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A clinical control study of laparoscopic procedures vs Lichtenstein technique for inguinal hernia repair

Objective To evaluate the clinical safety and efficiency of laparoscopic inguinal hernia repair(LIHR).Methods A non-randomized concurrent control study was performed including 251 LIHR and 91 Lichtenstein repair during Jan.2003 and Jan.2006,the cases were followed-up for 18～36 months. Results There was no significant difference in operating time between LIHR and Lichtenstein procedures. The postoperative hospital stay were 2.9±1.2d vs 3.2±l.l d(P = 0.107),and the time of return to normal activity were 4.0±1.3 d vs 4.2±2.0 d(P=0.167) respectively in 2 groups.The require to analgesics were 0 and 2.2%in 2 groups.The recurrence rate of 2 groups were 0.68%and 0.93%respectively (P = 1.000).The seroma,transient neurapraxia and urinary retention ranked as the most common morbidity, and there were no significant difference in 2 groups.The cost in hospital of LIHR group(7058.4±1033.7 yuan) was significantly higher than that of Lichtenstein group(4012.6±312yuan,P = 0.000). Conclusion LIHR and Lichtenstein are both safe and efficient tension-free techniques for inguinal hernias repair,the correct choice of repair method can offer the best clinical and cost-effective results.