Abstract | HYPOTHESIS: Surgeons' preferences for any of 3 methods of inguinal hernia repair are comparable in terms of operating time, incision length, perceived difficulty, and surgeon's satisfaction. DESIGN: Randomized patient-blinded study. SETTING: Teaching hospital. PATIENTS: A total of 334 patients randomized to receive 1 of the 3 repairs. INTERVENTIONS: MAIN OUTCOME MEASURES: Operating variables, surgeon's rating of satisfaction and difficulty, grade and experience of the operating team, and complications. RESULTS: The Lichtenstein technique took significantly the longest operating time (52 minutes vs 41 or 42 minutes; P<.001). The mesh plug repair scored the best results in difficulty and satisfaction. Overall, surgeons having performed more than 5 procedures rated the repairs less difficult and with significantly more satisfaction (P<.001 and P = .001, respectively). The complication rate did not differ between the treatment groups. None of the operative findings was correlated to the outcome, except for adverse correlation with the body mass index. CONCLUSION: From a surgeon's point of view, the mesh plug repair is superior to the Lichtenstein technique and the Prolene Hernia System in terms of operating time, incision length, perceived difficulty, and surgeon's satisfaction.
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Authors | Simon Nienhuijs, Barbara Kortmann, Michiel Boerma, Luc Strobbe, Camiel Rosman |
Journal | Archives of surgery (Chicago, Ill. : 1960)
(Arch Surg)
Vol. 139
Issue 10
Pg. 1097-100
(Oct 2004)
ISSN: 0004-0010 [Print] United States |
PMID | 15492151
(Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial)
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Topics |
- Digestive System Surgical Procedures
(education, methods)
- Female
- Hernia, Inguinal
(surgery)
- Hospitals, Teaching
- Humans
- Male
- Middle Aged
- Single-Blind Method
- Surgical Mesh
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