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2001, Number 6

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Rev Fac Med UNAM 2001; 44 (6)

Polydioxanone in inguinal hernia repair

González AMA, Moreno GS, Maya MZ, Romero MR

Language: Spanish
References: 23
Page: 244-247
PDF size: 41.67 Kb.


ABSTRACT

Background: Inguinal hernia represents one of the most common challenges for the general surgeon. Accordingly, many different surgical techniques for its repair have been proposed.
Hypothesis: Polidioxanone is better than silk as a suture material for the inguinal hernia repair.
Design: An open, comparative, clinic, prospective study, was carried out from January 1996 to August 1998.
Patients: 75 patients, who underwent inguinal hernia repair with the McVay technique, were compared. Silk was used as suture material in 50 patients and PDS in 25 patients.
Results: Regarding early complications hematoma and abscess were found in two patients operated with silk. The total incidence of early complications in the group of patients operated with silk was 2.6% and 0% in the group of PDS.
Regarding later complications, neuralgia was reported in two patients of the PDS group and in eight of the silk group. Five cases of fistula were also found among those sutured with silk.
No recurrences were seen in any group in a follow up period of one year.
Conclusion: Early and late complications are less frequent with Polidioxanone than with Silk.


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