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Randomized clinical trial of non-mesh versus mesh repair of primary inguinal hernia
British journal of surgery, 2002-03, Vol.89 (3), p.293-297
Vrijland, W. W.
van den Tol, M. P.
Luijendijk, R. W.
Hop, W. C. J.
Busschbach, J. J. V.
de Lange, D. C. D.
van Geldere, D.
Rottier, A. B.
Vegt, P. A.
IJzermans, J. N. M.
Jeekel, J.
2002
Details
Autor(en) / Beteiligte
Vrijland, W. W.
van den Tol, M. P.
Luijendijk, R. W.
Hop, W. C. J.
Busschbach, J. J. V.
de Lange, D. C. D.
van Geldere, D.
Rottier, A. B.
Vegt, P. A.
IJzermans, J. N. M.
Jeekel, J.
Titel
Randomized clinical trial of non-mesh versus mesh repair of primary inguinal hernia
Ist Teil von
British journal of surgery, 2002-03, Vol.89 (3), p.293-297
Ort / Verlag
Oxford, UK: Blackwell Science Ltd
Erscheinungsjahr
2002
Link zum Volltext
Quelle
Wiley Online Library All Journals
Beschreibungen/Notizen
Background: The optimum method for inguinal hernia repair has not yet been determined. The recurrence rate for non‐mesh methods varies between 0·2 and 33 per cent. The value of tension‐free repair with prosthetic mesh remains to be confirmed. The aim of this study was to compare mesh and non‐mesh suture repair of primary inguinal hernias with respect to clinical outcome, quality of life and cost in a multicentre randomized trial in general hospitals. Methods: Between September 1993 and January 1996, all patients scheduled for repair of a unilateral primary inguinal hernia were randomized to non‐mesh or mesh repair. The patients were followed up at 1 week and at 1, 6, 12, 18, 24 and 36 months. Clinical outcome, quality of life and costs were registered. Results: Three hundred patients were randomized of whom 11 were excluded. Three‐year recurrence rates differed significantly: 7 per cent for non‐mesh repair (n = 143) and 1 per cent for mesh repair (n = 146) (P = 0·009). There were no differences in clinical variables, quality of life and costs. Conclusion: Mesh repair of primary inguinal hernia repair is superior to non‐mesh repair with regard to hernia recurrence and is cost‐effective. Postoperative complications, pain and quality of life did not differ between groups. © 2002 British Journal of Surgery Society Ltd
Sprache
Englisch
Identifikatoren
ISSN: 0007-1323
eISSN: 1365-2168
DOI: 10.1046/j.0007-1323.2001.02030.x
Titel-ID: cdi_proquest_miscellaneous_71487974
Format
–
Schlagworte
Abdomen
,
Adult
,
Aged
,
Aged, 80 and over
,
Biological and medical sciences
,
Female
,
Follow-Up Studies
,
Health Care Costs
,
Hernia, Inguinal - economics
,
Hernia, Inguinal - surgery
,
Humans
,
Length of Stay
,
Male
,
Medical sciences
,
Middle Aged
,
Pain, Postoperative - etiology
,
Quality of Life
,
Recurrence
,
Risk Factors
,
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
,
Surgery of the digestive system
,
Surgical Mesh - economics
,
Suture Techniques - economics
,
Treatment Outcome
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