<b>简介:</b>腹股沟疝修补术是全球最常见的手术。影响疝修补术的主要因素是术后生活质量,早日重返工作岗位,复发率低,和慢性疼痛预防。</br></br><b>目的:</b>这项研究的目的是比较Lichtenstein修复中自粘网和常规聚丙烯网的短期和长期结果。</br></br><b>材料与方法:50自粘网(S组),50与常规聚丙烯网(P组)。Prospective,患者平均随访36个月.比较两组手术时间,住院时间,日常活动/恢复工作的持续时间,术后疼痛,慢性疼痛,复发,伤口感染,血肿/血清瘤形成,和术后镇痛消耗。结果:P组39例,S组37例。P组37例。P组平均手术时间长于S组,两组之间的差异有统计学意义(45.1±6.6minvs.28.8±3.0min,P=0.0001)。在复发中,术后不适,慢性疼痛,住院时间,日常活动/返回工作,伤口感染,血肿/血清肿,和术后镇痛药的使用,两组间差异无统计学意义。</br></br><b>结论:除了手术时间,在列支敦士登的修复中。
<b> Introduction:</b>
Inguinal hernia repair is the most common operation worldwide. The essential factors in hernia repair have been the postoperative quality of life, early return to work, low recurrence rate, and chronic pain prevention. </br></br> <b>Aim:</b> The aim of this
study was to compare the short- and long-term results of the self-adhesive mesh and the conventional polypropylene mesh in Lichtenstein repair. </br></br> <b> Material and methods:</b> A total of 100 male patients were randomized and operated on, 50 with the self-adhesive mesh (S group), 50 with the conventional polypropylene mesh (P group). Prospectively, the patients were followed for an average of 36 months. The two groups were compared for the duration of surgery, duration of hospital stay, duration of daily activity/resumption of work, postoperative pain, chronic pain, recurrence, wound infection, hematoma/seroma formation, and postoperative analgesic consumption. </br></br> <b>Results:</b> The
study involved 39 patients in the P group and 37 patients in the S group who underwent
inguinal hernia surgery. The P group had a longer mean operation time than the S group, and the difference between the two groups was statistically significant (45.1 ± 6.6 min vs. 28.8 ± 3.0 min, P = 0.0001). In recurrence, postoperative discomfort, chronic pain, length of hospital stay, daily activity/return to work, wound infection, hematoma/seroma, and postoperative analgesic use, there was no statistically significant difference between the two groups. </br></br> <b>Conclusion:</b> It was found that the self-adhesive mesh did not produce statistically significant advantages over the conventional polypropylene mesh, except for operative time, in the Lichtenstein repair.