1. [Tension-free hernioplasty. Our experience].
- Author
-
Bellone D, Sacco D, Spidalieri G, and Cardino L
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Inguinal Canal surgery, Male, Middle Aged, Polypropylenes, Recurrence, Surgical Mesh, Hernia, Inguinal surgery, Surgical Procedures, Operative methods
- Abstract
Background: In recent years the "tension-free" techniques have been progressively replacing conventional hernioplasty by Bassini and Shouldice. Personal experience in the application of various techniques using a prosthesis to make the back wall of the inguinal canal stronger is described., Methods: From January 1995 to February 1996, 119 non-selected patients were examined; they were operated by Trabucco's (100 cases), Lichtenstein's (16 cases), Gilbert's (13 cases) and Rives's (1 case) techniques, using polypropylene prostheses. Patients were followed for ten months (range 4-18) after surgery with Day-hospital checks at 1 month, 4 months, 1 year and 18 months., Results: Mortality was not observed. Morbility presented in 12 cases: 2 suppurating wounds, 3 seromas, 2 hematomas, 2 temporary neuralgias of the genito-femoral nerve and 2 scrotal edemas. There was a recurrence (0.8%)., Conclusions: The cases presented confirm the validity of the "tension-free" techniques, both for reduced incidence of complications and recurrences, and for a better compliance of the patient, compared with conventional techniques.
- Published
- 1999