Comparative study of different location of plain meshes in tension free repair of adult indirect inguinal hernia

VernacularTitle:不同部位无张力修补成人腹股沟斜疝的回顾性比较研究
Author: Xuehui CHU ; Gang CHEN ; Kai ZHANG
Publication Type:Journal Article
Keywords: Hernia,inguinal; Retrospective studies; Herniorrhaphy
From: International Journal of Surgery 2012;39(9):584-587
CountryChina
Language:Chinese
Abstract: Objective To compare the surgical outcome of Lichtenstein,open preperitoneal technique and double-laver mesh technique in tension free repair of incarcerated inguinal hernia.Methods Totally 438 cases of indirect inguinal hernia in our hospital were retrospectively analyzed from January 2008 to January 2012,io which 154 patients received Lichtenstein,186 patients received open preperitoneal technique and 98 patients received double-layer mesh technique.Results The recurrence rates of these three groups were low,0.65％,0.54％,0,respectively,and there was no significant difference in the recurrence rate between these 3 groups (P ＞0.05),but significant difference in the foreign body sensation and postoperative pain between the open preperitoneal technique group and the other two groups(P ＜ 0.05),and the cost of the double-layer mesh technique group was ahout 2000 yuan higher than the other two groups.Conclusion The open preperitoneal technique can reduce the postoperative pain and foreign body sensation after surgery with low cost,and it is a good choice for inguinal hernia repair.