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Hernia
Published in: Hernia 1/2004

01-02-2004 | Original Article

A prospective trial of primary inguinal hernia repair by surgical trainees

Authors: B. W. Miedema, S. M. Ibrahim, B. D. Davis, D. G. Koivunen

Published in: Hernia | Issue 1/2004

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Abstract

The main hypotheses were that the Lichtenstein inguinal hernia repair has a lower recurrence rate and similar incidence of chronic groin pain compared to sutured repairs when performed by surgical trainees. In a U.S. Veterans Administration Hospital, 150 primary hernia repairs were randomized to a Lichtenstein, McVay, or Shouldice repair. The Shouldice repair included a routine relaxing incision. First- and second-year residents, under the supervision of an experienced general surgeon, performed the procedure. Long-term follow-up was obtained in 81% of patients. Hernia recurrence rate was Lichtenstein 8%, McVay 10%, Shouldice 5% (P>0.1) at 6–9 years follow-up. More patients had chronic groin pain following Lichtenstein repair (38%) than after Shouldice repair (7%) (P<0.05). More information is needed on long-term groin pain following anterior mesh repair. The Shouldice inguinal hernia repair may have a role in open primary herniorrhaphy to decrease the risk of chronic groin pain.
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Metadata
Title
A prospective trial of primary inguinal hernia repair by surgical trainees
Authors
B. W. Miedema
S. M. Ibrahim
B. D. Davis
D. G. Koivunen
Publication date
01-02-2004
Publisher
Springer-Verlag
Published in
Hernia / Issue 1/2004
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-003-0151-z

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