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Related Experiment Videos

Short-term outcome after mesh or shouldice herniorrhaphy: a randomized, prospective study

R J Barth1, K W Burchard, A Tosteson

  • 1Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756-0001, USA.

Surgery
|March 3, 1998
PubMed
Summary

Short-term outcomes for Lichtenstein mesh and Shouldice hernia repairs show no significant differences in pain, recovery time, or return to work. Both inguinal hernia repair methods offer minimal morbidity in an outpatient setting.

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Area of Science:

  • General Surgery
  • Surgical Innovation

Background:

  • Long-term recurrence rates for Lichtenstein mesh and Shouldice hernia repairs are low.
  • Short-term outcomes may influence surgical repair choice.
  • No prospective studies have compared short-term morbidity between mesh and Shouldice repairs.

Purpose of the Study:

  • To prospectively compare the short-term morbidity of Lichtenstein mesh versus Shouldice inguinal hernia repair.
  • To evaluate differences in postoperative pain, narcotic use, and recovery time.

Main Methods:

  • 105 adult patients were randomized to undergo either mesh or Shouldice inguinal hernia repair.
  • Postoperative pain, narcotic use, and time to resume activities/employment were recorded.
  • Patients were blinded to the repair type until data collection concluded.

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Main Results:

  • No significant differences were observed between mesh and Shouldice repairs regarding postoperative pain, narcotic use, or time to resume usual activities and employment.
  • Both groups experienced rapid recovery, with 50% reporting mild pain and no longer needing narcotics by postoperative day 3.
  • A median of 9 days was required for patients in both groups to return to usual activity and work.

Conclusions:

  • Both Lichtenstein mesh and Shouldice repairs are effective for inguinal hernias with minimal short-term morbidity when performed with local anesthesia in an outpatient setting.
  • Despite the tension-free design of mesh repair, short-term outcomes are comparable to the Shouldice method.