Choice of treatment method of recurrent inguinal hernia
DOI:
https://doi.org/10.11603/2414-4533.2018.2.9184Keywords:
treatment, recurrent inguinal hernia, laparoscopic methods, Lichtenstein’s method.Abstract
The aim of the work: to determine the optimal method of surgical operation for recurrent inguinal hernias.
Materials and Methods. In the period from September 2007 to May 2011, a comparative randomized study was conducted at the Odesa Regional Clinical Hospital, which included 82 patients with recurrent inguinal hernias. The cause of relapse after the first operation in 14 patients was the healing of the postoperative wound, in 30 patients – the use of meshes insufficiently large, and in the other 38 patients – the relapse occurred due to a violation of the technique of the operation of Lichtenstein. All 82 patients were divided into two groups. The first group of patients was operated with laparoscopic methods, the second group – with the help of the Lichtenstein method.
Results and Discussion. Transabdominal preperitoneal laparoscopic (TAPP) was performed in 40 patients, with no conversion in any case. In group I, the duration of the operation was (87±12) minutes. In group II, 42 patients underwent open hernioplasty, the duration of this operation was slightly greater than the laparoscopic one, which is explained by the technical difficulties in the isolation of the scars of the recurrent hernia, the edges of the aponeurosis, the graft and the inguinal ligament. The average duration of surgery in group II was (112±15) minutes. When patients of group II were monitored for 12 to 24 months, 4 patients (9.5 %) had a recurrent hernia.
References
Grubnik, V.V., Losev, A.A., Bayazitov, N.R., & Parfentyev, R.S. (2001). Sevremennye metody lecheniya bryushnikh grizh [Modern methods of treatment of abdominal hernia]. Kyiv: Zdorovia [in Russian].
Amid, P.K. (2003). The Lichtenstein repair in 2002: an overview of causes of recurrence after Lichtenstein tension-free hernioplasty. Hernia, (7), 13-16.
Bittner, R., Gmahle, E., Gmahle, B., Schwarz, J., & Kehlet, H.
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