๐”– Bobbio Scriptorium
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Randomized trial of modified Bassini versus Shouldice inguinal hernia repair

โœ Scribed by Dr A. Paul; H. Troidl; J. I. Williams; D. Rixen; R. Langen

Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
401 KB
Volume
81
Category
Article
ISSN
0007-1323

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โœฆ Synopsis

Abstract

Between 1986 and 1992, 265 men of mean age 51 (range 16โ€“75) years with a primary inguinal hernia were randomized to undergo surgery by staff surgeon or surgical resident and further randomized to receive a modified Bassini operation (transversalis fascia not divided but included in the repair) or Shouldice procedure. The follow-up rate was 92ยท1 per cent with a mean follow-up of 3ยท3 years. Recurrence developed in 12 of 125 patients with a Bassini procedure and two of 119 after a Shouldice repair (9ยท6 versus 1ยท7 per cent, P = 0ยท006). The recurrence rate was no different for staff surgeons and trainees (5ยท9 versus 5ยท6 per cent, P not significant). Multivariate analysis identified the presence of a direct hernia (P = 0ยท003) as the additional main factor for the development of recurrence.

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