Page 34 - Read Online

Page 6 of 10 Mitura et al. Mini-invasive Surg 2021;5:22 https://dx.doi.org/10.20517/2574-1225.2021.19

Table 1. Demographic details of all patients and in patients with 15-year follow-up
All patients Patients in follow-up P
Patients, n (%) 341 (100%) 198 (58.1%)
Age, mean (SD), years 51.9 (14.3) 51.4 (15.1) 0.186
Gender, n (%)
Male 306 (89.7%) 178 (89.9%) 0.183
Female 35 (11.3%) 20 (11.1%) 0.204
BMI, mean (SD), kg/m 2 25.9 (2.8) 25.8 (2.6) 0.293
ASA
I 191 (56.0%) 117 (59.1%) 0.072
II 125 (36.7%) 69 (34.8%) 0.108
III 25 (7.3%) 12 (6.1%) 0.116
Smoking, n (%)
Yes 201 (58.9%) 119 (60.1%) 0.091
No 140 (41.1%) 79 (39.9%) 0.162
Hernia reducibility, n (%)
Yes 317 (93.0%) 182 (91.9%) 0.137
No 24 (7.0%) 16 (8.1%) 0.171

Table 2. Characteristics of procedures in all patients and in patients with 15-year follow-up
All patients Patients in follow-up P
Procedures, n (%) 341 (100%) 198 (58.1%)
Anesthesia, n (%)
Spinal 293 (85.9%) 172 (86.9%) 0.426
General 48 (14.1%) 26 (13.1%) 0.318
Hernia type, n
Direct (M1/M2/M3) 109 (37/25/47) 63 (24/12/27) 0.227
Indirect (L1/L2/L3) 232 (81/67/84) 135 (45/44/46) 0.108
Surgeon, n (%)
Resident 88 (25.8%) 48 (24.3%) 0.517
Attending surgeon 253 (74.2%) 150 (75.7%) 0.330
Operation time, mean (SD), min 51.4 (16.2) 52.5 (17.3) 0.199
Nerve resection, n (%)
Iliohypogastric 74 (21.7%) 45 (22.7%) 0.243
Ilioinguinal 7 (2.1%) 4 (2.1%) 0.302
Genital branch of femoral 0 (0.0%) 0 (0.0%)

Lichtenstein techniques may indicate their similar degree of difficulty . This distinguishes the Desarda
[8,9]
surgery from other low-tension techniques, especially the Shouldice technique, where it has been
documented that satisfactory surgical treatment results (recurrence rate below 1%) are obtained only in
specialized centers and after operations performed by surgeons experienced in Shouldice technique .
[10]
Bracale et al. in a meta-analysis of fourteen randomized controlled trials revealed that Shouldice repair
[11]
lasted 7 min longer than Lichtenstein repair, while Desarda repair was 6 min shorter than the average
Lichtenstein procedure.

Various methods of surgical treatment of inguinal hernia are being compared mainly in terms of recurrence
rate. In the analyzed group, 15 years after the surgical procedure, only three recurrences were found. In the
literature, the incidence of recurrences after Lichtenstein surgery does not exceed 1%. Kockerling pointed