medigraphic.com
SPANISH

Revista Cubana de Cirugía

ISSN 1561-2945 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2013, Number 2

<< Back Next >>

Revista Cubana de Cirugía 2013; 52 (2)

Ten years experience in Mohan P. Desarda herniorrhaphy

López RPR, Pol PG, León GO, Cruz JR, Rodríguez BH, Satorre RJ
Full text How to cite this article

Language: Spanish
References: 15
Page:
PDF size: 135.82 Kb.


Key words:

herniorrhaphy, hernioplasty, local anesthesia, outpatient treatment.

ABSTRACT

Introduction: affection by hernia is one of the best studied processes and its treatment aims at excellence, although some controversy still persists.
Objective: to present the results of the use of Mohan P. Desarda technique in the Surgery Service at "Enrique Cabrera" General Teaching Hospital, between January 2002 and December 2011.
Methods: a random prospective study was conducted between January 2012 and December 2011 in 678 patients who had undergone surgery after the diagnosis of inguinal hernia, to whom Mohan P. Desarda surgical technique was performed, who were followed up in the outpatient consultation and, finally, by telephone.
Results: the highest incidence was in the male sex, with 625 patients (92.2 %) and the average age was 58.3 years. The most frequent localization was the right one in 330 patients (48.7 %). Local anesthesia was applied to 490 patients (72.3 %). 461 patients received outpatient treatment (68 %). In 26 of them, (3.4 %), complications were diagnosed. Relapse was observed in 4 patients, for a 0.5 % of the total.
Conclusions: satisfactory results are obtained with Mohan P. Desarda herniorrhaphy as well as with prosthetist techniques, contributing to important economic savings.


REFERENCES

  1. Desarda MP. Inguinal herniorraphy with en undetached strip of external oblique aponeurosis a new approach used en 400 patients. Eur J Surg.2001;167:1-6.

  2. Rutkow MI. Epidemiologic, economic and sociologic aspects of hernia. Surgery in the United States in the 1900s. Surg North Am. 1998;78:941-51.

  3. MP Desarda. Surgical physiology of inguinal hernia repair- a study of 200 cases. BMC Surgery. 2003;3:1-9.

  4. Porrero JL. El cambio de la cirugía de la hernia en la última década. En: Celdran A, De la Pinta JC, editores. Fundamentos de la hernioplastia sin tensión. Madrid: Fundación Jiménez Díaz; 1999. p. 9-11.

  5. Porrero JL. Study of unilateral post herniorraphy analgesia with local anaesthesia and monitored anaesthesia care. Ambulatory Surg. 1998;6:211-4.

  6. Mc Gillicuddy JE. Prospective randomized comparison of the Shouldice and Lichtenstein hernia repair procedure. Arch Surg. 1998;133:974-8.

  7. EU Hernia Trialist Collaboration. Mesh compared with non-mesh methods of open groin hernia repair. Systematic review of randomized controlled trials Br J Sur. 2000;87:854-9.

  8. Kingsnorth AN, Porter ChS, Bennett DH, Walter AJ, Hyland ME, Sodergren S. Lichtenstein patch or prefix plug and patch in inguinal hernia a prospective doubleblind randomized controlled trial of short-term outcome. Surgery. 2000;12:276-83.

  9. Rutkow MI. Epidemiologic economic and sociologic aspects of hernia Surgery in the United States in the 1990. Surg Clin North Am. 1998;78(9):451.

  10. Desarda MP. Comparative study of open mesh repair and Desardas´s no mesh repair in a set-up of a district hospital in India. Gert Afric Jor Surg. 2006;11(2):1-9.

  11. Desarda MP. No mesh inguinal repair with continuos absorbable sutures: A dream or reality (A study of 229 patients). The Saudi Journal of Gastroenterology. 2008;14(3):122-7.

  12. Porrero JL. La herniorrafia de Shouldice en el tratamiento de la hernia Inguinal primaria. Estudio prospectivo sobre 775 pacientes. Cir Esp. 2003;74:330-3.

  13. Lichtenteins IL. The tension free hernioplasty. Am J Surg. 1989;157:188-93.

  14. EU Hernia Trialist Collaboration. Mesh compared with non-mesh methods of open groin hernia repair systematic review of randomized controlled trials. Br J Surg. 2009;87:954-8.

  15. Mc Gucuddy JE. Prospective randomized comparison or the Shouldice and Lichtenstein hernia repair procedure. Arch Surg. 1998;133:974-8.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Revista Cubana de Cirugía. 2013;52