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Comparing the effects of Bassini versus tension-free hernioplasty: 3 years’
follow-up |
| Yulong SHI,Zhongxue SU,Leping LI,Hongjun LIU,Changqing JING, |
| Division of Gastrointestinal
Surgery, Affiliated Provincial Hospital of Shandong University, Jinwu
Road 324, Jinan 250021, China; |
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Abstract In order to compare the effects of Bassini and tension-free mesh hernioplasty, a total of 552 patients with inguinal hernia who were subjected to surgical treatment in our hospital were randomly divided into the following two groups: the Bassini group (n=269) and the tension-free mesh group (n=283). The recurrence rates, pain, discomfort, and other complications were recorded, and the causes of the complications were explored. The recurrence rate in the Bassini group was 8.9% (24/269), significantly higher than that in the tension-free repair group (2.8%, 8/283). In addition, the recurrence rates in the Bassini and tension-free groups before 2004 were 12.6% and 5.6%, respectively, which were markedly higher than the rates after 2004 (5.3% and 0.7%, respectively). The rate of post-operative discomfort and pain within the first three months was higher in the Bassini group compared to the tension-free group (25.7% vs 18.5%, respectively). However, there was no difference after three months in the rate of post-operative discomfort and pain, incidence of infection, or scrotal edema between the two groups. The average hospital stay in the Bassini group was longer than that in the tension-free repair group (7.6€±€1.2 vs 4.5€±€2.2 days, respectively), but the cost was lower (4518.0€±€510 vs 6221.3€±€578 yuan, respectively). Thus, tension-free mesh hernioplasty is indicated for most inguinal hernia patients due to the low recurrence rate, rapid recovery time, and treatment success, but the traditional Bassini procedure has lower cost and other beneficial effects and is still suitable for some patients.
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| Keywords
hernioplasty
Bassini repair
tension-free repair
complication
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Issue Date: 05 December 2010
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Ma S Z. The Historical recall of the Tension-free Hernia Repairin China: 2007 Chinese Surgical Periodical. The 16th Annual Asian Surgical Conference Articles. 2007, 56 (in Chinese)
|
|
Poobalan A S, Bruce J, King P M, Chambers W A, Krukowski Z H, Smith W C. Chronic pain and quality of life following open inguinalhernia repair. Br J Surg, 2001, 88(8): 1122―1126
11488800
|
|
Courtney C A, Duffy K, Serpell M G, O'Dwyer P J. Outcome of patients with severe chronic pain following repair ofgroin hernia. Br J Surg, 2002, 89(10): 1310―1314
12296903
|
|
Ferzli G S, Edwards E, Al-Khoury G, Hardin R M. Postherniorrhaphy groin pain and how to avoid it. Surg Clin North Am, 2008, 88(1):203―216
|
|
Bisgaard T, Bay-Nielsen M, Christensen I J, Kehlet H. Risk of recurrence 5 years or more after primary Lichtensteinmesh and sutured inguinal hernia repair. Br J Surg, 2007, 94(8): 1038―1040
17607708
|
|
Vrijland W W, van den Tol M P, Luijendijk R W, Hop W C, Busschbach J J, de Lange D C, van Geldere D, Rottier A B, Vegt P A, IJzermans J N, Jeekel J. Randomizedclinical trial of non-mesh versus mesh repair of primary inguinalhernia. Br J Surg, 2002, 89(3): 293―297
11872052
|
|
Amid P K, Lichtenstein I L. Long-term result and current status of the Lichtenstein open tension-freehrenioplasty. J Hernia, 1998, 2(2): 89―94
doi: 10.1007/BF01207492
|
|
Gai H. Hernienoperation mach Lichtenstein. J Chir Praxis, 1998, 54: 35―40
|
|
Rutkow I M, Robbins A W. Mesh plug hernia repair: a follow-up report. Surgery, 1995, 117(5): 597―598
7740435
|
|
Shulman A G, Amid P K, Lichtenstein I L. The plugrepair of 1402 recurrentinguinal hernias: 20-year experience. JArch Surg, 1990, 125: 265―267
|
|
van Veen R N, Wijsmuller A R, Vrijland W W, Hop W C, Lange J F, Jeekel J. Randomized clinical trial of mesh versusnon-mesh primary inguinal hernia repair: long-term chronic pain at10 years. J Surg, 2007, 142(5): 695―698
|
|
Nienhuijs S, Staal E, Strobbe L, Rosman C, Groenewoud H, Bleichrodt R. Chronic pain after mesh repair of inguinal hernia: asystematic review. Am J Surg, 2007, 194(3): 394―400
17693290
|
|
Bay-Nielsen M, Nilsson E, Nordin P, Kehlet H. Chronic pain after open mesh and sutured repair of indirectinguinal hernia in young males. Br J Surg, 2004, 91(10): 1372―1376
15376186
|
|
Aasvang E K, Kehlet H. The effectof mesh removal and selective neurectomy on persistent postherniotomypain. Ann Surg, 2009, 249(2): 327―334
19212190
|
|
Cunningham J, Temple W J, Mitchell P, Nixon J, Preshaw R, Hagen N. Co-operative hernia study: pain in the postrepair patient. J Ann Surg, 1996, 224(5): 598―602
doi: 10.1097/00000658-199611000-00003
|
|
Heise C P, Starling J R. Mesh inguinodynia: a new clinical syndrome after inguinal herniorrhaphy? J Am Coll Surg, 1998, 187(5): 514―518
9809568
|
|
Mui L-M Mui W, Ng C S H, Fung T M-K, Cheung F K Y, Wong C-M, Ma T-H, Yung M-Y, Ng E K-W. Prophylactic ilioinguinal neurectomyinopen inguinal hernia repair A double-blind randomized controlled trial. J Ann Surg, 2006, 244(1):27―33
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