Góngora-Gómez EM

Language: Spanish
References: 0
Page: 357-367
PDF size: 320.81 Kb.

ABSTRACT

Background: there are more than 13 different operatory techniques for treatment strangulated inguinal hernia but none has proved to be more effective than the others.
Methods: the present observational, longitudinal and prospective study, done at Hospital General of Centro Medico La Raza proposes a new surgical technique to treat strangulated inguinal hernia. Between December 2000 and August 2010, 43 adult patients with strangulated inguinal hernia were consecutively subjected to preperitoneal mesh repair and exploratory laparotomy (PPMR and ELAP), a personal modification by the author to the Stoppa-Rives technique. Several variables were studied.
Objective: knowing the morbidity and mortality in the treatment of strangulated inguinal hernia.
Results: mortality rate was zero. There were no cases of inguinal recurrence or reintervention. 1 patient developed a granuloma at the surgical site. There were 3 cases of superficial wound infection, 6 cases of inguino-scrotal seroma, and 1 case of incisional hernia.
Conclusions: a) Pre-peritoneal mesh repair and exploratory laparotomy reduce the rate of morbility and mortality in the treatment of strangulated inguinal hernia. b) Inguinal hernias must be repaired at the time of diagnosis to avoid strangulation.