Lichtenstein vs anterior preperitoneal prosthetic mesh placement in open inguinal hernia repair: a prospective, randomized trial

Male veterans with unilateral primary inguinal hernia, classified intraoperatively as Gilbert Type III or IV, were randomized to subaponeurotic (Lichtenstein, n=126) or preperitoneal (Read-Rives, n=121) repair under general or spinal anesthesia. The two groups of patients were comparable in age, bod...

Full description

Saved in:
Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2004-05, Vol.8 (2), p.98-103
Main Authors: Muldoon, R L, Marchant, K, Johnson, D D, Yoder, G G, Read, R C, Hauer-Jensen, M
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Hernia, Inguinal - surgery
Humans
Male
Middle Aged
Postoperative Complications
Recurrence
Surgical Mesh
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Male veterans with unilateral primary inguinal hernia, classified intraoperatively as Gilbert Type III or IV, were randomized to subaponeurotic (Lichtenstein, n=126) or preperitoneal (Read-Rives, n=121) repair under general or spinal anesthesia. The two groups of patients were comparable in age, body weight index, comorbidities, and size and type of hernia. Of the 247 patients enrolled, 224 were followed for at least 2 years (median 82 months, range 24-110 months), 16 were lost to follow-up, and seven died from causes unrelated to the surgery. The average operative time of the Read-Rives repair was 9 min longer than that of the Lichtenstein repair. There were no wound infections, and the frequencies of other short- and long-term complications were low and similar in the two groups. Six patients developed hernia recurrence, five in the Lichtenstein group (4.3%), and one in the Read-Rives group (
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-003-0174-5