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.
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。