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Comparing the effects of Bassini versus tension-freehernioplasty: 3 years’ follow-up

Frontiers of Medicine 2010年第4期4卷 463-468页

作者： Yulong SHI Zhongxue SU Leping LI Hongjun LIU Changqing JING Division of Gastrointestinal Surgery Affiliated Provincial Hospital of Shandong UniversityJinwu Road 324Jinan 250021China

In order to compare the effects of Bassini and tension-free mesh hernioplasty,a total of 552 patients with inguinal hernia who were subjected to surgical treatment in our hospital were randomly divided into the following two groups:the Bassini group(n=269)and the tension-free mesh group(n=283).The recurrence rates,pain,dis-comfort,and other complications were recorded,and the causes of the complications were *** recurrence rate in the Bassini group was 8.9%(24/269),signiﬁcantly higher than that in the tension-free repair group(2.8%,8/283).In addition,the recurrence rates in the Bassini and tension-free groups before 2004 were 12.6%and 5.6%,respectively,which were markedly higher than the rates after 2004(5.3%and 0.7%,respectively).The rate of post-operative discomfort and pain within theﬁrst three months was higher in the Bassini group compared to the tension-free group(25.7%vs 18.5%,respectively).However,there was no difference after three months in the rate of post-operative discomfort and pain,incidence of infection,or scrotal edema between the two *** average hospital stay in the Bassini group was longer than that in the tension-free repair group(7.6�1.2 vs 4.5�2.2 days,respectively),but the cost was lower(4518.0�510 vs 6221.3�578 yuan,respectively).Thus,tension-free mesh hernioplasty is indicated for most inguinal hernia patients due to the low recurrence rate,rapid recovery time,and treatment success,but the traditional Bassini procedure has lower cost and other beneﬁcial effects and is still suitable for some patients.

关键词： hernioplasty Bassini repair tension-free repair complication

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