Clinical effectiveness and safety analysis of three different surgical repairs for inguinal hernia
Objective To compare the efficacy and safety of Lichtenstein tension-free hernia repair(Lichtenstein),mesh-plug hernia repair(Rutkow)and preperitoneal hernia repair(Kugel)for inguinal hernia.Methods 60 adult patients with inguinal hernia were divided into Lichtenstein group,Rutkow group,and Kugel group according to the different surgical repairs,with 20 cases in each group.The clinical indicators(operation time,postoperative ambulation time,hospitalization time),the occurrence of early postoperative complications,the pain level at different postoperative times,postoperative recurrence rate and foreign body sensation after 2 years of follow-up were compared among the three groups.Results The mean operation time of Lichtenstein group,Rutkow group,and Kugel group were(65.2±10.3),(58.6±9.5)and(72.1±11.2)min,the mean postoperative ambulation time were(12.8±3.1),(10.4±2.6)and(14.2±3.5)h,and the mean hospitalization time were(5.6±1.2),(4.9±1.0)and(6.2±1.4)d,there was a significant difference among the three groups(P<0.05).The incidence of early postoperative complications in Kugel group was 5.00%,which was slightly lower than that in Lichtenstein group(10.00%)and Rutkow group(10.00%),but there was no significant difference(P>0.05).1 day after surgery,VAS scores in Lichtenstein group,Rutkow group and Kugel group were(4.13±1.02),(4.22±1.33)and(3.91±1.40)points,and there was no significant difference(P>0.05).1 month after surgery,the visual analogue scale(VAS)scores in Lichtenstein group and Kugel group were(2.31±0.41)and(2.26±0.57)points,which were lower than Rutkow group's(3.16±0.92)points.6 months after surgery,VAS scores in Lichtenstein group and Kugel group were(1.02±0.97)and(0.97±0.82)points,which were significantly lower than Rutkow group's(1.91±1.55)points(P<0.05).After 2 years of follow-up,there was no significant difference in recurrence rate among the three groups(P>0.05);but the percentage of foreign body sensation(60.00%)in Rutkow group was significantly higher than that in Lichtenstein group(5.0%)and Kugel group(10.0%)(P<0.05).Conclusion The efficacy and complications of Lichtenstein,Rutkow and Kugel are almost similar in the treatment of inguinal hernia,and different regimens should be adopted according to different cases.
万方数据
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