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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2020, Vol. 14 ›› Issue (03): 261-264. doi: 10.3877/cma.j.issn.1674-392X.2020.03.013

Special Issue:

• Clinical Article • Previous Articles     Next Articles

Analysis of modified Kugel repair and Lichtenstein repair for inguinal hernia

Yimin Li1,()   

  1. 1. Department of General Surgery, Yangjiang Hospital, Qiongzhong 572928, China
  • Received:2019-02-19 Online:2020-06-18 Published:2020-06-18
  • Contact: Yimin Li
  • About author:
    Corresponding author: Li Yimin, Email:

Abstract:

Objective

To investigate the clinical effect of modified pre-peritoneal (Kugel) repair and Lichtenstein repair in the treatment of inguinal hernia.

Methods

A total of 70 patients with inguinal hernia admitted to Yangjiang hospital between June 2015 and March 2018 were selected. They were divided into the control group and the observation group by random number method, with 35 cases in each group. The control group was treated with Lichtenstein repair, and the observation group was treated with modified Kugel repair. The relevant indicators of the two groups during the perioperative period were compared; the score of visual analogue scale (VAS) in the two groups at 1, 3 days, 1, 6 months after operation were compared; the incidence of postoperative complications and the rate of recurrence in follow-up period between the two groups were counted.

Results

The operation time, the first time to leave bed, and the postoperative hospital stay were obviously shorter in the observation group than those in the control group. The intraoperative blood loss was obviously lower than that in the control group (P<0.05). At 6 months after operation, the score of VAS in the observation group was obviously lower than that in the control group (P<0.05). The total incidence of postoperative complications in the observation group was 8.57%, which was obviously lower than that of the control group 28.57% (P<0.05). The recurrence rate in the observation group was 0, which was lower than that in the control group was 5.71%, but the difference was not statistically significant (P>0.05).

Conclusion

Modified Kugel repair in patients with inguinal hernia can significantly improve the relevant indicators, relieve pain symptom, and reduce the incidence of complications and recurrence rate.

Key words: Hernia, inguinal, Herniorrhaphy, Degree of pain, Complications

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