Randomised study of Lichtenstein compared with Shouldice inguinal hernia repair by surgeons in training
(1999) In European Journal of Surgery 165(1). p.49-53- Abstract
- OBJECTIVE: To compare the outcome following Lichtenstein open mesh technique or Shouldice repair for inguinal hernia operated on by surgeons in training. DESIGN: Prospective, randomised, trial. SETTING: District hospital, Sweden. SUBJECTS: 200 men with primary inguinal hernias. INTERVENTIONS: Lichtenstein mesh repair or Shouldice repair. MAIN OUTCOME MEASURES: Duration of operation, postoperative pain assessed by visual analogue scale (VAS), complications within 30 days, duration of sick leave, and recurrence within one year. RESULTS: 178 patients were available for evaluation (n = 89 in each group). There were no significant differences in duration of operation, pain score, or incidence of postoperative complications. Patients in the mesh... (More)
- OBJECTIVE: To compare the outcome following Lichtenstein open mesh technique or Shouldice repair for inguinal hernia operated on by surgeons in training. DESIGN: Prospective, randomised, trial. SETTING: District hospital, Sweden. SUBJECTS: 200 men with primary inguinal hernias. INTERVENTIONS: Lichtenstein mesh repair or Shouldice repair. MAIN OUTCOME MEASURES: Duration of operation, postoperative pain assessed by visual analogue scale (VAS), complications within 30 days, duration of sick leave, and recurrence within one year. RESULTS: 178 patients were available for evaluation (n = 89 in each group). There were no significant differences in duration of operation, pain score, or incidence of postoperative complications. Patients in the mesh group took significantly less sick leave (mean 18.2 days) than those in the Shouldice group (23.8 days, p<0.05). The number of recurrences differed significantly between the groups with 9 in the Shouldice group and none in the mesh group (p<0.01). CONCLUSION: For surgeons in training the Lichtenstein open mesh technique is a better method of inguinal hernia repair than the Shouldice technique. The outcome is better for the patients and it is more cost-effective. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1115707
- author
- Danielsson, Peter LU ; Isacson, Sune and Hansen, Michael V
- publishing date
- 1999
- type
- Contribution to journal
- publication status
- published
- subject
- in
- European Journal of Surgery
- volume
- 165
- issue
- 1
- pages
- 49 - 53
- publisher
- Oxford University Press
- external identifiers
-
- pmid:10069634
- scopus:0032788643
- ISSN
- 1102-4151
- language
- English
- LU publication?
- no
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Emergency medicine/Medicine/Surgery (013240200)
- id
- 93a09a57-bddc-425f-be54-7ad11e82b7d1 (old id 1115707)
- alternative location
- http://www3.interscience.wiley.com/cgi-bin/fulltext/106566899/PDFSTART
- date added to LUP
- 2016-04-01 16:47:34
- date last changed
- 2022-01-28 22:12:15
@article{93a09a57-bddc-425f-be54-7ad11e82b7d1, abstract = {{OBJECTIVE: To compare the outcome following Lichtenstein open mesh technique or Shouldice repair for inguinal hernia operated on by surgeons in training. DESIGN: Prospective, randomised, trial. SETTING: District hospital, Sweden. SUBJECTS: 200 men with primary inguinal hernias. INTERVENTIONS: Lichtenstein mesh repair or Shouldice repair. MAIN OUTCOME MEASURES: Duration of operation, postoperative pain assessed by visual analogue scale (VAS), complications within 30 days, duration of sick leave, and recurrence within one year. RESULTS: 178 patients were available for evaluation (n = 89 in each group). There were no significant differences in duration of operation, pain score, or incidence of postoperative complications. Patients in the mesh group took significantly less sick leave (mean 18.2 days) than those in the Shouldice group (23.8 days, p<0.05). The number of recurrences differed significantly between the groups with 9 in the Shouldice group and none in the mesh group (p<0.01). CONCLUSION: For surgeons in training the Lichtenstein open mesh technique is a better method of inguinal hernia repair than the Shouldice technique. The outcome is better for the patients and it is more cost-effective.}}, author = {{Danielsson, Peter and Isacson, Sune and Hansen, Michael V}}, issn = {{1102-4151}}, language = {{eng}}, number = {{1}}, pages = {{49--53}}, publisher = {{Oxford University Press}}, series = {{European Journal of Surgery}}, title = {{Randomised study of Lichtenstein compared with Shouldice inguinal hernia repair by surgeons in training}}, url = {{http://www3.interscience.wiley.com/cgi-bin/fulltext/106566899/PDFSTART}}, volume = {{165}}, year = {{1999}}, }