
The Lichtenstein technique of inguinal herniorrhaphy is a technically simple, reliable procedure with minimal morbidity and patients may expect a reasonably prompt return to work and to normal activities.
本研究旨在评估新西兰塔拉纳基一个省级中心的外科医生所施行的利希滕斯坦无张力疝修补术的治疗效果。
对塔拉纳基所有接受该手术的患者进行前瞻性审计。在术后1个月和1年时对他们进行随访。结果记录在标准化表格上。
124例患者接受了4位不同外科医生及其住院医生进行的134次修补手术。其中82%接受全身麻醉，13%接受局部麻醉。25%的修补手术作为日间手术进行，另有53%的患者需要过夜住院。住院并发症发生率为6%，1个月时为12.7%，1年时为8%。1例修补手术（0.9%）出现复发，无补片排斥病例。伤口感染率为3%，均为轻度感染。接受腹股沟疝修补术的患者中只有45%有工作，他们平均需要16天（2 - 30天）恢复工作。超过半数的患者认为他们可以在2周内恢复正常活动。
利希滕斯坦腹股沟疝修补术技术简单、可靠，发病率极低，患者有望较快恢复工作和正常活动。
