>Year 2000, Issue 4
Mayagoitia GJC, Suárez FD, Cisneros MH
Hernioplastia inguinal tipo Lichtenstein
Cir Gen 2000; 22 (4)
PDF: 4. Kb.
Objetive: To present our experience with inguinal Lichtenstein-type hernioplasty without tension. Seting: Second and third level health care hospitals.
Patients and methods: Prospective report on 103 consecutive patients with inguinal hernia and treated with the Lichtenstein technique using polypropylene mesh, from February 1998 to September 1999. Descriptive statistical analysis.
Results: We studied 95 men and 8 women, aged from 16 to 88 years. The hernia was right sided in 59, left in 44, and bilateral in 13 patients; primary in 95 and recurring in 8. Average evolution time was of 13 months. All surgeries were elective. Peridural anaesthesia was used in 95 patients, general in 8. There were 76 indirect hernias, 25 direct ones, and mixed in 12; average size of the herniary ring was of 3 cm. Average surgical time was of 37 min. Eighty-four patients were treated ambulatory. Two patients developed an important edema of the spermatic cord, which resolved with anti-inflammatory medication. One patient presented infection of the wound (1%) that resolved with drainage and daily cleansing. No recurrence has occurred 18 months after surgery.
Conclusion: This is an easy to perform plasty, somewhat more laborious than the plug-mesh type, but offering a better control of the inguinal floor reinforcement, with low morbidity. If needed, it can be performed bilaterally.
||Herniorraphy, inguinal hernia.
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>Year 2000, Issue 4