Tension-free hernioplasty in primary inguinal hernia. A series of 2054 cases

Hernia ◽  
2000 ◽  
Vol 4 (3) ◽  
pp. 141-143 ◽  
Author(s):  
P. Hern�ndez-Granados ◽  
M. Onta��n ◽  
M. Lasala ◽  
C. Garcia ◽  
M. Arg�ello ◽  
...  
2015 ◽  
pp. 195-200
Author(s):  
Alex. G. Shulman ◽  
Parviz K. Amid ◽  
Irving L. Lichtenstein

Author(s):  
Giampiero Campanelli ◽  
Piero Giovanni Bruni ◽  
Andrea Morlacchi ◽  
Marta Cavalli

1969 ◽  
Vol 4 (1) ◽  
pp. 413-420
Author(s):  
BAKHT SARWAR ◽  
MOHAMMAD AMIN

BACKGROUND: To find out the early postoperative complications of mesh repair of inguinal herniaby Lichtenstein tension free repair.METHODOLOGY: This descriptive study was done in Surgical Unit of District HeadquartersHospital, Timergara, Dir Lower, for 1 year, from 01-01-2013 to 31-12-2013. A total of 100 cases ofinguinal hernia, male, age 20 years and above, all inguinal hernias (direct and indirect) and recurrenthernias were included in the study in which mesh repair was performed. Females and complicatedhernias (strangulated/obstructed) cases were excluded from the study. Included cases were followed upin the ward and at 2 weeks and 1st month postoperatively for any complications.RESULTS: Majority 23% cases were in the age range of 51-60 years. The right sided hernia found in62% cases, in 55% cases indirect inguinal hernia and in majority 97% cases primary inguinal hernia wasrecorded. Postoperatively at 2 weeks follow up wound hematoma was found in 10% cases, seroma in09%, wound infection in 02%, pain in 12%, urinary retention in 06%, and scrotal swelling in 04% cases.Postoperatively at 1st month follow up wound hematoma was found in 06% cases, seroma in 04%,wound infection in 01%, pain in 07%, urinary retention in 03%, and scrotal swelling in 01% cases.CONCLUSIONS: In majority of cases right sided, indirect, primary inguinal hernia has been recorded.Older age males and patients with poor and unhygienic conditions were more affected with this disease.KEY WORDS: Inguinal hernia-primary; recurrent, mesh hemioplasty, postoperative pain, woundinfection, hematoma, seroma.


Hernia ◽  
1999 ◽  
Vol 3 (3) ◽  
pp. 121-124 ◽  
Author(s):  
G. Campanelli ◽  
U. Cioffi ◽  
R. Cavagnoli ◽  
M. De Simone ◽  
M. Bastazza ◽  
...  

2020 ◽  
Vol 22 (1) ◽  
pp. 21-24
Author(s):  
Mohammad Masum ◽  
Md Aminul Islam ◽  
Masflque Ahmed Bhuiyan ◽  
Kazi Mazharul Lslam ◽  
Md Selim Morshed ◽  
...  

Background: In the practice of General Surgery, hernia repair is the second most common procedure after appendectomy. Several methods have been developed over the years to try to improve hernia repair. Good result can be expected using Bassini's, McVay's, Shouldice's techniques provided the exact nature of hernia is recognized and the repair is done without tension using healthy tissue. The introduction of synthetic mesh started a new era in hernia surgery. The use of synthetic mesh repair of primary and recurrent hernias has gradually gained acceptance among surgeons. Objective: To find out the outcome and complications of open inguinal hernia repair with prolene mesh. Methods: This is a prospective cross sectional study conducted at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, from December, 2011 to May, 2012. One hundred patients of inguinal hernia admitted in different surgical units of BSMMU, Dhaka for elective surgery were studied. We have given 1 gm ijv Cephradine per operatively and then 500 gm cephradine ijv 6 hourly for 24 hours followed by oral form of Cephradine for next 5 days. Polypropylene mesh of 11 cm x 7 cm size was used in all cases. All the operations were done by open tension free prolene mesh repair technique. Patients were followed for one year to see the outcome. Results: Out of 100 cases of inguinal hernia, 71 patients (71%) had indirect inguinal hernia and 29 cases (29%) had direct inguinal hernia; 90 cases (90%) were primary hernia and only 10 cases (10%) were recurrent hernia; 58 cases were right sided, 34 cases (34%) were left sided and 8 cases (8%) were bilateral. Complications of mesh repair of groin hernia in this study included wound infection (5%), scrotal oedema (2%), mesh infection (0%), scrotal hematoma (2%), echymoces of peri-incisional skin (5%), early wound and groin pain (7%), chronic inguinodynia (2%), hernia recurrence (1%). Conclusion: In the present study an attempt is made to evaluate the outcome of patients undergoing inguinal hernia repair by prolene mesh. The results confirm that Lichtenstein tension free mesh repair of inguinal hernia is safe and reliable for both primary and recurrent groin hernia, with less recurrence rate. Patient's compliance was good with minimum morbidity. Journal of Surgical Sciences (2018) Vol. 22 (1): 21-24


2018 ◽  
Vol 69 (6) ◽  
pp. 1519-1523
Author(s):  
Vlad Dumitru Baleanu ◽  
Danut Vasile ◽  
Alexandru Marian Goganau ◽  
Paul Ioan Tomescu ◽  
Dragos Davitoiu ◽  
...  

Hernia can be defined as an organ disorder which protrudes the wall that contains it. Synthetic material for the repair of the abdominal wall are used frequently with good results and less complications. Our research included a number of 135 patients diagnosed with inguinal hernia hospitalized and operated in Clinical County Hospital of Craiova, between 1st January 2017-31 October 2017. The purpose of our work was to identify and analyze comorbidities and complications for inguinal hernia repaired with synthetic prosthetic material. hernia repair was performed in 135 patients, 16 were women and 119 were men. Tension free meshplasty was accomplished in 131 patients with uncomplicated inguinal hernia and herniorrhaphy was successfully performed at 4 patients with complicated inguinal hernia. From our study 107 patients had a remarkable recovery without any complication. Patients who underwent tension-free hernia surgery using prosthetic mesh,short-term complications were represented by 19 patients with urinary retention, 6 surgical local infection (superficial infections) and 2 scrotal edema. Nowadays surgeons try to find the best elective repair of inguinal hernia,to be safety for the patients despite of their age and with few complications and low mortality rate. Risks assessment include general conditions and associated comorbidities of the patients. In our study we reveal the type of comorbidities which we meet. We considered that it is significant to optimize cardiopulmonary status and the other comorbidities of the patient before to repair abdominal wall hernia in order to avoid both short and long term complication.


1995 ◽  
Vol 82 (8) ◽  
pp. 1144-1147
Author(s):  
A. Cameron ◽  
A. N. Kingsnorth ◽  
M. A. Memon ◽  
N. G. B. Richardson ◽  
G. T. Layer ◽  
...  

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