Lichtenstein patch or Perfix plug-and-patch in inguinal hernia: A prospective double-blind randomized controlled trial of short-term outcome

Kingsnorth, Andrew; Porter, Christine S.; Bennett, David; Walker, Alisdair J.; Hyland, Michael E.; Sodergren, Samantha

doi:10.1067/msy.2000.104124

Cited by 106 publications

(38 citation statements)

References 21 publications

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“…20,21 The hernias were classified according to the Aachen classification as direct, indirect or combined and the size of the defect estimated in centimetres (the tip of a surgeon's index finger is approximately 1.5 cm in diameter. 22 With the intention to prevent ischaemic orchitis, indirect inguinal sacs were left in situ if they extended beyond the pubic tubercle; these sacs were not excised, but transected at the neck and the proximal end transfixed at the internal ring.…”

Section: Methodsmentioning

confidence: 99%

A prospective study of 1000 hernias: results of the Plymouth Hernia Service

Kingsnorth¹,

Bowley²,

Porter³

2003

Annals of the Royal College of Surgeons of England

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Background: A hernia service within a general hospital was prospectively evaluated to establish whether evidence-based protocols could deliver results comparable to those reported from specialist hernia clinics. Methods: Protocols were devised according to established models. With the support of a nurse specialist, 1015 patients with inguinal hernia were treated. Quality-of-life analysis was undertaken using the Short Form 36. Results: Patients ranged in age from 16-98 years (median, 56 years). Ambulatory day-case surgery was achieved in 820 patients (81%), with local anaesthesia in 891 (88%). Wound infection occurred in 10 patients (0.98%). Wound haematoma requiring surgical intervention occurred in three patients. Two patients formed wound seromas that settled spontaneously. One patient developed ischaemic orchitis resulting in testicular atrophy. At 5 days after operation, 91% of patients had returned to normal activity. At 1 year, 7 patients (0.7%) had pain sufficient to limit normal activity or employment. There were 8 recurrences (0.78%) at a median follow-up of 2.5 years. Quality-of-life was enhanced at 1 year postoperatively. Conclusion: A protocol-driven hernia service within a general hospital can provide patient outcomes comparable to specialist hernia clinics.

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Section: Methodsmentioning

confidence: 99%

A prospective study of 1000 hernias: results of the Plymouth Hernia Service

Kingsnorth¹,

Bowley²,

Porter³

2003

Annals of the Royal College of Surgeons of England

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“…Subsequent randomised trials compared this technique with other flat meshes, plug repairs and light-weight meshes demonstrating equivalence to, but no superiority over, standard flat meshes. [19][20][21][22][23] Fifteen years later, the EHS guidelines recommend the open Lichtenstein and laparoscopic TAPP and TEP techniques (A). A mesh technique should be used in young men (18-30 years) irrespective of the type of inguinal hernia (C).…”

Section: Techniques Of Repairmentioning

confidence: 99%

Hernia Surgery: From Guidelines to Clinical Practice

Kingsnorth

2009

annals

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INTRODUCTION Over the last 30 years, hernia surgery has developed into an evidence-based practice assisted by the development of guidelines. MATERIALS AND METHODS Prior to 1993, best practice in the UK was a nylon darn repair under general anaesthesia as an in-patient with prolonged recovery. The publication of The Royal College of Surgeons of England (RCSE) Guidelines on Groin Hernia Repair stimulated debate and coincided with the introduction of mesh hernioplasty and laparoscopic techniques. Further evolution of hernia management has occurred to enable the production of the European Hernia Society (EHS) guidelines in 2008. RESULTS The EHS guidelines cover all aspects of abdominal wall surgery including: indications for operation; investigations; organising surgical care; techniques; local anaesthesia; after-care, complications and outcome; and information for patients. CONCLUSIONS Surgeons have many choices when selecting an appropriate hernia operation for an individual patient. The EHS guidelines provide a basis for this decision-making.

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“…Of the techniques of open repair, the Lichtenstein procedure 8 , with fixation of polypropylene mesh for a tension-free repair, is the one in greater use currently 3,9 . Laparoscopic herniorrhaphy, on its turn, has been gaining strength lately, as it causes less pain and shorter postoperative recovery time 5,10 .…”

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confidence: 99%

Herniorrafia inguinal convencional com tela autofixante versus videolaparoscópica totalmente extraperitoneal com tela de polipropileno: resultados no pós-operatório precoce

Cunha-e-Silva

Oliveira

Ayres

et al. 2017

Rev. Col. Bras. Cir.

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RESUMO Objetivo: avaliar o resultado no pós-operatório precoce do tratamento da hérnia inguinal pela técnica convencional com tela autofixante versus videolaparoscópica totalmente extraperitoneal com uso da tela de polipropileno. Foram comparados, sobretudo, dor, tempo cirúrgico e complicações precoces. Métodos: estudo prospectivo, de série de casos, realizado na Clínica Cirúrgica A, do Hospital Universitário Gaffrée e Guinle (HUGG), no qual 80 casos consecutivos foram estudados. Apenas pacientes com hérnia inguinal unilateral, não recidivada e operadas em caráter eletivo foram incluídas no estudo. Os pacientes foram divididos em dois grupos, de 40 pacientes cada; grupo AF (técnica convencional com uso de tela autofixante) e grupo VL (técnica videolaparoscópica com uso de tela de polipropileno). Os pacientes foram acompanhados até o 45º dia de pós-operatório. Resultados: dos 80 pacientes operados no estudo, 98,7% pertenciam ao sexo masculino e a maioria era portadora de hérnia inguinal direita indireta (Nyhus II). Não houve diferença entre os grupos estudados no que diz respeito à dor e tempo operatório. No entanto, ocorreram mais complicações (seroma e hematoma) no grupo da cirurgia aberta. Conclusão: as duas operações realizadas se mostraram factíveis, seguras e estão relacionadas à mínima dor pós operatório e a um baixo tempo cirúrgico.

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Lichtenstein patch or Perfix plug-and-patch in inguinal hernia: A prospective double-blind randomized controlled trial of short-term outcome

Cited by 106 publications

References 21 publications

A prospective study of 1000 hernias: results of the Plymouth Hernia Service

A prospective study of 1000 hernias: results of the Plymouth Hernia Service

Hernia Surgery: From Guidelines to Clinical Practice

Herniorrafia inguinal convencional com tela autofixante versus videolaparoscópica totalmente extraperitoneal com tela de polipropileno: resultados no pós-operatório precoce

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