Anterior Tension-Free Repair of Recurrent Inguinal Hernia Under Local Anesthesia

Gianetta, Ezio; Cuneo, S; Vitale, B.; Camerini, Giovanni; Marini, Paola; Stella, M.

doi:10.1097/00000658-200001000-00019

Cited by 63 publications

(40 citation statements)

References 29 publications

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“…Gianetta et al 23 reported 2.7% scrotal hematoma, 2% cord edema, 0.7% orchitis and 0.7% wound infection. In our study, 87.7% of patients have uneventful recovery.…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 98%

“…In a study by Pavlidis et al 14 , the recurrence rate after tension free technique for inguinal hernia repair was as low as 1.5%. Gianetta et al 23 reported a low recurrence rate of 1.8%, Liem et al 24 reported 6% recurrence, Champault et al 25 reported 2% recurrence and the MRC Laparoscopic Groin Hernia trial Group 26 and Amid et al 3 reported as low as 0% recurrence rate after open repair of groin hernia surgeries. Our study is also consistent with these findings with a low recurrence rate of 1.75%.…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

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Inguinal hernias in patients of 50 years and above. Pattern and outcome

Shyam

Rapsang

2013

Rev. Col. Bras. Cir.

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ABSTRACT ABSTRACT ABSTRACTObjective: Objective: Objective: Objective: Objective: to evaluate a one year experience with inguinal hernia repair, in patients of > 50years, with respect to the type of inguinal hernia, type of surgery, postoperative complications and recurrence. Methods:Methods: Methods: Methods: Methods: a prospective descriptive study of patients (n=57) > 50 years operated for inguinal hernia during a one year period. Tension-free meshplasty and herniorrhaphy, using 3"x6" polypropylene mesh and 2-0 polypropylene suture, were performed in elective and emergency surgery respectively. Follow-up visits were scheduled at six weeks, three and six months postoperatively. Results:Results: Results: Results: Results: the most representative age group was 61-70 years, and all patients were male. 52 (91.22%) patients had unilateral inguinal hernias, while five (8.77%) had bilateral hernias. In 50 (87.71%) patients, the hernia was uncomplicated, while seven (12.28%) patients presented with some complication such as obstruction or strangulation. Elective surgery was performed in 50 (87.71%) patients while seven (12.28%) patients were operated in emergency. Postoperatively, 50 (87.7%) patients had uneventful recovery, while seven (12.28%) patients developed some complications which were treated conservatively. Mean hospital stay was six days. One recurrence was observed and there was no peri/postoperative death. Conclusion: Conclusion: Conclusion: Conclusion: Conclusion: tension-free meshplasty and herniorrhaphy are safe, simple and applicable even in elderly patients after adequate preoperative assessment and optimization. Although associated with longer hospital stay, the mortality rate is nil and complication as well as recurrence rate is low. Hence, timely repair is necessary in elderly patients even in those with comorbid conditions.

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“…Gianetta et al 23 reported 2.7% scrotal hematoma, 2% cord edema, 0.7% orchitis and 0.7% wound infection. In our study, 87.7% of patients have uneventful recovery.…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 98%

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

Inguinal hernias in patients of 50 years and above. Pattern and outcome

Shyam

Rapsang

2013

Rev. Col. Bras. Cir.

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“…3 In addition, it carries fewer complications and has become the gold standard in open tension-free hernioplasties. 4,5 In a comparative study of open mesh techniques for inguinal hernia repair, Lichtenstein's operation was similar to mesh plug or Prolene Hernia System (PHS) repair in terms of time to return to work, complications, chronic pain, and hernia recurrence in the short term to midterm. 6 Lichtenstein's hernioplasty performed under local anesthesia has short post anesthesia recovery period, lesser complications and shorter hospital stay.…”

Section: Introductionmentioning

confidence: 99%

A prospective comparative study of Lichtenstein's mesh hernioplasty performed under local and spinal anesthesia

Saxena

2016

Int Surg J

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“…In several studies it has been documented that local anesthesia is not characterized by those complications, which generally accompany general and spinal analgesia, and does not complicate long-term treatment effects of the recurrent inguinal hernia. 3,27 In none of patients has recurrence of the hernia been observed. Regarding chronic pain, there were no statistically significant differences between the groups (P 5 0.36).…”

Section: Discussionmentioning

confidence: 97%

Comparison of Lichtenstein and Laparoscopic Transabdominal Preperitoneal Repair of Recurrent Inguinal Hernias

Demetrashvili

Qerqadze

Kamkamidze

et al. 2011

International Surgery

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The aim of our study was the comparative analysis of the results of two surgical methods: tension-free repair by the Lichtenstein technique and laparoscopic transabdominal preperitoneal (TAPP) repair. In total 52 patients with recurrent inguinal hernia were randomly assigned to the two groups: Lichtenstein (28 patients) and TAPP (24 patients). Comparisons between these groups were done by several preoperative, intraoperative, and postoperative factors. For postoperative factors both short-term and long-term results were considered. Average operation time for Lichtenstein group was 59.6 ± 9.9 minutes, compared with 64.4 ± 8.4 minutes for TAPP patients (P = 0.068). In TAPP patients there was less pain in the postoperative period (P = 0.002) and fewer sick-leave days (13.4 ± 1.7 versus 17.5 ± 2.6 days; P , 0.001) and, correspondingly, faster recovery. In the Lichtenstein group a total of 4 postoperative complications (infection, hematoma, seroma, urinary retention) were observed, compared with 8 in the TAPP group (P = 0.19). Statistically significant difference was only by urinary retention (0 for Lichtenstein, 4 for TAPP; P = 0.039). There were no cases of hernia recurrence observed during the followup. Chronic pain developed in 5 patients from the Lichtenstein group (17.9%) and 2

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Anterior Tension-Free Repair of Recurrent Inguinal Hernia Under Local Anesthesia

Cited by 63 publications

References 29 publications

Inguinal hernias in patients of 50 years and above. Pattern and outcome

Inguinal hernias in patients of 50 years and above. Pattern and outcome

A prospective comparative study of Lichtenstein's mesh hernioplasty performed under local and spinal anesthesia

Comparison of Lichtenstein and Laparoscopic Transabdominal Preperitoneal Repair of Recurrent Inguinal Hernias

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