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Abstract：
BACKGROUND: A modified Kugel patch is more expensive than ordinary mesh and demands a wide dissection of the preperitoneal space in femoral hernia repair. We therefore adopted a novel method using mini-mesh and a Lichtenstein repair. This study compared mini-mesh and Lichtenstein repair with a modified Kugel technique in patients with a primary unilateral femoral hernia.
METHODS: Patients with unilateral femoral hernia were assigned randomly to undergo mini-mesh and Lichtenstein repair (M group) or modified Kugel repair (K group), followed-up at one week, three months, one year and two years. Demographics, hernia characteristics and operative outcomes of two groups were analysed.
RESULTS: A total of 48 patients in the K group and 49 participants in the M group completed follow-up. The operation time for the M group (68.6 ± 13.4 minutes) was significantly shorter than that of the K group (80.6 ± 10.1 minutes; p=0.030). There was no significant difference between the two groups for chronic pain, foreign body feeling and quality of life, and no recurrence occurred.
CONCLUSIONS: Mini-mesh and Lichtenstein repairs have reasonable results in the patients with femoral hernia in this study, with a reduced operation time compared with a modified Kugel repair. The trial was registered with the Chinese Clinical Trials Registry: ChiCTR1900022264.
METHODS: Patients with unilateral femoral hernia were assigned randomly to undergo mini-mesh and Lichtenstein repair (M group) or modified Kugel repair (K group), followed-up at one week, three months, one year and two years. Demographics, hernia characteristics and operative outcomes of two groups were analysed.
RESULTS: A total of 48 patients in the K group and 49 participants in the M group completed follow-up. The operation time for the M group (68.6 ± 13.4 minutes) was significantly shorter than that of the K group (80.6 ± 10.1 minutes; p=0.030). There was no significant difference between the two groups for chronic pain, foreign body feeling and quality of life, and no recurrence occurred.
CONCLUSIONS: Mini-mesh and Lichtenstein repairs have reasonable results in the patients with femoral hernia in this study, with a reduced operation time compared with a modified Kugel repair. The trial was registered with the Chinese Clinical Trials Registry: ChiCTR1900022264.
摘要：
背景：改良的Kugel补片比普通网片更昂贵，并且在股疝修补术中需要广泛解剖腹膜前间隙。因此，我们采用了一种使用迷你网格和Lichtenstein修复的新颖方法。这项研究比较了原发性单侧股疝患者的微型网片和Lichtenstein修复与改良的Kugel技术。
方法：单侧股疝患者被随机分配到接受微型网片和Lichtenstein修补术（M组）或改良Kugel修补术（K组），随访一周，三个月,一年和两年。人口统计,分析两组疝特点及手术效果。
结果：K组共48名患者和M组49名参与者完成了随访。M组手术时间（68.6±13.4分钟）明显短于K组（80.6±10.1分钟；p=0.030）。慢性疼痛两组间无显著性差异,异物感和生活质量，没有复发。
结论：微型网片和Lichtenstein修补术在本研究中股疝患者中具有合理的效果，与改良的Kugel修复相比，手术时间缩短。该试验在中国临床试验注册中心：ChiCTR1900022264注册。
方法：单侧股疝患者被随机分配到接受微型网片和Lichtenstein修补术（M组）或改良Kugel修补术（K组），随访一周，三个月,一年和两年。人口统计,分析两组疝特点及手术效果。
结果：K组共48名患者和M组49名参与者完成了随访。M组手术时间（68.6±13.4分钟）明显短于K组（80.6±10.1分钟；p=0.030）。慢性疼痛两组间无显著性差异,异物感和生活质量，没有复发。
结论：微型网片和Lichtenstein修补术在本研究中股疝患者中具有合理的效果，与改良的Kugel修复相比，手术时间缩短。该试验在中国临床试验注册中心：ChiCTR1900022264注册。
