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document
The tension-free hernioplasty in a randomized trial . BACKGROUND The tension-free hernioplasty as introduced by Lichtenstein has gained increasing acceptance during the last decade although the technique has not been evaluated in a randomized trial . METHODS This randomized study compares the 2-year follow-up results after 102 tension-free hernioplasties with implantation of a prolene mesh in all groin hernias to 53 Cooper ligament repairs in direct hernias and 53 abdominal ring repairs in indirect hernias . RESULTS After tension-free repairs five hernias recurred ( 5 % ) , and after either Cooper ligament or abdominal ring repair , 16 recurrences were found ( 15 % ) ( P = 0.025 ) . No indirect hernias recurred after a tension-free repair ; 2 recurred after abdominal ring repair ( 4 % ; NS ) . The recurrence rate after tension-free repairs for primary direct inguinal hernias was 7 % as compared with 30 % after Cooper ligament repair ( P = 0.0081 ) . No difference in complication rate between the tested methods was found . CONCLUSION Recurrence rate is reduced to one-third after tension-free herniotomies as compared with the conventionel herniotomies without increase in complication rate .
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Intervention_Surgical
tension-free hernioplasty
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Intervention_Surgical
tension-free hernioplasty
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Intervention_Surgical
tension-free hernioplasties with implantation of a prolene mesh in all groin hernias
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Intervention_Surgical
Cooper ligament repairs in direct hernias
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Intervention_Surgical
abdominal ring repairs in indirect hernias
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Intervention_Surgical
tension-free repairs
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Intervention_Surgical
Cooper ligament or abdominal ring repair
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Intervention_Surgical
tension-free repair
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Intervention_Surgical
abdominal ring repair
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Intervention_Surgical
tension-free repairs
88316
Intervention_Surgical
Cooper ligament repair
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Intervention_Surgical
tension-free herniotomies
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Intervention_Surgical
conventionel herniotomies
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Outcome_Physical
hernias recurred
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Outcome_Physical
recurrences
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Outcome_Physical
indirect hernias recurred
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Outcome_Physical
recurrence rate after tension-free repairs for primary direct inguinal hernias
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Outcome_Adverse-effects
complication rate
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Outcome_Physical
Recurrence rate
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Outcome_Adverse-effects
complication rate
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Participant_Sample-size
102
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Participant_Condition
hernioplasties
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Participant_Condition
groin hernias
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Participant_Sample-size
53
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Participant_Condition
direct hernias
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Participant_Sample-size
53
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Participant_Condition
indirect hernias
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Participant_Condition
tension-free herniotomies