>Year 2004, Issue 4
Reyes-Devesa HE, Martínez-De Jesús F, Martínez-Mier G, Viñas-Dozal JC
Tension-free inguino-femoral hernioplasty. HERD technique, 5-years experience
Cir Gen 2004; 26 (4)
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Objective: To describe the experience and results obtained in 5 years with the use of a new tension-free technique for the treatment of inguino-femoral hernia.
Setting: Third level health care hospital.
Design: Observational, descriptive study without control group.
Patients and methods: Two-hundred fifty-seven patients with inguinal hernia were subjected to hernioplasty with a new technique, anterior, open, tensionfree, using a new design of polypropylene mesh (HERD) from January 1998 to January 2003. Assessed variables were: age, gender, type of hernia, surgical time, hospital stay duration, complications, recurrence, post-surgical pain, and time needed to return to daily activities.
Results: Two-hundred sixty-eight hernia were repaired with this technique; 204 patients were men and 175 patients had a job requiring intense physical exertion. Two-hundred twelve patients coursed with a primary inguinal hernia. A concomitant femoral hernia was found in 39 patients with inguinal hernia. Average surgical time was of 45 minutes; 95% of the patients were discharged on the same day of surgery, no recurrence has been observed, and only minor complications have occurred; 95.3% of the patients assessed their pain as minimal and most returned to their activities in less than 10 days.
Conclusion: This technique has the same advantages as the open free-tension techniques. The results can be compared with other standard free-tension techniques. This technique allows identifying and treating not previously observed femoral hernias and protects hernioplasties from recurrences.
||Inguinal hernia, mesh, inguinal plasty, morbidity.
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>Year 2004, Issue 4