Desarda Versus Lichtenstein Technique for Primary Inguinal Hernia Treatment: 3-Year Results of a Randomized Clinical Trial
| Autor: | Stanislaw Pierscinski, Stanisław Dabrowiecki, Zbigniew Szuflet, Marek Jackowski, Maciej Jaworski, Jacek Szopiński |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment External oblique aponeurosis Hernia Inguinal Article law.invention Randomized controlled trial Recurrence law Humans Medicine Single-Blind Method Hernia Herniorrhaphy Aged Pain Postoperative business.industry General surgery Recovery of Function Middle Aged Surgical Mesh Vascular surgery Hernia repair medicine.disease digestive system diseases Surgery stomatognathic diseases Inguinal hernia Treatment Outcome surgical procedures operative Cardiothoracic surgery Chronic Pain business Follow-Up Studies Abdominal surgery |
| Zdroj: | World Journal of Surgery |
| ISSN: | 1432-2323 0364-2313 |
| DOI: | 10.1007/s00268-012-1508-1 |
| Popis: | Background The Shouldice method and other tissue-based techniques are still acknowledged to be acceptable for primary inguinal hernia repair according to the European Hernia Society guidelines. Desarda’s technique, presented in 2001, is an original hernia repair method using an undetached strip of external oblique aponeurosis. This randomized trial compared outcomes after hernia repair with Desarda (D) and mesh-based Lichtenstein (L) techniques. Methods A total of 208 male patients were randomly assigned to the D or L group (105 vs. 103, respectively). The primary outcomes measured were recurrence and chronic pain. Additionally, early and late complications, foreign body sensation, and return to everyday activity were examined in hospital and at 7, 30 days, and 6, 12, 24, and 36 months after surgery. Results During the follow-up, two recurrences were observed in each group (p = 1.000). Chronic pain was experienced by 4.8 and 2.9% of patients from groups D and L, respectively (p = 0.464). Foreign body sensation and return to activity were not different between the groups. There was significantly less seroma production in the D group (p = 0.004). Conclusions The results of primary inguinal hernia repair with the Desarda and Lichtenstein techniques are comparable at the 3-year follow-up. The technique may potentially increase the number of tissue-based methods available for treating groin hernias. |
| Databáze: | OpenAIRE |
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