Montejo SJE, Pisonero SJJ, Delgado AAI

Language: Spanish
References: 10
Page: 147-154
PDF size: 118.93 Kb.

ABSTRACT

INTRODUCTION. The aim of present study was to assess the benefit using the prosthesis (polypropylene mesh) in the hernioplasty using the Lichtenstein's technique in the "Joaquín Albarrán" Clinical Surgical Hospital.
METHODS. A prospective study (with an interval of 14 months) was conducted in 140 surgical interventions carried out using the Lichtenstein's technique in patients presenting with inguinal hernia. One hundred and ten patients were excluded due to interventions were of ambulatory method. The following data were studied: type of hernia found in the physical examination, age, sex, and race, type of job, intervention's date, and technique used as well as the complications during the immediate postoperative time. Also, the hernia's relapse after operation, surgical complications and tolerance to polypropylene mesh were taking into account.
RESULTS. There was predominance of male sex confirming a direct influence among types of jobs requiring a strong physical effort and the appearance of inguinal hernias (63,3 %). There were only three complications: a hematoma and two seromas. There were not relapses and any case of infection, both local and systemic. The use of prophylactic antibiotics showed an appropriate cost-benefit relationship.
CONCLUSIONS. The old age, the male sex and a sustained physical effort have a directly proportional relation to appearance of inguinal hernias. The feasibility of Lichtenstein's hernioplasty, the null incidence of hernia relapses and no appearance of complications including the rejection to prosthetic material, favoured the use of polypropylene in this plasty. Authors recommended the use of perioperative prophylactic antibiotic therapy to avoid wound's infection and thus to secure the result of surgical intervention and its durability.

REFERENCES

1. Nyhus L, Condon R, Patiño F. A history of the treatment of hernia. 4ta ed. Philadelphia: Salvat Editors; 1995. Pp. 956-71.

2. Zaga I, Guzmán G, Medina O, Caneda M. Hernioplastia inguinal sin tensión, con colocación de prótesis de polipropileno. Resultado de seguimiento a 5 años. Cirujano General. 2000;22:45-51.

3. Reyes D, Athie A, Domínguez G, Cárdenas A, Ramírez M, Cárdenas L. Plastia inguinal tipo Lichtenstein. Estudio prospectivo a cinco años. Cirugía y Cirujanos. 2002;70(1):14-7.

4. Cervantes J, Rojas G, Flores C. Hernioplastia inguinal con el uso de cono y malla de polipropileno. Experiencia inicial. Cirugía y Cirujanos. 2001;63:23-7.

5. Moreno A, Aguayo A, Morales C, Torralba M. Hernioplastias sin tensión por vía anterior. Atlas de técnicas quirúrgicas protésicas para el tratamiento de la hernia inguinal. 4ta ed. Murcia: Interamericana; 2003. Pp. 567-78.

6. Patiño J. Lecciones de cirugía. 2da ed. Bogota: Médica Panamericana; 2000. Pp. 721-44.

7. Townsed C, Beauchamp R, Evers B, Mattox K. Tratado de Cirugía. I Tomo, 17a. ed. Gallveston: Elsevier Saunders; 2005. Pp. 298-310.

8. Aguirre J, Chávez G. Utilidad en el uso de antibióticos en la plastia inguinal con malla reciclada. Estudio comparativo. Consensos de Cirugía General. 2001;19:52-8.

9. Martínez A, Ramírez-Llaca O, Quijano F, Hesiquio R, Padilla R, Álvarez O, et al. Experiencia inicial con malla ligeramente absorbible para hernioplastia inguinal. Cirujano General. 2004;26(4):256-9.

10. Testut L. Tratado de Anatomía Humana. IV Tomo, 9na ed. Barcelona: Salvat Editores, S.A.; 1986. Pp. 1113-28.