Comparison Of Lichtenstein Repair And Mesh Plug Repair Methods In The Treatment Of Indirect Inguinal Hernia

Aim:Inguinal hernias occur in approximately 3%–8% of the population, especially in men. Methods of hernia repair currently involve prosthetic mesh applications. The aim of this study is to compare the Lichtenstein repair and Mesh-plug repair methods in the surgical treatment of indirect inguinal hernias and to identify which of these two techniques is superior regarding its conferred advantages. Methods:In this study, a total of 102 patients who were diagnosed with indirect inguinal hernia between the years 2014 and 2015 without a previous operation were analyzed. Patients undergoing Lichtenstein repair and Mesh-plug repair were compared, especially during operation time, hospital stay, postoperative pain and other aspects. Results:The mean age of patients was 28.7 years (19 - 73). The mean duration of operations and hospitalizations was significantly shorter in patients who had undergone Mesh-plug repair. Inguinal pain in the operation area on postoperative day 1, 2 weeks and 6 months was significantly less in patients who had undergone mesh plug repair. Patients were followed-up for two years. Conclusion:We concluded that Mesh-plug repair was superior to Lichtenstein repair regarding postoperative pain, quality of life of the patient, shorter duration of operation, and duration of hospital stay although the two methods were similar regarding both recurrence and complication rates. Considering this information, we suggest that Mesh-plug repair can be used safely for the treatment of indirect inguinal hernias.

【研究目的】腹股沟疝（inguinal hernia）在人群中的发病率约为3%~8%，尤其好发于男性群体。当前疝修补术的主流方案为人工补片（prosthetic mesh）植入修复。本研究旨在对比李金斯坦修补术（Lichtenstein repair）与网塞修补术（Mesh-plug repair）在腹股沟斜疝（indirect inguinal hernia）外科治疗中的应用效果，并明确两种术式各自的优势，遴选出更优的手术方案。【研究方法】本研究纳入2014至2015年间确诊为腹股沟斜疝且无既往手术史的102例患者，对接受两种术式的患者进行对比分析，重点考察手术时长、住院时长及术后疼痛等指标。【研究结果】纳入患者的平均年龄为28.7岁，年龄区间为19~73岁。接受网塞修补术的患者，其平均手术时长与住院时长均显著短于李金斯坦修补术组。术后第1天、2周及6个月时，网塞修补术组患者手术区域的腹股沟疼痛程度均显著更低。所有患者均完成了为期2年的随访。【研究结论】尽管两种术式的复发率与并发症发生率无显著差异，但网塞修补术在术后疼痛控制、患者生活质量、手术时长及住院时长方面均优于李金斯坦修补术。基于上述研究结果，我们认为网塞修补术可安全应用于腹股沟斜疝的外科治疗。