[Hernia surgery in Hungary today--effect of the Lichtenstein-study]

Based on extensive randomized, multicenter studies, the recent trend in inguinal hernia surgery has been towards using a mesh-based tension-free repair, and Lichtenstein method is considered to be the procedure of choice. Based on above mentioned concern a prospective, multicenter study was conducted. In 15 centers, between March of 1999 and 2000, 1434 patients were included in this trial. Lichtenstein hernia repair was associated with less postoperative pain, lower complications rate,faster recovery, and lower recurrence rate compared with suture repair made under tension. Both the attitude and practice has been changed thoroughly in Hungary and the Bassini repair seems to be replaced by the Lichtenstein procedure. Mesh implantation increased from 1% (1998) to 34% (2005). The study has largely contributed to the national spread of this operation and has doubtlessly verified the advantage of data processing through the internet.