Randomized clinical trial of Lichtenstein's operation versus mesh plug for inguinal hernia repair

Author:

Frey D M1,Wildisen A2,Hamel C T1,Zuber M3,Oertli D1,Metzger J4

Affiliation:

1. Department of Surgery, Divisions of General Surgery and Surgical Research, University Hospital Basle, Basle, Switzerland

2. Department of Surgery, Kantonales Spital Sursee, Sursee, Switzerland

3. Department of Surgery, Kantonsspital Olten, Olten, Switzerland

4. Department of Surgery, Kantonsspital Luzern, Lucerne, Switzerland

Abstract

Abstract Background Two of the most commonly used open prosthetic tension-free techniques for inguinal hernia repair are Lichtenstein's operation and the mesh plug repair. The technique of choice remains a subject of ongoing debate. The objective of the present investigation was to compare the two surgical procedures with respect to associated morbidity and recurrence rates. Methods Five hundred and ninety-five patients with 700 primary or recurrent inguinal hernias were randomized to undergo either Lichtenstein's operation or mesh plug repair. The primary endpoint of the investigation was the recurrence rate 1 year after surgery. Secondary endpoints were perioperative complications and reoperation rates. Results At 12-month follow-up, 597 hernia repairs (85·3 per cent) were evaluated. There were no significant differences regarding recurrence rates and perioperative complications. However, there was a significant difference in the overall reoperation rate between the two treatment groups, with 13 reoperations (4·2 per cent) in the Lichtenstein group and four (1·4 per cent) in the mesh plug group (P = 0·047). Conclusion Lichtenstein's operation and the mesh plug repair are comparable with respect to perioperative complications and recurrence rates.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference23 articles.

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