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2002, Number 6

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Cir Cir 2002; 70 (6)

Anterior tension-free inguino-femoral hernioplasty: HERD technique, preliminary report. Personal experience with 126 patients

Reyes-Devesa HE, Martínez-De JFR, Viñas-Dozal JC

Language: Spanish
References: 38
Page: 422-427
PDF size: 88.88 Kb.


ABSTRACT

Objective: To inform the results of the anterior tension-free inguino-femoral repair with mesh using the Hugo Enrique Reyes Devesa technique (HERD). Material and methods: From January 20, 1998 to October 20, 2001, it was realized a prospective, longitudinal and descriptive study of 126 patients with inguinal hernia classified with the Gilbert-Rutkow/Robbins and Nyhus systems, operated with a modified Lichtenstein technique in which the mesh was fixed to the inguinal and Cooper ligaments. Statistic analysis: Descriptive and frequencies. Setting: Veracruz National Medical Center “Adolfo Ruiz Cortines” (IMSS). Results: We studied 105 men and 21 women, aged from 16 to 92 years. The hernia was right sided in 63%, left in 32%, bilateral in 4% and femoral in 1%; primary in 92% and recurring in 8%. In 94% of the patients were discharged in 12 hours. Complications: wound infection (n = 1); vas deferens section (n = 2); vascular spermatic cord lesion and orchiectomy (n = 1); seroma (n = 3); edema of the spermatic cord (n = 4). There were not mortality or recurrences in the follow-up time. Discussion: This is an easy to perform hernioplasty, allows the detection and treatment of associated or unnoticed femoral hernias; gives reinforcement of internal ring, the inguinal floor and femoral area, protecting the three possible areas of hernias (indirect, direct and femoral). The low morbidity is not related to the modification of the technique.


REFERENCES

  1. Abrahamson J. Hernias. In: Zinner MJ, Schwartz SI, Ellis H., eds. Maingot Operaciones Abdominales. Vol 1. 10ª ed. Stamford, Conn: Appleton & Lange: 1997:cap 14:441-533.

  2. Read RC. The Centenary of Bassini’s Contribution to Inguinal Herniorrhaphy. Am J Surg 1987;153:324-326.

  3. Wexler MJ. Symposium on the management of inguinal hernias. 2. Overview. The repair of inguinal hernia: 110 years after Bassini. Can J Surg 1997;40(3):186-191.

  4. Haapaniemi S, Gunnarsson U, Nordin P. Reoperation after recurrent groin hernia repair. Ann Surg 2001;234:122-126.

  5. Amid PK, Bendavid R, Fitzgibbons RJ, McKernan JB, Murphy JW. Surgery Roundtable: Current Issues in Inguinal Herniorrhaphy: Evolution of Inguinal Herniorrhaphy. Surgery Treatment Updates. Medical Education Collaborative. 2000.

  6. Robbins AW, Rutkow IM. The mesh-plug hernioplasty. Surg Clin North Am 1993;73(3):501-512.

  7. Lichtenstein IL, Shulman AG, Amid PK. The cause, prevention, and treatment of recurrent groin hernia. Surg Clin North Am 1993;73(3): 529-544.

  8. Abrahamson J. Etiology and pathophysiology of primary and recurrent groin hernia formation. Surg Clin North Am 1998;78(6):953-972.

  9. Obney N, Chan CK. Repair of multiple time recurrent inguinal hernias with reference to common causes of recurrence. Contemp Surg 1984;25:25-32.

  10. Bendavid R. A femoral “umbrella” for femoral hernia repair. Surg Gynecol Obstet 1987;185:153-156.

  11. Usher FC, Cogan JE, Lowry TI. A new technique for the repair of inguinal and incisional hernias. Arch Surg 1960;81:187-194.

  12. McVay CB. Reparación de la hernia inguinal mediante el ligamento de Cooper. En: Nyhus LM, Baker RJ, eds. El dominio de la cirugía. Vol 2. ed. Médica Panamericana; 1991:cap 155:1655-1669.

  13. Usher FC. Hernia repair with Knitted polypropylene mesh. Sur Gynecol Obstet 1963;117:239.

  14. Lichtenstein IL, Shulman AG, Amid PK, Montlor MM. The tension-free hernioplasty. Am J Surg 1989;157:188-193.

  15. Lichtenstein IL. Herniorrhaphy. A personal experience with 6,321 cases. Am J Surg 1987;153:553-559.

  16. Mayagoitia JC, Suárez D, Cisneros H. Hernioplastía tipo Lichtenstein. Cir Gen 2000;22:329-333.

  17. Amid PK, Shulman AG, Lichtenstein IL. Open “tension-free” repair of inguinal hernias: The Lichtenstein technique. Eur J Surg 1996;162:447-453.

  18. Amid PK, Shulman AG, Lichtenstein IL. Critical scrutiny of the open “tension-free” hernioplasty. Am J Surg 1993;165:369-371.

  19. Shulman AG, Amid PK, Lichtenstein IL. The safety of mesh repair for primary inguinal hernias: results of 3,019 operations from five diverse surgical sources. Am Surg 1992;58:255-257.

  20. Lichtenstein IL, Shulman AG. Ambulatory outpatients hernia surgery, including a new concept, introducing tension-free repair. Int Surg 1986;71:1-4.

  21. Kurzer M, Belsham PA, Kark AE. The Lichtenstein repair. Surg Clin North Am 1998 ;78(6):1025-1046.

  22. Stoppa RE, Rives JL, Walaumont CR, et al. The use of Dacron in the repair of hernias of the groin. Surg Clin North Am 1984;64(2):269-285.

  23. Kugel RD. Minimally invasive, nonlaparoscopic, preperitoneal, and sutureless, inguinal herniorrhaphy. Am J Surg 1999;178:298-302.

  24. Gilbert AI. Sutureless repair of inguinal hernia. Am J Surg 1992;163: 331-335.

  25. Gilbert AI, Graham MF. Symposium on the management of inguinal hernia. 5. Sutureless technique: second version. Can J Surg 1997;40: 209-212.

  26. Kingsnorth AN, Porter CS, Bennett DH, et al. Lichtenstein patch or PerFix Plug-and-patch in inguinal hernia: a prospective double-blind randomized controlled trial of short-term outcome. Surgery 2000;127:276-283.

  27. Robbins AW, Rutkow IM. Mesh plug repair and groin hernia surgery. Surg Clin North Am 1998;78(6):1007-1023.

  28. Rutkow IM, Robbins AW. Tension-free inguinal herniorrhaphy: a preliminary report on the “mesh plug” technique. Surgery 1993;114:3-8.

  29. Moran RM, Brauns J, Petrie CR, Novak BP, Johnsrud JM. The Moran repair of inguinal hernias. Am Surg 1997;63(5):430-433.

  30. Gilbert AI, Graham MF, Voigt WJ. Inguinal Hernia: Anatomy and Management. Surgical Clinical Management: The evolution of Hernia Repair. Medical Education Collaborative. April 2000.

  31. Martínez-De Jesús FR. Definición, fisiopatología y clasificación de las hernias. En: Roesch DF, Abascal ZR., eds. Hernias de la Pared Abdominal. Ed. El Manual Moderno;2001: cap.4:55-61.

  32. Gilbert AI. An anatomic and functional classification for the diagnosis and treatment of groin hernias. Surgery 1989:157:331-333.

  33. Rutkow IM, Robbins AW. Classification systems and groin hernias. Surg Clin North Am 1998;78(6):1117-1127.

  34. Nyhus LM. A classification of groin hernias. In: Arregui ME, Nagan RF, eds. Inguinal hernias: advances or controversies? New York, Radcliffe Medical Press;1994:99-102.

  35. Nyhus LM. The recurrent groin hernia: therapeutic solutions. World J Surg 1989;13:541-544.

  36. McGillicuddy JE. Prospective Randomized Comparison of the Shouldice and Lichtenstein Hernia Repair Procedures. Arch Surg 1998;133: 974-978.

  37. Read RC, Barone GW, Hauer-Jensen M, Yoder G. Preperitoneal prosthetic placement through the groin. The anterior (Mahorner-Goss, Rives-Stoppa) approach. Surg Clin North Am 1993;73(3):545-55.

  38. Amid PK. Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia 1997;1:12-19.




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