Comparison of the effect of two different tension free operations in recurrent inguinal hernia repair

doi:10.3969/j.issn.1006-7795.2018.01.024

Abstract

Abstract: Objective To evaluate the effect of open total extraperitioneal hernoirrhaphy(open TEP) and Lichtenstein tension-free hernioplasty in recurrent inguinal hernia repair.Methods A total of 48 patients presenting as recurrent inguinal hernia from January 2008 to June 2014, who then exposed to either open TEP (group A,n=25) or Lichtenstein (group B,n=23) were retrospectively studied. Outcome was compared between two groups in duration of the operation, blood loss, length of hospital stay (LOS), complications (urinary retention,incisional infection, incisional paresthesia, incisional pain, hematomas, seroma and recurrent hernia).Results There was no statistically significant difference between the two groups in age, sex, body mass index (BMI), duration of the operation, LOS(P>0.05). Statistically significant differences were identified between group A and group B in blood loss[(8.2±2.3)mL vs (23.8±5.5)mL,P<0.05] and total complication (8% vs 39.1%,P<0.05).Conclusion Open TEP is superior to Lichtenstein surgery and more safe and effective for the treatment of recurrent inguinal hernia.

Key words: inguinal hernia, recurrent hernia, open total extraperitioneal hernoirrhaphy (open TEP), tension-free hernioplasty, Lichtenstein

CLC Number:

R656.2⁺1

Li Kai, Xu Guangzhong, Wang Tongsheng, Liu Chen, Zhu Bin. Comparison of the effect of two different tension free operations in recurrent inguinal hernia repair[J]. Journal of Capital Medical University, 2018, 39(1): 138-142.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2018.01.024

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2018/V39/I1/138

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