Abstract：
OBJECTIVE: Approximately 20 million individuals worldwide undergo inguinal hernia surgery annually. The Lichtenstein technique is the most commonly used surgical procedure in this setting. The objective of this study was to revisit this technique and present ten recommendations based on the best practices.
METHODS: PubMed and Scientific Electronic Library Online were used to systematically search for articles about the Lichtenstein technique and its modifications. Literature regarding this technique and surgical strategies to prevent chronic pain were the basis for formulating ten recommendations for best practices during Lichtenstein surgery.
RESULTS: Ten recommendations were proposed based on best practices in the Lichtenstein technique: neuroanatomical assessment, chronic pain prevention, pragmatic neurectomy, spermatic cord structure management, femoral canal assessment, hernia sac management, mesh characteristics, fixation, recurrence prevention, and surgical convalescence.
CONCLUSIONS: The ten recommendations are practical ways to achieve a safe and successful procedure. We fell that following these recommendations can improve surgical outcomes using the Lichtenstein technique.
METHODS: PubMed and Scientific Electronic Library Online were used to systematically search for articles about the Lichtenstein technique and its modifications. Literature regarding this technique and surgical strategies to prevent chronic pain were the basis for formulating ten recommendations for best practices during Lichtenstein surgery.
RESULTS: Ten recommendations were proposed based on best practices in the Lichtenstein technique: neuroanatomical assessment, chronic pain prevention, pragmatic neurectomy, spermatic cord structure management, femoral canal assessment, hernia sac management, mesh characteristics, fixation, recurrence prevention, and surgical convalescence.
CONCLUSIONS: The ten recommendations are practical ways to achieve a safe and successful procedure. We fell that following these recommendations can improve surgical outcomes using the Lichtenstein technique.
摘要：
目的：全世界每年大约有2000万人接受腹股沟疝手术。Lichtenstein技术是这种情况下最常用的外科手术。这项研究的目的是重新审视这项技术，并根据最佳实践提出十项建议。
方法：使用PubMed和科学电子图书馆在线系统地搜索有关Lichtenstein技术及其修改的文章。有关该技术和预防慢性疼痛的手术策略的文献是制定Lichtenstein手术过程中十项最佳实践建议的基础。
结果：根据Lichtenstein技术的最佳实践提出了十项建议：神经解剖学评估，慢性疼痛预防，语用神经切除术，精索结构管理，股骨管评估，疝囊管理,网格特征，固定,预防复发,和手术康复。
结论：十项建议是实现安全和成功手术的实用方法。我们认为遵循这些建议可以使用Lichtenstein技术改善手术结果。
方法：使用PubMed和科学电子图书馆在线系统地搜索有关Lichtenstein技术及其修改的文章。有关该技术和预防慢性疼痛的手术策略的文献是制定Lichtenstein手术过程中十项最佳实践建议的基础。
结果：根据Lichtenstein技术的最佳实践提出了十项建议：神经解剖学评估，慢性疼痛预防，语用神经切除术，精索结构管理，股骨管评估，疝囊管理,网格特征，固定,预防复发,和手术康复。
结论：十项建议是实现安全和成功手术的实用方法。我们认为遵循这些建议可以使用Lichtenstein技术改善手术结果。
