Hernia Inguinal Recidivada: Tratamiento Ambulatorio Con Anestesia Local Por La Vía Abierta Anterior

Abstract

ambulatory repair of recurrent hernias. experience in 70 cases background: Recurrence is the most common long term complication of inguinal hernia repair. aim: To report the experience of ambulatory treatment of hernia recurrence. Patients and methods: Seventy patients aged 56 ± 14 years (59 men), with a low surgical risk and a body mass index below 40 kg/ m 2 were admitted to the program. The surgical repair of the hernia was performed under local anesthesia on an ambulatory basis. All patients received antibiotic and prophylaxis for venous thrombosis. results: The surgical procedure lasted 54 ± 25 minutes. A tissue repair was performed in 12 cases and a prosthetic one in 48. The ductus deferens was accidentally sectioned in one case. The postoperative complications were one hematoma which did not require surgery and two superficial infections that healed in an ambulatory basis. A long term follow up, for 9.3 ± 1.9 years after surgery was possible in 79% of cases. Two recurrences (3.5%) were observed and one patient complained of a light, intermittent pain in the inguinal region. There were two recurrences after tissue repair, both occurring after a Lichtenstein repair (4.2%). ninety two percent of patients were satisfied or very satisfied with the procedure. conclusion: Ambulatory treatment of recurrent hernias is feasible and safe.

Factores de riesgo asociados a la hernia inguinal recurrente en el adulto mayor

“…La recurrencia es la complicación más frecuente a largo plazo en herniorrafia inguinal. La introducción de las técnicas "tensión-free" utilizando mallas y de la cirugía laparoscópica de las hernias ha contribuido a bajar estas tasas, pero, a pesar de estos adelantos, las hernias inguinales recidivadas constituyen aún una elevada proporción de las herniorrafias inguinales, con escasa tendencia a disminuir 1 .…”

Ambulatory Surgery vs. Protocolary Regimen in Patients With Inguinal Hernia

“…Eduardo Bassini, por 1883, se interesó en desarrollar una operación para la hernia inguinal, una vez practicado todos los procedimientos quirúrgicos de la época, sin lograr la cura de ésta y encontrando que todos eran defectuosos (2)(3)(4) .…”