Góngora GEM

Language: Spanish
References: 39
Page: 31-36
PDF size: 66.12 Kb.

ABSTRACT

Objective:To investigate whether the preperitoneal repair with polypropylene mesh and laparotomy reduces morbidity and mortality as compared to the traditionally used techniques in the management of strangulated inguinal hernia.
Design:Observational, retrospective, longitudinal, comparative study.
Setting:Second level health care general hospital.
Patients and methods:From January 2000 to December 2003, 38 adult patients with strangulated inguinal hernia were captured; two groups were formed: A) 20 patients operated with diverse techniques selected by the personal criterion of the surgeon: 1) inguinal approach and McVay repair in four patients, 2) Inguinal approach, McVay repair and laparotomy in six patients, 3) Pre-peritoneal fascia repair type Nyhus through the midline in five patients, 5) inguinal approach with Lichtentstein repair and laparotomy in one patient. B) Eighteen patients operated with the technique proposed in this study. Follow up was of 2 to 48 and 1 to 36 months, respectively, assessing the following variables: mortality, recurrence, infection of surgical wound, granuloma, seroma, and incisional hernia. We describe the preperitoneal mesh repair technique with laparotomy.
Results:Group A) Three deaths, five recurrences, five surgical wound infections, two granulomas. Group B) Two surgical wound infections that did not require mesh removal, one granuloma, one seroma, one midline incisional hernia.
Conclusion:The preperitoneal repair with mesh and laparotomy decreased the frequency of hernia recurrence (p‹0.05). No statistically significant differences were found in the frequencies of mortality, surgical wound infection, granuloma, seroma, and incisional hernia.

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