XIA Yan , JIANG Bojian , ZHANG B iao , ZHENG Y uanchao , WANG Dazheng.
  • Department of General Surgery, Baogang Hospital, Shanghai The Second Medical University, Shanghai 201900, China;
Inguinal Hernia Hernioplasty Recurrence
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【Abstract】ObjectiveTo evaluate the therapeutic benefits of three styles of hernioplasties such as the traditional hernioplasty, the mesh only hernioplasty and the plug  amp; mesh hernioplasty.
MethodsThe traditional hernioplasty in 534 cases(583 sides), the mesh only hernioplasty in 57 cases(60 sides) and the plug  amp; mesh hernioplasty in 51 cases(54 sides) were performed. The comparing studies on the operative time, the postoperative complications, the recurrent rate and so on were analyzed.
ResultsThe average operative time of the traditional styles group was (34.26±4.56) min, which was significantly shorter than the mesh only group 〔(40.35±6.24) min, P＜0.05〕 and the plug  amp; mesh group 〔(49.12±8.69) min, P＜0.01〕 respectively. This significant difference between the mesh only group and the plug  amp; mesh group was also identified (P＜0.05). Postoperative complications in the traditional styles group, the mesh only group and the plug  amp; mesh group were 1.12%, 1.75% and zero,respectively (P gt;0.05). Recurrent rate in the traditional styles group was 5.99%(32/534), which was significantly higher than that of the mesh only and the plug  amp; mesh group (no recurrence). The average hospitalizing time in the traditional styles group, the mesh only group and the plug  amp; mesh group was (7.11±3.06) days，（5.38±2.53） days and （6.19±3.61） days, respectively, in which there was no significant difference among groups. The activityrecovering time in the traditional styles group was (16.98±4.35) days, which was significantly longer than （7.26±2.46） days in the mesh only group and （8.02±3.35） days in the plug  amp; mesh group.
Conclusion The mesh only hernioplasty or the plug  amp; mesh hernioplasty have a lower recurrent rate comparing with that in the traditional hernioplasty, which should be much more popularly applied in the treatment of inguinal hernia.

Citation： XIA Yan,JIANG Bojian,ZHANG B iao,ZHENG Y uanchao,WANG Dazheng.. Clinical Study on Benifits of Different Hernioplasties in Inguinal Hernia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2005, 12(3): 290-293. doi: Copy