新西兰塔拉纳基利希滕斯坦无张力疝修补术的前瞻性审计。

M Hulme-Moir, S Kyle
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引用次数: 8

摘要

背景:本研究旨在评估新西兰Taranaki省中心外科医生采用的Lichtenstein无张力补片腹股沟疝修补术的效果。方法:对在塔拉纳基接受该手术的所有患者进行前瞻性审计。随访时间分别为1个月和1年。结果以标准化的形式输入。结果:124例患者由4位不同的外科医生及其登记员进行了134次修复。其中82%做过全身麻醉,13%做过局部麻醉。25%的修复是日间手术,另外53%需要过夜。住院并发症发生率为6%,1个月12.7%,1年8%。1例修复复发(0.9%),无补片排斥反应。伤口感染率为3%,均为轻微感染。只有45%的腹股沟出血患者被雇用,他们平均需要16天(范围2-30)才能重返工作岗位。超过一半的人认为他们可以在两周内恢复正常的活动。结论:腹股沟疝修补术的Lichtenstein技术是一种技术上简单、可靠、发病率低的手术,患者可以合理迅速地恢复工作和正常活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A prospective audit of Lichtenstein's tension-free herniorrhaphy in Taranaki, New Zealand.

Background: This study was undertaken to assess the outcome of Lichtenstein's tension-free mesh inguinal herniorrhaphy as practised by surgeons in a provincial centre in Taranaki, New Zealand.

Methods: A prospective audit was carried out on all patients who underwent this procedure in Taranaki. They were followed up at 1 month and again at 1 year. Results were entered on a standardized pro forma.

Results: One hundred and twenty-four patients underwent 134 repairs by four different surgeons and their registrars. Eighty-two per cent of them had a general anaesthetic, and 13% had local anaesthestic. Twenty-five per cent of the repairs were performed as day surgery and a further 53% required overnight stays. Complication rates were 6% in hospital, 12.7% at I month and 8% at 1 year. Recurrence occurred in one repair (0.9%) and there were no cases of mesh rejection. The wound infection rate was 3% and all were minor. Only 45% of the patients who had an inguinal hemiorrhaphy were employed and they took an average of 16 days (range 2-30) to return to work. Over half felt that that they could have returned to normal activities within 2 weeks.

Conclusions: The Lichtenstein technique of inguinal herniorrhaphy is a technically simple, reliable procedure with minimal morbidity and patients may expect a reasonably prompt return to work and to normal activities.

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