Prolene Hernia System, Lichtenstein mesh and plug-and-patch for primary inguinal hernia repair: 3-year outcome of a prospective randomised controlled trial

Dalenbäck, Jan; Andersson, Carina; Anesten, Bengt; Björck, S; Eklund, Stefan; Magnusson, O.; Rimbäck, Gunnar; Stenquist, Bo; Wedel, Nancy

doi:10.1007/s10029-008-0443-4

Cited by 49 publications

(42 citation statements)

References 18 publications

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“…No recurrence was encountered during a mean follow up period of 26 months. These results are comparable to results of many other studies [20] [21]. When comparing UHS with the classic Lichtenstein repair of inguinal hernia, many studies showed equivalent results for both techniques regarding intra and post-operative complications, length of hospital stay, duration of analgesics use, and time to return to usual activities [10] [11] [22].…”

Section: Discussionsupporting

confidence: 82%

“…When comparing UHS with the classic Lichtenstein repair of inguinal hernia, many studies showed equivalent results for both techniques regarding intra and post-operative complications, length of hospital stay, duration of analgesics use, and time to return to usual activities [10] [11] [22]. Regarding operative time, some studies showed shorter operative time for UHS [20] [23]; other studies had longer operative time for UHS compared to Lichtenstein repair [24].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ultra-Pro Hernia System for Repair of Primary Complex Inguinal Hernia: Should It Be the Technique of Choice?

El-Bakary¹,

Bouchiba²,

Elakkad³

et al. 2017

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Ultra-Pro Hernia System for Repair of Primary Complex Inguinal Hernia: Should It Be the Technique of Choice?

El-Bakary¹,

Bouchiba²,

Elakkad³

et al. 2017

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“…Performance of Lichtenstein inguinal hernia surgery under local anesthesia as a day-case surgery is accepted as the standard policy in many specialized and non-specialized centers [1,[9][10][11][12]. The advantages of local anesthesia over general anesthesia are well documented with regard to less postoperative pain, lack of detrimental effect on pulmonary function, early mobilization helping to day-case surgery facilities [5,10,13,14].…”

Section: Discussionmentioning

confidence: 99%

“…The advantages of local anesthesia over general anesthesia are well documented with regard to less postoperative pain, lack of detrimental effect on pulmonary function, early mobilization helping to day-case surgery facilities [5,10,13,14]. In general, it was accepted that excellent outcomes in primary hernia repair could be achieved by using tension free open technique with local anesthesia [4,15].…”

Section: Discussionmentioning

confidence: 99%

“…Definition of chronic pain relies on its chronicity lasting usually more than 3 months; however, there are several reports with different definitions of chronic pain indicating difficulty in classification, grading and measurement [1,2,10,21]. Patient-reported outcomes such as pain were believed to be an important index for improving outcomes in hernia surgery [8].…”

Section: Discussionmentioning

confidence: 99%

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İnguinal herninin günübirlik cerrahisi: Cerrahi asistanları tarafından lokal anestezi altında gerçekleştirilen Lichtenstein inguinal herni onarımı

Subasi¹,

Yücel²,

Hasbahçeci³

et al. 2016

Archives of Clinical and Experimental Medicine

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Aim: Lichtenstein inguinal hernia repair with local anesthesia as a day-case surgery is one of aspects of education in inguinal hernia surgery as a surgical training program. In this study, we aimed to present these surgery performed by residents. Material and Methods: Forty years and older male patients diagnosed as primary inguinal hernia were included prospectively between June 2009 and March 2011. Surgical outcomes with respect to recurrence and chronic postoperative pain were studied. Results: There were 151 patients with a mean age of 55.7±10.8. Intraoperative evaluation revealed direct in 84 (55.6%), indirect in 58 (38.4%) and combined hernia in nine (6.0%). Mean operation time was 51.2±13.2 minutes which was significantly higher in obese patients (p<0.05). Patients were discharged at postoperatively eight hours or less in 143 (94.7%). Most of the patients (90.7%) were reported to choose local anesthesia again. Eleven and four patients reported pain scores of 0.23±0.7 (range 0-4) and 0.07±0.4 (range 0-3) at 6th and 12th month evaluations, respectively. At the postoperative 1st day, 137 (90.7%) patients could return to daily activities. There were 28 (18.5%) hematoma and seroma formation, and 18 (11.9%) wound infection. There was no mesh reaction; however, two (1.3%) recurrences were detected after one year of the operation. Conclusion: Lichtenstein inguinal hernia repair under local anesthesia as a day case surgery should be chosen as a primary treatment method, and can be performed by surgical residents under supervision in a safe manner. Keywords: Hernia repair, Local anesthesia, Day-case surgery Öz Amaç: Lokal anestezi ile günü birlik cerrahi olarak uygulanan Lichtenstein inguinal herni onarımı, cerrahi eğitim programı kapsamın yapılan eğitimlerin başında gelmektedir. Bu çalışmada, asisten hekimlerin yaptığı bu ameliyatı incelemeyi amaçladık. Gereç ve Yöntemler: Primer inguinal herni tanısı alan 40 yaş ve üstü erkek hastalar, Haziran 2009-Mart 2011 arasında ileriye dönük olarak çalışmaya dahil edildi. Tekrarlama ve kronik postoperatif ağrı açısından cerrahi sonuçlar çalışıldı. Bulgular: Yaş ortalaması 55,7±10,8 olan 151 hasta vardı. İntraoperatif değerlendirme 84 (%55,6) direk fıtık, 58 (%38,4) indirekt ve dokuz (%6,0) direk-indirekt fıtık birlikteliği vardı. Ortalama operasyon süresi 51,2 ±13,2 dakikaydı ve bu obez hastalarda anlamlı derecede yüksekti (p<0,05). Postoperatif dönemde 143 (%94,7) hasta, ilk sekiz saat içinde taburcu edildi. Hastaların çoğu (%90,7) lokal anesteziyi tekrar seçeceğini ifade etti. Onbir hastanın ağrı skoru 6. ve 12. ay değerlendirmelerinde 0,23±0,7 (dağılım 0-4) ve 0,07±0,4 (dağılım 0-3) olarak tespit edildi. Postoperatif 1. günde, 137 (%90,7) hasta günlük aktivitelerine geri döndü. 28 (%18,5) hematom ve seroma oluşumu ve 18 (%11,9) yara enfeksiyonu vardı. Mesh reaksiyonu saptanmadı; Ancak bir yıl operasyondan sonra iki (%1.3) rekürrens tespit edildi. Sonuç: Lichtenstein inguinal herni onarımı, lokal anestezi altında günlük cerrahi girişim olarak birincil tedavi yön...

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More Recurrences After Hernia Mesh Fixation With Short-term Absorbable Sutures

Novik

Nordin²,

Skullman³

et al. 2011

Arch Surg

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Prolene Hernia System, Lichtenstein mesh and plug-and-patch for primary inguinal hernia repair: 3-year outcome of a prospective randomised controlled trial

Cited by 49 publications

References 18 publications

Ultra-Pro Hernia System for Repair of Primary Complex Inguinal Hernia: Should It Be the Technique of Choice?

Ultra-Pro Hernia System for Repair of Primary Complex Inguinal Hernia: Should It Be the Technique of Choice?

İnguinal herninin günübirlik cerrahisi: Cerrahi asistanları tarafından lokal anestezi altında gerçekleştirilen Lichtenstein inguinal herni onarımı

More Recurrences After Hernia Mesh Fixation With Short-term Absorbable Sutures

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