High Recurrence Rate 12 Years after Primary Inguinal Hernia Repair

Melis, Paris; Drift, D.G.F. van der; Sybrandy, R; Go, P. M. N. Y. H.

doi:10.1080/110241500750009168

Cited by 9 publications

(1 citation statement)

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“…The next reason supporting the use of mesh in emergency procedures is the lower rate of hernia recurrence. According to the authors, after emergency procedures performed using tension techniques, the recurrence rate is around 40%, while when using tension-free techniques this rate varies from 1% to 22% [ 5 , 25 , 26 ]. In a study comparing methods of plastic incarcerated inguinal hernia repair, with and without the use of mesh, the authors observed a lower recurrence rate in patients operated on with the Lichtenstein technique (tension-free) [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of mesh hernioplasty in incarcerated inguinal hernias.

Kamtoh¹,

Pach²,

Kibil³

et al. 2014

Videosurgery and Other Miniinvasive Techniques

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IntroductionThe use of mesh is still controversial in patients undergoing emergency incarcerated hernia repair, mostly because of potential infectious complications.AimThe main aim of this study was to assess the efficacy of tension-free methods in treating incarcerated inguinal hernias (IIH), with and without intestine resection. The secondary aim was to establish an algorithm on how to proceed with incarcerated hernias.Material and methodsA retrospective analysis of patients who underwent surgery due to an inguinal hernia at the First Department of General Surgery Jagiellonian University Medical College in Krakow, in the period 1999–2009. Operative methods included Lichtenstein, Robbins-Rutkow and Prolene Hernia System. The rate of postoperative complications was compared in patients who underwent elective and emergency surgery.ResultsThe study group consisted of 567 patients (546 male) age 19–91 years. In this group 624 hernias were treated using the three tension-free techniques – 295 using the Lichtenstein method, 236 using PHS and 93 using the RR technique. Out of the 561 operations 89.9% were elective. No correlation (p > 0.05) was found between the type of surgery and such complications as postoperative pain duration and intensity, fever, micturation disorders, wound healing disorders, testicle hydrocoele, testicle atrophy, spermatic cord cyst, sexual dysfunction, wound dehiscence, wound suppuration, seroma, haematoma and hernia recurrence.ConclusionsMesh repairs can be safely performed while operating due to an IIH. The use of a synthetic implant, in emergency IIH repairs, does not increase the rate of local complications. Synchronous, partial resection of the small intestine, due to intestinal necrosis, is not a contraindication to use mesh.

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