NDLI: A prospective randomized clinical trial comparing the Prolene Hernia System® and the Lichtenstein patch technique for inguinal hernia repair in long term: 2- and 5-Year results.

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A prospective randomized clinical trial comparing the Prolene Hernia System® and the Lichtenstein patch technique for inguinal hernia repair in long term: 2- and 5-Year results.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Pierides, Georgios Vironen, Jaana
Description	Country affiliation: Finland Author Affiliation: Pierides G ( Helsinki University Central Hospital, Jorvi Hospital, Espoo, Finland. georgios.pierides@ï¬mnet.fi)
Abstract	BACKGROUND: Long-term sequelae in open inguinal hernia repair with either a bilayer mesh (Prolene Hernia System [PHS]) or an onlay mesh (Lichtenstein patch) were compared. METHODS: Questionnaires, phone calls, and clinical evaluation were applied as follow-up at 2 and 5 years postoperatively. RESULTS: Five percent of patients in the PHS group and 14% in the Lichtenstein group (P = .022) reported sensory dysfunction of the skin in the operated groin at 5 years. Chronic postoperative pain decreased over time and was reported by 11% of all patients at 5 years. Discomfort in the operated groin was found in 25% of all patients 5 years after the operation. The cumulative recurrence rate at 5 years was .8% for the PHS and 1.7% for the Lichtenstein procedure (P = .620). CONCLUSIONS: The 2 approaches resulted in comparable rates of recurrence and long-term chronic postoperative pain. The Lichtenstein patch caused significantly more often long-term sensory dysfunction of the skin in the operated groin.
File Format	HTM / HTML
ISSN	00029610
Issue Number	2
Volume Number	202
e-ISSN	18791883
Journal	The American Journal of Surgery
Language	English
Publisher	Elsevier
Publisher Date	2011-08-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Recurrence Prospective Studies Comparative Study Polypropylenes Humans Middle Aged Male Hernia, Inguinal Wound Healing Journal Article Discipline General Surgery Surgical Mesh Etiology Surgery Questionnaires Adult Female Reoperation Adverse Effects Surgical Procedures, Operative Pain, Postoperative Treatment Outcome Randomized Controlled Trial Physiopathology Follow-up Studies Biocompatible Materials Aged Skin Methods
Content Type	Text
Resource Type	Article
Subject	Surgery

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