Lichtenstein, prolene hernia system, and UltraPro Hernia System for primary inguinal hernia repair: one-year outcome of a prospective randomized controlled trial.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
J MagnussonA Thorell

Abstract

The optimal technique for open inguinal hernia repair is yet to be determined. Three hundred and nine male patients [median of 60 years (range, 31-75)] undergoing primary open inguinal hernia repair in local anesthesia and day-care surgery were randomly allocated to operation with the Lichtenstein technique (L), Prolene Hernia System (PHS), or UltraPro Hernia System (UHS). [Median (IQR)] There were no differences in operating time [47 (40-58) vs. 50 (40-57) and 50 (42-56) min in groups L, PHS, and UHS, respectively], intra- or postoperative complications, time until return to normal workload (8 (4-14) vs. 9 (4-14), and 8 (4-14) days) or occurrence of chronic pain at 12 months (15 vs. 12, and 13 patients). Self-reported physical quality of life (SF-36) was reduced compared to matched controls preoperatively and increased similarly to levels not different from controls in all groups at 12 months postoperatively. There was one recurrence in each group during the follow-up period. The Lichtenstein technique, PHS, and UHS seem all acceptable approaches for open inguinal hernia repair in local anesthesia and day-care surgery regarding perioperative course, rehabilitation, complications, recurrence rates, development of chronic groin ...Continue Reading

References

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Jul 29, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M P SimonsM Miserez

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Citations

Jul 25, 2012·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Pandanaboyana SanjayJohn A Windsor
Oct 9, 2015·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K AndresenJ Rosenberg
Dec 3, 2017·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J MagnussonA Thorell
Dec 11, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K RanY Zhao

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