Abstract:
Objective This study compares the effect of dissection and transection of the hernia sac in anterior Kugel repair for indirect inguinal hernia in males.
Methods This prospective randomized controlled trial included 120 patients with primary indirect inguinal hernia. 120 patients were divided into 2 groups randomly. In group A, the hernia sac was dissected totally. In group B, the hernia sac was transected at the neck and then ligated. Each group contained 60 patients. Finally, 58 patients in group A and 56 patients in group B were involved in the analyses. The effect of the two methods in operation time, hospital stays after operation, VAS pain score after operation, hematoma, seroma, incision infection, foreign body sensation, and recurrence were compared between the 2 groups.
Results Group A was superior to group B in VAS pain score on the first day after operation, seroma, return to normal activities after two weeks, and foreign body sensation (P<0.05). The results were comparable in operation time, surgical blood loss, hospital stays after operation, hematoma, urinary retention, hydrocele of testes, incision infection, return to normal activities after four weeks, chronic pain, complication in testis and spermatic cord, and recurrence (P>0.05).
Conclusion Neither of totally dissection of the hernia sac or transection of the hernia sac has serious adverse effects on the surgery. Totally dissection of the hernia sac can reduce the risk of postoperative complications, and is a proper method for indirect inguinal hernia repair in male patient.
Key words:
Indirect inguinal hernia,
Herniorrhaphy,
Pain, postoperative,
Hematoma,
Postoperative complications,
Randomized controlled trial
Guozhong Liu, Shangeng Weng, Jianbin Zhang. Dissection or transection of the indirect inguinal hernia sac in males: A randomized controlled trial[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(04): 264-267.