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2002, Number 1

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Cir Cir 2002; 70 (1)

Lichtenstein inguinal hernia repair. Prospective study to 5 years

Reyes-Pérez E, Athié-Athié AJ, Domínguez-Jiménez GL, Cárdenas-Mejía A, Ramírez-Solís ME, Cárdenas-Lailson LE

Language: Spanish
References: 27
Page: 14-17
PDF size: 53.91 Kb.


ABSTRACT

Introduction: One of the oldest and useful operations in the armamentarium of surgical techniques for the general surgeon is inguinal hernia repair, with more than 10 different ways described for its correction. The aim of this study is to report the experience obtained with the employment of Lichtenstein technique in 510 consecutive inguinal hernia repairs at the Hospital General Dr. Manuel Gea González, Mexico City. Material and methods: The outcomes of 510 Lichtenstein inguinal hernias repair 470 patient were prospectively analyzed during a period of time between January 1996 to January 2001. The variables analyzed with descriptive statistics were age, gender, type of hernia, morbility, mortality, recurrence, operative time, hospital stay, and long-term recurrence. Results: We performed inguinal repair in 400 male and seventy female patients, average age 47 years, range, 16 to 89 years. Forty patients presented bilateral hernia; thus, we carried out 510 procedures, 440 primary hernias and 70 recurrent. There were 15 seromas (2.9%), four infections (0.7%), and five hematomas (0.9%), and three recurrences (0.5%). Operating time was 65 min for primary hernias and 80 min for recurrent, with 125 min for bilateral hernias. Hospital stay was 24 h. Discussion: Lichtenstein technique for repairing inguinal hernia is a safe procedure and easily performed; with a low index of morbidity and recurrence, applicable to any kind of inguinal hernia, and a short hospital stay.


REFERENCES

  1. Cisneros MHA, Mayagoitia GJC, Suárez FD. Hernioplastía inguinal libre de tensión con técnica de “mesh plug”. Cir Gen 2001;23:21-4.

  2. Nyhus LM, Condon RE. Hernia. 3rd ed. México, D.F.: Panamericana; 1991.

  3. Sachs M, Damm M, Encke A. Historical evolution of inguinal hernia repair. World J Surg 1997;21:218-23.

  4. Zamora RJ. La hernia inguinal: breve repaso de su historia y evolución. Cir Gen 1996;18:228-31.

  5. Sayad P, Hallak A, Ferzli G. Laparoscopic herniorrhaphy: review of complications and recurrence. J Laparoendosc Surg1998;8:5-10.

  6. Halverson K, McVay CB. Inguinal and femoral hernioplasty. Arch Surg 1970;101:127- 32.

  7. Weinstein M, Roberts M. Recurrent inguinal hernia. Follow-up study of 100 postoperative patients. Am J Surg 1975;129:564-9.

  8. Lichtenstein IL, Shulman AG, Amid PK, Montllor MM. The tension free hernioplasty. Am J Surg 1989;157:188-93.

  9. McClellan RN. Hernia. Selected readings in general surgery. 1993; 20:8-93.

  10. Amid PK. The Lichtenstein open tension-free hernioplasty. Cir Gen 1998;20(Suppl 1):17-20.

  11. Gilbert Al. An anatomic and functional classification for the diagnosis and treatment of inguinal hernia. Am J Surg 1989;157:331-33.

  12. Rutkow IM. Groin hernia surgery. Surg Clin North Am 1998;78: 921-99.

  13. Capozzi JA, Berkenfield JA, Cherry JK. Repair of inguinal hernia in adult with prolene mesh. Surg Gynecol Obstet 1988;167:124-28.

  14. Mayagoitia GJC, Suárez FD, Cisneros MH. Hernioplastia inguinal tipo Lichtenstein. Cir Gen 2000;22:329-33.

  15. Melchor GJM, Pérez GR, Argumedo VM, Domínguez GF. Reparación de la hernia inguinal sin tensión. Cir Ciruj 2000;68:68-71.

  16. Amid PK. Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia 1997;1:15-21.

  17. Fris E, Lindahl F. The tension free hernioplasty in a randomized trial. Am J Surg 1996;172:315-19.

  18. Fahel E, Amaral PC, Ettinger J y cols. Estudio comparativo entre videolaparoscopia TAPP y las técnicas de Lichtenstein y Bassini para la reparación de hernia inguinal. Rev Endos Quir 1999;3:3-7.

  19. Fitzgibbons RJ, Camps J, Cornet DA, et al. Laparoscopic herniorrhaphy. Results of multicenter trial. Ann Surg 1995;221:3-13.

  20. Wantz GE. Experience with the tension free hernioplasty for primary inguinal hernias in men. J Am Coll Surg 1996;183:351-357.

  21. Platt R, Zalennik DF, Hopkins CC, et al. Perioperative antibiotic prophylaxis for herniorrhaphy and breast surgery. N Engl J Med 1990;322:153-160.

  22. Rutkow IM. Laparoscopic hernia repair: the socioeconomic tyranny of surgical technology. Arch Surg 1992;127:1271.

  23. Brooks DC. A prospective comparison of laparoscopic and tension-free open herniorrhaphy. Arch Surg 1994;129:361-366.

  24. Corbitt JD Jr. Transabdominal preperitoneal herniorrhaphy. Surg Laparosc Endosc 1993;3:328-32.

  25. Felix EL, Michas CA, González MH Jr. Laparoscopic hernioplasty TAPP vs TEP. Surg Endosc 1995;9:984-89.

  26. Amid PK, Shulman AG. Simultaneous repair of bilateral inguinal hernias under local anesthesia. Ann Surg 1996;223:249-52.

  27. Danielsson P, Isacson S, Hansen MV. Randomized study of Lichtenstein compared with shouldice inguinal hernia repair by surgeons in training. Eur J Surg 1999;165:49-53.




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