Inguinal hernia: Lichtenstein VS Shouldice technique repair: A randomized controlled trial
Background: Inguinal hernia repair is the most frequent operation in general surgery. The chance of a person having to undergo an inguinal hernia operation during his/her life is quite high, 27 % in men and 3 % in women. European Hernia Society guidelines state that the Lichtenstein technique (mesh-...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Surgery Open Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589845024000022 |
| _version_ | 1797338200748851200 |
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| author | Izadmehr Ahmadinejad Ahmad Jalali Mojtaba Ahmadinejad Ali Soltanian Yasmina Ahamdinejad Alireza Shirzadi Pouria Chaghamirzayi |
| author_facet | Izadmehr Ahmadinejad Ahmad Jalali Mojtaba Ahmadinejad Ali Soltanian Yasmina Ahamdinejad Alireza Shirzadi Pouria Chaghamirzayi |
| author_sort | Izadmehr Ahmadinejad |
| collection | DOAJ |
| description | Background: Inguinal hernia repair is the most frequent operation in general surgery. The chance of a person having to undergo an inguinal hernia operation during his/her life is quite high, 27 % in men and 3 % in women. European Hernia Society guidelines state that the Lichtenstein technique (mesh-based repair) is the standard treatment of elective inguinal hernia in adults. Some authors consider the Shouldice technique (tissue-based repair) the best conventional method for open hernia repair. In this study, we compared these two methods. Methods: In This randomized study, 452 patients were randomly allocated into 2 groups. 51 patients were lost during follow-up period and were excluded from further analysis in the study. Finally, the analyzed patients were 183 patients in Shouldice technique group and 218 patients in Lichtenstein technique group. All patients were examined after 1 week, 1, 3 months, 1, 2, and 3 years after the operation date. Results: After 3 years follow up Recurrence of hernia in Shouldice technique group was 7.1 % and in Lichtenstein technique group was 3 % with significant differences (p-value 0.006). No statistically significant differences were found between the groups in wound infection, Seroma, hematoma, Hydrocele, Bladder damage, chronic pain in the inguinal region, and Patient Satisfaction level after surgery. Conclusion: It seems that inguinal hernia treatment by the Lichtenstein technique is better than the Shouldice technique in elective patients. |
| first_indexed | 2024-03-08T09:27:34Z |
| format | Article |
| id | doaj.art-18ea22ea19c64481b267cf7c78c0799a |
| institution | Directory Open Access Journal |
| issn | 2589-8450 |
| language | English |
| last_indexed | 2024-03-08T09:27:34Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery Open Science |
| spelling | doaj.art-18ea22ea19c64481b267cf7c78c0799a2024-01-31T05:45:26ZengElsevierSurgery Open Science2589-84502024-01-01177074Inguinal hernia: Lichtenstein VS Shouldice technique repair: A randomized controlled trialIzadmehr Ahmadinejad0Ahmad Jalali1Mojtaba Ahmadinejad2Ali Soltanian3Yasmina Ahamdinejad4Alireza Shirzadi5Pouria Chaghamirzayi6Medical Student, Students' Scientific Research Center, Tehran University of Medical Science, Tehran, IranGeneral Physician, Alborz University of Medical Science, Karaj, IranDepartment of Surgery, School of Medicine, Alborz University of Medical Sciences, Karaj, IranDepartment of Surgery, School of Medicine, Alborz University of Medical Sciences, Karaj, IranMedical Student, Students' Scientific Research Center, Shahid Beheshti University of Medical Science, Tehran, IranDepartment of Surgery, School of Medicine, Alborz University of Medical Sciences, Karaj, IranGeneral Physician, Alborz University of Medical Science, Karaj, Iran; Corresponding author at: Alborz University of Medical Science, Karaj, Iran.Background: Inguinal hernia repair is the most frequent operation in general surgery. The chance of a person having to undergo an inguinal hernia operation during his/her life is quite high, 27 % in men and 3 % in women. European Hernia Society guidelines state that the Lichtenstein technique (mesh-based repair) is the standard treatment of elective inguinal hernia in adults. Some authors consider the Shouldice technique (tissue-based repair) the best conventional method for open hernia repair. In this study, we compared these two methods. Methods: In This randomized study, 452 patients were randomly allocated into 2 groups. 51 patients were lost during follow-up period and were excluded from further analysis in the study. Finally, the analyzed patients were 183 patients in Shouldice technique group and 218 patients in Lichtenstein technique group. All patients were examined after 1 week, 1, 3 months, 1, 2, and 3 years after the operation date. Results: After 3 years follow up Recurrence of hernia in Shouldice technique group was 7.1 % and in Lichtenstein technique group was 3 % with significant differences (p-value 0.006). No statistically significant differences were found between the groups in wound infection, Seroma, hematoma, Hydrocele, Bladder damage, chronic pain in the inguinal region, and Patient Satisfaction level after surgery. Conclusion: It seems that inguinal hernia treatment by the Lichtenstein technique is better than the Shouldice technique in elective patients.http://www.sciencedirect.com/science/article/pii/S2589845024000022Inguinal herniaLichtenstein techniqueShouldice techniqueMesh |
| spellingShingle | Izadmehr Ahmadinejad Ahmad Jalali Mojtaba Ahmadinejad Ali Soltanian Yasmina Ahamdinejad Alireza Shirzadi Pouria Chaghamirzayi Inguinal hernia: Lichtenstein VS Shouldice technique repair: A randomized controlled trial Surgery Open Science Inguinal hernia Lichtenstein technique Shouldice technique Mesh |
| title | Inguinal hernia: Lichtenstein VS Shouldice technique repair: A randomized controlled trial |
| title_full | Inguinal hernia: Lichtenstein VS Shouldice technique repair: A randomized controlled trial |
| title_fullStr | Inguinal hernia: Lichtenstein VS Shouldice technique repair: A randomized controlled trial |
| title_full_unstemmed | Inguinal hernia: Lichtenstein VS Shouldice technique repair: A randomized controlled trial |
| title_short | Inguinal hernia: Lichtenstein VS Shouldice technique repair: A randomized controlled trial |
| title_sort | inguinal hernia lichtenstein vs shouldice technique repair a randomized controlled trial |
| topic | Inguinal hernia Lichtenstein technique Shouldice technique Mesh |
| url | http://www.sciencedirect.com/science/article/pii/S2589845024000022 |
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