OBJECTIVE: To compare the Lichtenstein, tension-free mesh, and the Shouldice, 4-layer Bassini repair of the inguinal hernia. DESIGN: Prospective randomized clinical trial. SETTING:A private suburban hernia center. PATIENTS: Six hundred seventy-two men with inguinal hernias, aged 20 to 90 years, seen at the hernia center between January 1, 1990, and December 31, 1995. INTERVENTIONS: Slightly modified Shouldice and Lichtenstein repairs were used to repair primary and recurrent inguinal hernias. MAIN OUTCOME MEASURES: Recurrence rates, symptoms (including patient satisfaction), and infections. RESULTS:A total of 717 repairs in 672 patients, including 45 bilateral repairs, have been monitored to date. Recurrence of hernia occurred in 7 Shouldice repairs and 2 mesh repairs. Twelve superficial infections associated with Shouldice and 6 associated with mesh repairs were found. CONCLUSIONS: Both types of hernia repair are comparable and effective, but long-term results favor the Lichtenstein technique for reducing recurrences (to a P value of .10), ease of technical mastery, and application to the outpatient setting by use of a local anesthetic.
RCT Entities:
OBJECTIVE: To compare the Lichtenstein, tension-free mesh, and the Shouldice, 4-layer Bassini repair of the inguinal hernia. DESIGN: Prospective randomized clinical trial. SETTING: A private suburban hernia center. PATIENTS: Six hundred seventy-two men with inguinal hernias, aged 20 to 90 years, seen at the hernia center between January 1, 1990, and December 31, 1995. INTERVENTIONS: Slightly modified Shouldice and Lichtenstein repairs were used to repair primary and recurrent inguinal hernias. MAIN OUTCOME MEASURES: Recurrence rates, symptoms (including patient satisfaction), and infections. RESULTS: A total of 717 repairs in 672 patients, including 45 bilateral repairs, have been monitored to date. Recurrence of hernia occurred in 7 Shouldice repairs and 2 mesh repairs. Twelve superficial infections associated with Shouldice and 6 associated with mesh repairs were found. CONCLUSIONS: Both types of hernia repair are comparable and effective, but long-term results favor the Lichtenstein technique for reducing recurrences (to a P value of .10), ease of technical mastery, and application to the outpatient setting by use of a local anesthetic.
Authors: Fritz H Berndsen; U Petersson; D Arvidsson; C-E Leijonmarck; C Rudberg; S Smedberg; A Montgomery Journal: Hernia Date: 2007-04-18 Impact factor: 4.739
Authors: M P Simons; T Aufenacker; M Bay-Nielsen; J L Bouillot; G Campanelli; J Conze; D de Lange; R Fortelny; T Heikkinen; A Kingsnorth; J Kukleta; S Morales-Conde; P Nordin; V Schumpelick; S Smedberg; M Smietanski; G Weber; M Miserez Journal: Hernia Date: 2009-07-28 Impact factor: 4.739