Zaga MI, Guzmán-Valdiavia GG, Ramírez LOM, Caneda MM

Language: Spanish
References: 33
Page: 45-51
PDF size: 118.98 Kb.

ABSTRACT

Objective: To inform the experience obtained with the use of a polypropylene prosthesis for the treatment of inguinal hernia.
Setting: Second level health care general, regional, hospital.
Design: Clinical, prospective, observational study.
Patients and methods: Patients with primary or recurring inguinal hernia were included, all were subjected to tension-free inguinal hernioplasty and placement of a polypropylene prosthesis (Plug). Gilbert’s technique was used. The following variables were evaluated: age, gender, surgical time, hospital stay, recurring frequency, use of analgesic drugs, morbidity and mortality.
Results: Thousand-one inguinal hernioplasties were performed in 977 patients of these 78% were men and 22% women. Their ages ranged from 20 to 89 years, average of 58. Eight-hundred-thirtyseven patients (83.7%) coursed with primary hernia, and 164 (16.3%) coursed with recurring hernias. Average surgical time was 25 minutes, and hospital stay ranged from 5 to 11 hours, average of 6.6 hours. Complications occurred in 15 patients (1.5%), recurrences in 8 (0.7%). No deaths occurred. Patients resumed their daily activities in an average of 10 days and required minimal doses of oral analgesic drugs.
Conclusion: Open inguinal hernioplasty, using Gilbert’s technique, is safe and efficient.

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