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Comparative study between Lichtenstein procedure and modified darn repair in treating primary inguinal hernia: a prospective randomized controlled trial.
MedLine Citation:
PMID:  23292368     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: The aim of this study was to evaluate whether modified darn repair (MDR) is comparable to Lichtenstein procedure (LP) in the treatment of primary inguinal hernia, regarding chronic postoperative pain and recurrence. METHODS: Two hundred and twenty-seven male patients with primary inguinal hernia were randomly allocated into two groups: group I included 108 patients [mean age 37.47 ± 11.97 years] who were subjected to MDR and group II that included 119 patients [mean age 37.44 ± 11.93 years] who were subjected to LP. RESULTS: Recurrence was encountered in only one case after LP. Visual Analog Scale showed significant more early and late postoperative pain after LP compared to MDR. The operative time for LP [72.99 ± 19.90 min] was significantly shorter compared to MDR [78.53 ± 12.76 min]. Both MDR and LP showed no significant differences as regards hospital stay [1.04 ± 0.19 days vs. 1.09 ± 0.28 days], time to return to domestic activity [1.18 ± 0.43 days vs. 1.15 ± 0.36 days], time to return to work activity [6.84 ± 1.09 vs. 6.67 ± 0.94 days], early and late postoperative complications. CONCLUSIONS: After 1-year follow-up, MDR as a tension-free repair seems comparable to LP with less postoperative pain.
Authors:
W Abd El Maksoud; M Abd El Salam; H H Ahmed
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-6
Journal Detail:
Title:  Hernia : the journal of hernias and abdominal wall surgery     Volume:  -     ISSN:  1248-9204     ISO Abbreviation:  Hernia     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9715168     Medline TA:  Hernia     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
General Surgery Department, Faculty of Medicine, University of Alexandria, Alexandria, Egypt, dr.waleedmaksoud@gmail.com.
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