Long-term follow-up of a randomized controlled trial of Lichtenstein's operation versus mesh plug repair for inguinal hernia

摘要: Objective To compare long-term results of Lichtenstein's operation versus mesh plug repair for open inguinal hernia repair. Background The technique best choice in prosthetic remains a subject ongoing debate. Methods In this prospective, randomized controlled multicenter trial, patients with primary or recurrent hernias were to undergo either endpoint was the recurrence rate. Secondary endpoints included chronic pain, sensibility disorders, and reoperation Results total, 697 594 (297 per group). At median follow-up 6.5 years, 528 (76%) operated 444 (75%) clinically evaluated. rate similar both groups [mesh plug: 21/268 = 7.8%; Lichtenstein: 21/260 8.1%; adjusted odds ratio (OR): 0.92; 95% confidence interval (CI): 0.51, 1.68; P 0.795]. We did not find significant difference pain (Visual Analog Scale score >3) (OR: 0.58; CI: 0.31, 1.09; 0.088) sensory testing (17% vs 20% patients; OR: 0.53; 0.21, 1.37; 0.190) between 2 groups. There less reoperations than group 0.43; 0.22, 0.85; 0.016). Conclusions trial indicate enough evidence differences recurrence, disorders but lower likelihood Estimates all statistically based on large CIs. Clinical trials registration ClinicalTrials.gov Identifier: NCT01637818.