2003, Number 5
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Cir Cir 2003; 71 (5)
Open-groin hernia repair utilizing E-PTF mesh technique
Ortega-León LH, Armando Vargas-Domínguez, David Ramírez-Tapia
Language: Spanish
References: 21
Page: 383-386
PDF size: 45.12 Kb.
ABSTRACT
Background: At present, utilization of mesh is best option for surgical
groin hernia treatment. Affirmation must be corroborated in hernia clinics
of a national concentration hospital to ascertain which is the most
recommendable with regard to technique therapeutics and economic factors.
Place: A tertiary level concentration general hospital.
Material. There were 61 groin hernia repairs in 59 patients, 54 males
91.5% and five females (8.5%). Average 43 age was, minimum 17, maximum
81, median 41 mode 55 years. Plain mesh of expanded polytetrafluoroethylene
was used.
Methods: A prospective, descriptive, and longitudinal study was conducted
in a 1-year. Inclusion criteria included patients who accepted the mesh
proceeding and bought the mesh. We made a date gathering sheet with age,
gender, hospital stay, surgical time, pain scale and complications.
Patients underwent follow-up at 7, 14, 21, and 30 days after each month.
Results: Average surgical time was 53 min average hospital stay 52 h.
Five patients had complications, urine retention was present in two,
and serosity in one there was case of rejection of surgical absorbable
suture not related with mesh. There was no prolonged hospital stay, and
no relapses.
Pain measurement was performed at two different times; Average pain index
was 3.76 for first and 2.48 for second on a 1-10 scale. On average, there
were two doses of analgesics per patient.
In this group, surgery was well accepted without severe complications
and with low scale of pain.
REFERENCES
Primatesta P, Goldacre MJ. Inguinal hernia repair: incidence of elective and emergency surgery, readmision and mortality. Int J Epidemiol 1996;25:835-839.
Rutkow IM, Robbins AW. Tension free inguinal herniorrhaphy: a preliminary report on the mesh plug technique. Surgery 1993:114:3-8.
Simons MP, Kleijnenj, Van Gelderet D, Hoitsma HFW, Obertop H. Role of Shouldice technique in inguinal hernia repair: a systematic review of controlled trials and meta-analysis. Br. J Surg 1996;83:734-738.
Stoppa RE, Warlaumont CR, Verhaeghe PJ, et al. Prosthetic repair in the treatment of groin hernia. Int Surg 1986;71:154-158.
Abrahamson J. Etiology and pathophysiology of primary and recurrent groin hernia formation. Surg Clin North Am 1998;78:953-972.
Félix E, Michas C, González M. Laparoscopic hernioplasty: why does it work? Surg Endosc 1997;11:36-42.
Chung R, Rowland D. Meta analysis of randomized controlled trials of laparoscopic vs conventional inguinal hernia repairs. Surg Endoscopic 1999;13:689-694.
EU Hernia Trialist Collaboration. Mesh compared with non-mesh methods of open groin hernia repair: systematic review of randomized controlled trials. Br J Surg 2000;87:854-859.
Serraltaa A, Buenoa J, Ibañeza F, Planelisa M, Roderob D. Evaluación prospectiva de la reparación protésica abierta y laparoscópica de la hernia inguinal primaria unilateral no complicada. Cir Esp 2001;70:295-299.
Medical Research Council Laparoscopic Groin Hernia Trial Group. Cost utility analysis of open versus laparoscopic groin hernia repair: results from a multicenter randomized clinical trial. Br J Surg 2001;88:653-661.
Kumar S, Wilson RG, Nixon SJ, Macintyre IM. Chronic pain after laparoscopic and open mesh repair of groin hernia Br J Surg 2002;89:476-479.
Kingsnorth AN, Porter CS, Bennett DH, et al. Lichtenstein patch of Prefix plug and patch in inguinal hernia: a prospective double blind randomized controlled trial of short term outcome. Surgery 2000;127;276-283.
Porrero JL, Sánchez-Cabezudo DGC. Evidencias científicas en el tratamiento de la hernia inguinal. Cir Esp 2002;72:157-159.
Toy FK, Moskowitz M, Smoot RT, Pleatman M, et al. Results of a prospective multicenter trial evaluating the e-PTF peritoneal onlay laparoscopic inguinal hernioplasty. J Laparoendoscopic Surg 1996;6:375-386.
Robbins AW, Rutkow IM. Mesh plug repair and groin hernia surgery. Surg Clin North Am 1998;78:1007-1023.
Palot JP, Avisse C, Gailliez-Tomasi JP, et al. The mesh plug repair on groin hernias: a three year experience. Hernia 1998;2:31-34.
Kruss C, Metzger J, Kocher T, Flue MV, Harder F. Open mesh and plug hernioplasty: experience in a teaching hospital. Hernia 1998;2:S30.
EU Hernia Trialist Collaboration, Grant A. Laparoscopic compared with open methods of groin hernia repair: systematic review of randomized controlled trials. Br J Surg 2000;87:860-867.
Paajanen H. Do absorbable mesh sutures cause less chronic pain than nonabsorbable sutures after Lichtenstein inguinal herniorraphy? Hernia 2002;6:26-28.
Shulman AG, Amid PK, Lichtenstein IL. The safety of mesh repair for primary inguinal hernias: results of 3019 operations from five diverse surgical sources. Am Surgeon 1992;58:255-257.
Bowley DM, Shaw BM, Kingsnorth AN. Dispositional pessimism predicts delayed return to normal activities after inguinal hernia operation. Surgery 2003;133:141-146.