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2016, Number 1

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Revista Cubana de Cirugía 2016; 55 (1)

Ambulatory surgycal treatment in patient with inguinal hernia

López RP, Pol HPG, León GOC, Satorre RJ, García CE

Language: Spanish
References: 20
Page: 21-29
PDF size: 81.98 Kb.


ABSTRACT

Introduction: the surgical treatment of inguinal hernia has increased in the last ten years and its prevalence is really unknown.
Objective: the objective of this study is to evaluate the results of the ambulatory surgical treatment of this entity between January 2010 and December 2014.
Methods: an observational, descriptive and prospective study was carried out with 380 patients who presented inguinal hernia and were ambulatorily operated in "Dr. Enrique Cabrera" General Hospital between January 2010 and December 2014. Patients urgently operated were also included.
Results: the highest incidence of inguinal hernia was found at ages 60-80 years. Indirect right inguinal hernia appeared more frequently. The anatomical surgical technique Desarda was the most applied (204 cases, 51 %), followed in frequency by Lichtenstein hernioplasty (107 cases, 28 %). There was sheer number of 2 (0.5 %) relapses. Local anesthesia was used in 345 (90.8 %) of the patients. Ambulatory surgical treatment was performed in 100 % of the cases. The total number of complications was 14 (3.3 %).
Conclusions: ambulatory surgical treatment of inguinal hernia is an appropriate process. It ensures patient comfort, decreases the risk for hospital infection, and reduces waiting lists and hospital costs.


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