2007, Number 4
Minimal access for the open approach of inguinal hernia
Prieto-Díaz-Chávez E, Medina-Chávez JL, Ávalos GJ, Trujillo-Hernández B
Full text
Language: Spanish
References: 14
Page: 274-278
PDF size: 86.25 Kb.
ABSTRACT
Objective: There are currently multiple and sophisticated advances in the handling of hernias. Along the history of inguinal hernia repairs, diverse types of incisions have been mentioned; the Bassini incision was described as a slanted incision, and has been subjected to modifications. The objective of the present work is to assess the use of a minimal access incision in the open approach to inguinal hernia repair.Setting: Department of General Surgery of the General Zonal Hospital No. 1, of the Mexican Social Security Institute (IMSS, for its initials in Spanish) in the city of Colima, Colima, Mexico.
Design: Descriptive, transversal, analytical study.
Statistical analysis: Percentages, averages, standard deviation, relative risk, and confidence interval.
Patients and methods: Hundred-eighty two patients with diagnosis of inguinal hernia programmed for surgery were included in the study.
Results: We describe the minimal access technique and anatomical details to approach the inguinal hernia during inguinal hernioplasty. Average age of patients was 46 years, surgical time was of 40 ±13 minutes. According to the visual analog scale, pain was considered moderate at 6 hours, mild at 7, 14, and 30 postoperative days; average analgesics ingestion amounted to 4.5 g. Incidence of post-surgical complications was of 10%.
Conclusions: Hernioplasty techniques can be judged by hernia recurrences in the long term, but our objective was not related with this variable. The study focused on demonstrating the feasibility of performing minimal access incisions in open techniques for the repair of an inguinal hernia without compromising inguinal anatomy.
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