Juan Mayagoitia GC, Cisneros MHA, Suárez FD

Language: Spanish
References: 14
Page: 40-43
PDF size: 91.57 Kb.

ABSTRACT

Objective: We present advantages and disadvantages of three of the main techniques of open, tension-free, inguinal plasty.
Setting: Second level health care hospital.
Patients and methods: Retrospective analysis of patients operated for inguinal hernia using the Mesh-Plug, Lichtenstein or Prolen Hernia System (PHS) techniques, from November 1996 to November 2000. We reviewed: preference of each surgeon, plasty technique, early and late complications, and findings in early re-operations.
Results: A total of 844 surgeries for inguinal hernia were performed, using Mesh-Plug in 603, Lichtenstein in 189, and PHS in 52. Follow-up times were: five years for the first, four for the second, and three for the third. Fifty-eight of the surgeons used only Mesh-Plug, 32% used Mesh-Plug and Lichtenstein, and 10% all three techniques, there were no trans-operative complications. The main early complications were: seromas and hematomas at an equal rate for all three techniques. Twelve patients had to be re-operated early. In the Mesh-Plug cases, a free flap was found, partially out of place. Among the late complications, an indurated region was found in the surgical area in 5% of the Mesh-Plug cases and in 1.2% of Lichtenstein procedures. Chronic pain, not disabling, was found in 7% of the Mesh-Plug and in 0.6% of the Lichtenstein procedures. There were four recurrences with Mesh-Plug and none with the other two procedures.
Conclusion: There was no statistically significant difference among the three techniques regarding early complications in contrast to the late ones, especially concerning postoperative pain and the persistent hardening of the surgical area.

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