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2008, Number 6

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Rev Med Inst Mex Seguro Soc 2008; 46 (6)

Preperitoneal Dissection Space with Dissection Globe by Anterior Via for Groin Hernia Surgery

Rivera-López FA, Robles-Trillo S
Full text How to cite this article

Language: Spanish
References: 5
Page: 669-672
PDF size: 538.32 Kb.


Key words:

inguinal hernia, polypropylenes.

ABSTRACT

Objective: to use dissection ballow by anterior via for placement of the circular part of the double dispositive prolene hernia system in the surgical treatment of groin hernia.
Methods: prospective, longitudinal study performed at general hospital. Between 2004 and 2006 to 30 male patients with inguinal hernia in whom dissection of preperitoneal space with dissection ballow by anterior via was performed in order to place the circular part of the double dispositive.
Results: 30 male patients, with age of 45.7 years mean, surgical time was 60 minutes; hospital stay was 24 hours and time to reintegration to their daily activities was 9 days; 10 patients presented hernias type IV in the Gilbert’s classification, without complications during surgery; none postsurgical complication or relapse was presented.
Conclusions: we suggest the use of the dissection ballow to create a preperitoneal space in symmetrical and haemostatic way by anterior via, for maximum expansion of the circular part of the double device.


REFERENCES

  1. Avisse C, Delatre JF, Flament JB. Área inguino femoral desde un punto de vista laparoscópico. Clin Quir N Am 2000;1:37-49.

  2. Gilbert AI. Hernioplastias inguinales abiertas anterior y posterior con un dispositivo doble. En: Mayagoita GJ, editor. Hernias de la pared abdominal. Tratamiento actual. México: McGraw-Hill Interamericana; 2004. p. 99-103.

  3. Davis JD, Arreguí ME. Laparoscopic repair for groin hernias. Surg Clin North Am 2003;83: 1141-1461.

  4. Katkhouda N. Reparación de hernias. En: Katkhouda N, editor. Cirugía laparoscópica avanzada. México: McGraw- Hill; 1999. p. 113.

  5. Farrakha M, Shyam V, Bebars G. A, Yacoub, Bindu K, Kolli S. Ambulatory inguinal hernia repair whit prolene hernia system (PHS). Hernia 2006; 10:2-6.




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Rev Med Inst Mex Seguro Soc. 2008;46