Prospective study on the Lichtenstein's tension-free repair of strangulated inguinal hernia in primary hospitals

doi:10.3877/cma.j.issn.1674-0793.2010.03.014

Abstract

Abstract:

Objective

To explore the effects and feasibility of the Lichtenstein's tension-free repair of strangulated inguinal hernia in primary hospitals.

Methods

The strangulated inguinal hernia cases were randomly divided into treatment group (Lichtenstein's tension-free repair with Gore-Tex patches) and control group (conventional surgery) from May 2007 to December 2009. The operation time, the days of stay and the relapse rate were compared with both groups.

Results

The average operation time, the average length of stay and the relapse rate were obviously diminished in the treatment group (12 cases) than the control group (11 cases), with no increase of local infection rate.

Conclusions

Based on strict surgical treatment, Lichtenstein's tension-free repair of strangulated inguinal hernia is better than conventional surgery. With low price, the tension-free repair with patch is easily to handle and fitted to widely carried out in primary hospitals.

Key words: Inguinal hernia, Tension-free hernioplasty, Prospective study, Primary hospitals

Jun-yan LIU, Chuang-qi CHEN, Hong-lei CHEN. Prospective study on the Lichtenstein's tension-free repair of strangulated inguinal hernia in primary hospitals[J]. Chinese Archives of General Surgery(Electronic Edition), 2010, 04(03): 240-242.

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URL: https://zhptwkxwx.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-0793.2010.03.014

https://zhptwkxwx.cma-cmc.com.cn/EN/Y2010/V04/I03/240

分组		试验组	对照组
例数		12	11
年龄(岁)		45～72(62.3±2.3)	51～69(63.4±2.0)
术前合并症(例)		?	?
?	COPD	2	1
?	冠心病	3	3
?	高血压病	5	4
?	糖尿病	1	0
嵌顿时间(h)		6～24(11.5±3.1)	6～19(12.0±2.7)
疝内容物(例)		?	?
?	小肠	10	10
?	大网膜	2	1

分组		试验组	对照组
例数		12	11
年龄(岁)		45～72(62.3±2.3)	51～69(63.4±2.0)
术前合并症(例)		?	?
?	COPD	2	1
?	冠心病	3	3
?	高血压病	5	4
?	糖尿病	1	0
嵌顿时间(h)		6～24(11.5±3.1)	6～19(12.0±2.7)
疝内容物(例)		?	?
?	小肠	10	10
?	大网膜	2	1

1	吴阶平，裘法祖，吴孟超,等.黄家驷外科学. 7版（中册）.北京:人民卫生出版社, 2008: 1271-1282.
2	李明辉，任志刚，郝临源.无张力疝修补术在基层医院的临床应用与体会.包头医学院学报, 2007, 23(3):270-271.
3	宋家琨，金中奎，李红桥,等.复合平塞补片腹股沟疝修补术115例的临床体会.中华普通外科杂志, 2005, 20(7):417-419.
4	韦伟.腹股沟疝无张力修补术标准化的若干问题讨论.腹部外科, 2004, 17(1):13-14.
5	朱冠庆，葛贻健，任恢,等.腹股沟疝应用Lichtenstein术式42例体会.安徽卫生职业技术学院学报, 2007, 6(4):34-35.

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