| Randomized controlled trial comparing prolene hernia system and lichtenstein method for inguinal hernia repair. | |
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MedLine Citation:
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PMID: 16813616 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: There are no data regarding the long-term outcomes of prolene hernia system (PHS) mesh in the published reports. The aim of the study was to compare the short-term and long-term outcomes of the PHS mesh with the Lichtenstein mesh technique. METHODS: Sixty-four patients with inguinal hernia were randomized to undergo either a PHS or a Lichtenstein repair under local anaesthesia as a day case. Early outcome measures were duration of surgery, pain scores, analgesic requirements, time to return to work, driving and full activity. Long-term outcome measures were chronic groin pain and recurrence. RESULTS: Mean duration of surgery in the PHS group was 36 min (SD +/- 11) versus 34 min in the Lichtenstein group (SD +/- 8; P = 0.3). There was no significant difference in analgesic requirements (P = 0.65). Overall mean pain score was 3.5/10 versus 2.5/10 (P = 0.1). Mean time to return to work was 42 versus 30 days (P = 0.3), returning to driving was 20 versus 14 days (P = 0.2) and full activity was 21 versus 22 days (P = 0.8). Chronic groin pain developed in four patients in the PHS group (12.9%) and in five patients in the Lichtenstein group (15.1%; P > 0.05). One patient developed recurrent herniation in the PHS group. The median follow up was 4.2 years (range, 4-4.6 years). Patient satisfaction was very high with both the techniques. CONCLUSION: There is no significant difference in the early and long-term outcomes between PHS and Lichtenstein hernia repairs. The PHS technique involving preperitoneal dissection is well tolerated and easy to carry out under local anaesthesia. |
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Authors:
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Pandanaboyana Sanjay; Dean Harris; Philippa Jones; Alan Woodward |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: ANZ journal of surgery Volume: 76 ISSN: 1445-1433 ISO Abbreviation: ANZ J Surg Publication Date: 2006 Jul |
Date Detail:
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Created Date: 2006-07-03 Completed Date: 2006-09-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101086634 Medline TA: ANZ J Surg Country: Australia |
Other Details:
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Languages: eng Pagination: 548-52 Citation Subset: IM |
Affiliation:
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Department of Surgery, Royal Glamorgan Hospital, Llantrisant, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Female Follow-Up Studies Hernia, Inguinal / surgery* Humans Male Middle Aged Polypropylenes* Prosthesis Design Prosthesis Implantation / methods* Surgical Mesh* Time Factors Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Polypropylenes |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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