title: [Lichtenstein versus Lichtenstein plus plug in prosthetic inguinal hernia repair: preliminary results of a prospective randomized controlled trial].
abstract: BACKGROUND
  Mesh- based hernioplasties became the reference in inguinal hernia repair.
  
  
  OBJECTIVE
  To evaluate the results of combining a conic Plug to the Lichtenstein Mesh for inguinal hernia repair.
  
  
  METHODS
  Between January 2007 and January 2009 we included 50 patients with primary or recurrent inguinal hernia in a prospective comparative randomized controlled trial. The randomization concerned the association of the conic Plug to the Lichtenstein Mesh. The primary objectives were to establish if any differences in operation time, postoperative pain response and/or postoperative recovery time, chronic pain and recurrence could be detected between the 2 groups. All patients were seen and data were collected after 2 weeks, 6 months and 2 years.
  
  
  RESULTS
  Twenty two patients were treated by Lichtenstein Mesh (group A) and we associated the conic Plug to 28 patients (group B). The mean age was 56 years. Forty three patients were discharged after 24 hours. The postoperative pain was low with visual analogue scores ≤ 5 for 48 patients. One patient had residual pain treated efficiency with medical treatment. No recurrence in the 2 groups in 2 years outcome. There were no significant differences between the 2 groups.
  
  
  CONCLUSIONS
  Results of the Lichtenstein plus Plug technique are similar to the Lichtenstein results. There were no significant differences between the 2 groups concerning early or late complications. The recurrence will be revaluated after 5 and 10 years outcome.
authors.affiliation: Service de Chirurgie Viscérale, Université de Monastir.
authors.forename: Moez
authors.initials: M
authors.lastname: Boudokhane
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Fodha
authors.forename: Mohamed T
authors.initials: MT
authors.lastname: Abdekefi
authors.forename: Karim
authors.initials: K
authors.lastname: Nacef
authors.forename: Nizar
authors.initials: N
authors.lastname: Majdoub
authors.forename: Abdellatif
authors.initials: A
authors.lastname: Affes
authors.forename: Nour
authors.initials: N
authors.lastname: Sfari
authors.forename: Hela
authors.initials: H
authors.lastname: Attia
authors.forename: Nedia
authors.initials: N
authors.lastname: Samed
authors.forename: Achraf
authors.initials: A
authors.lastname: Bahloul
authors.forename: Ali
authors.initials: A
authors.lastname: Majdoub
authors.forename: Mohamed Y
authors.initials: MY
authors.lastname: Binous
authors.forename: Rachid
authors.initials: R
authors.lastname: Ben Soussia
authors.forename: Kamel
authors.initials: K
authors.lastname: Hleli
authors.forename: Mohamed
authors.initials: M
authors.lastname: Fodha
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000175:diagnosis / Q000601:surgery*; D059685:Herniorrhaphy / Q000295:instrumentation / Q000379:methods* / Q000534:rehabilitation / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011446:Prospective Studies; D019736:Prostheses and Implants; D013525:Surgical Instruments; D013526:Surgical Mesh; D055815:Young Adult