2001, Number 1
Tension-free inguinal hernioplasty using the mesh-plug technique
Cisneros MHA, Mayagoitia GJC, Suárez FD
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Language: Spanish
References: 12
Page: 21-24
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ABSTRACT
Objective: To present our experience regarding the tension-free inguinal hernioplasty technique.Setting: Second and third level health care hospitals.
Design: Prospective, longitudinal study without control group.
Patients and methods: We studied 501 patients in whom 546 inguinal plasties were performed from November 1996 to September 1999. All patients with a diagnosis of inguinal hernia that attended the general surgery service during this period were included. Surgery was performed following the technique described by Rutkow and Robbins. We analyzed the following variables: age, gender, hernia site, evolution time, primary or recurrent hernia, associated diseases, classification of the hernia (according to Gilbert), surgical time, hospitalization time, complications and recurrence.
Results: Operated patients were 441 men and 105 women, ranging from 14 to 88 years of age, average of 49. The hernia was bilaterally operated in 45 patients; 90% were primary hernia and 10% were recurring ones. They were classified as Type I = 54; II = 244; III =114; IV = 101; V = 10; VI = 7; and VII = 16.
The most frequent associated diseases were diabetes mellitus, cardiopathies, cirrhosis and hydrocele. Average surgical time was of 35 min. In 89% of the patients, surgery was ambulatory with 4 hours of hospital stay as average. The most frequent complication was edema of the spermatic cord (1.6%) followed by hematoma of the surgical wound 1% in four patients infection of the surgical wound (0.7%). Only three recurrences (0.5%) had occurred at the time of this report. No deaths occurred during surgery.
Conclusion: The results obtained in this study with the tension-free mesh plug technique were efficacious, low morbidity and minimal short-term recurrences.
REFERENCES