关键词: Rutkow 手术, 腹股沟疝, Lichtenstein 手术, Gilbert 手术

Abstract: ［Abstract］ Objective To compare the outcomes of three different tension- free repair approaches known as Lichtenstein, Rutkow and Gilbert. Methods 168 patients with type III inguinal hernia were assigned to three groups, Lichtenstein group（n=65）, Rutkow group（n=53）and Gilbert group（n=50）. The comparisons across groups were carried out in terms of operation length, postoperative pain, femoral vein flow velocity, complications, recurrence, length of hospital stay, and cost. Results No difference was found among the groups regarding age, gender, postoperative pain, and late complications （all P values >0.05）. There was a statistical difference in operation length in three groups（P<0.05）. The preoperative values of mean femoral venous flow velocity in the Lichtenstein, Rutkow, and Gilbert groups were 14.08±4.27 cm/s, 12.99±3.91 cm/s, and 14.32±3.25 cm/s, respectively（P=0.173）, While postoperative values were 13.01±2.32 cm/s, 12.02±2.07 cm/s, and 13.87±4.57 cm/s, respectively（P=0.016）. However, no difference was determined between the groups regarding the decrease rates. Among early complications, hematoma was observed in three （4.6%） patient of Lichtenstein group, five （9.4%） patients of Rutkow group, and 5（10%）patients of Gilbert group（P=0.033）. Cost for Lichtenstein, Rutkow, and Gilbert groups was RMB 12887±595, 13573±647, and 14201±875, respectively（P<0.001）. Conclusion The three kinds of surgery have their own characteristics, Gilbert′s operation had better effects, however, the operation is slightly more complicated；Lichtenstein′s operation is simpler, it is feasible whenthe operation performed under local anesthesia.

Key words: Rutkow, comparison, Lichtenstein, Gilbert, inguinal hernia