Alfaro MCG, Gaspar Antonio Rico González, Marisol Carrillo C, Luis Hiram Sánchez Gómez, Miguel Arturo Bautista Alfaro, José Antonio Palacios Ruiz

Language: Spanish
References: 4
Page: 116-117
PDF size: 77.15 Kb.

ABSTRACT

Introduction: Nowadays the treatment of inguinal hernias is performed in an elective and ambulatory manner; complications have been reduced to minimum, with the use of adequate prosthetics, prophylactic antibiotics and no tension technics.
Case: Masculine 69 years old, with a previous diagnose of laparoscopic transabdominal repair, to repair an inguinal hernia 4 months before being admitted, he developed an infection that required colostomy and retrieval of the polypropylene mesh, the patient developed a chronic secretion of purulent material in the inguinal region; it was later diagnosed as a chronic sinus, and was submitted to surgery and required a second intention closure.
Discussion: Most complications associated with prosthetic material include seromas, hematomas and in a small group of infectious complications, which rarely become chronic.

REFERENCES

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3. Fillip CJ, Gaston-Jhonston F, Mcbride PJ et al. An assesment of pain and return to normal activity: laparoscopic herniorrhaphy vs open tension-free repair. Surg Endosc 1996; 10: 983-986.

4. Fitzgibbons RJ, Camps J, Conet DA et al. Laparoscopic inguinal herniorrhaphy results of a multicenter trial. Ann Surg 1995; 221: 3-13.