A randomized prospective trial comparing clinical outcomes 3 years after surgery by Marcy repair and Prolene Hernia System® repair for adult indirect inguinal hernia
| Autor: | Tatsuo Asagoe, Toshio Kanai, Naoki Fujimura, Tomotaka Akatsu, Motohito Nakagawa, Takeshi Nagase, Shun Imai |
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| Jazyk: | angličtina |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Hernia Inguinal Prosthesis law.invention Randomized controlled trial law PHS medicine Humans Tension free Hernia Postoperative Period Prospective Studies Prospective cohort study Herniorrhaphy Prolene Aged Mesh Surgical repair business.industry General surgery General Medicine Middle Aged Surgical Mesh medicine.disease Surgery Inguinal hernia Treatment Outcome Surgical mesh Female Original Article business Follow-Up Studies |
| Zdroj: | Surgery Today |
| ISSN: | 0941-1291 |
| DOI: | 10.1007/s00595-012-0384-5 |
| Popis: | Purpose The use of mesh in the surgical repair of adult indirect inguinal hernias is widely recommended in Western countries, but no randomized controlled trials have so far been reported in Japan. The purpose of the present randomized prospective trial was to compare a mesh method with non-mesh method for surgical repair of primary adult indirect inguinal hernias in which the diameter of the internal inguinal ring was up to 3.0 cm (I-1 or I-2 of Japanese Hernia Society Classification). Methods Patients with a primary unilateral inguinal hernia and I-1 or I-2 surgical findings were randomized to undergo either Marcy repair or Prolene Hernia System® repair. Primary endpoints were recurrence, infection, and pain, with follow-up continued for 3 years postoperatively. Results Ninety-one of 479 patients with an inguinal hernia during the study period did not meet the exclusion criteria, and 46 were allocated to Marcy repair and 45 were allocated to Prolene Hernia System® repair. No recurrence was observed in either group, and no significant differences were identified between the groups in any of the primary endpoints. Conclusion This randomized prospective trial of I-1 and I-2 inguinal hernias suggests that Marcy repair is not inferior to PHS repair. A large-scale randomized controlled trial appears warranted to confirm whether to use mesh for Japanese adult I-1 and I-2 hernias. |
| Databáze: | OpenAIRE |
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