Open tension free repair of inguinal hernias; the Lichtenstein technique.
George H. Sakorafas,Ioannis Halikias,Christos Nissotakis,Nikolaos Kotsifopoulos,Alexios Stavrou,Constantinos Antonopoulos,George A. Kassaras +6 more
TLDR
Lichtenstein tension-free mesh inguinal hernia Repair is a simple, safe, comfortable, effective method, with extremely low early and late morbidity and remarkably low recurrence rate and therefore it is the preferred method for hernia repair since 1994.Abstract:
Recurrences have been a significant problem following hernia repair. Prosthetic materials have been increasingly used in hernia repair to prevent recurrences. Their use has been associated with several advantages, such as less postoperative pain, rapid recovery, low recurrence rates. In this retrospective study, 540 tension-free inguinal hernia repairs were performed between August 1994 and December 1999 in 510 patients, using a polypropylene mesh (Lichtenstein technique). The main outcome measure was early and late morbidity and especially recurrence. Inguinal hernia was indirect in 55 % of cases (297 patients), direct in 30 % (162 patients) and of the pantaloon (mixed) type in 15 % (81 patients). Mean patient age was 53.7 years (range, 18 – 85). Follow-up was completed in 407 patients (80 %) by clinical examination or phone call. The median follow-up period was 3.8 years (range, 1 – 6 years). Seroma and hematoma formation requiring drainage was observed in 6 and 2 patients, respectively, while transient testicular swelling occurred in 5 patients. We have not observed acute infection or abscess formation related to the presence of the foreign body (mesh). In two patients, however, a delayed rejection of the mesh occurred 10 months and 4 years following surgery. There was one recurrence of the hernia (in one of these patients with late mesh rejection) (recurrence rate = 0.2 %). Postoperative neuralgia was observed in 5 patients (1 %). Lichtenstein tension-free mesh inguinal hernia repair is a simple, safe, comfortable, effective method, with extremely low early and late morbidity and remarkably low recurrence rate and therefore it is our preferred method for hernia repair since 1994.read more
Citations
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European Hernia Society guidelines on the treatment of inguinal hernia in adult patients
M. P. Simons,Th. J. Aufenacker,M Bay-Nielsen,J. L. Bouillot,Giampiero Campanelli,Joachim Conze,D. H. de Lange,René H. Fortelny,T. Heikkinen,Andrew N. Kingsnorth,J. Kukleta,Salvador Morales-Conde,Pär Nordin,Volker Schumpelick,S. Smedberg,M. Smietanski,G. Weber,Marc Miserez +17 more
TL;DR: The EHS Guidelines for the Treatment of Inguinal Hernia in Adult Patients contain recommendations for the treatment of inguinal hernia from diagnosis till aftercare and provide recommendations for further research that can be performed to raise the level of evidence concerning certain aspects of ingUinalHernia treatment.
Journal ArticleDOI
International guidelines for groin hernia management
Maarten Simons,M. Smietanski,Hendrik J. Bonjer,Reinhard Bittner,Marc Miserez,Th. J. Aufenacker,Robert J. Fitzgibbons,Pradeep Chowbey,H. M. Tran,R. Sani,Frederik Berrevoet,Juliane Bingener,Thue Bisgaard,Kamil Bury,Giampiero Campanelli,David C. Chen,Joachim Conze,Diego Cuccurullo,A. C. de Beaux,Hasan H. Eker,René H. Fortelny,J. F. Gillion,B. van den Heuvel,William W. Hope,Lars N. Jorgensen,Uwe Klinge,Ferdinand Köckerling,J. Kukleta,I. Konate,A. L. Liem,Davide Lomanto,M. J. A. Loos,Manuel López-Cano,Mahesh C. Misra,Agneta Montgomery,Salvador Morales-Conde,F. Muysoms,H Niebuhr,Pär Nordin,Maciej Pawlak,G. H. van Ramshorst,Wolfgang Reinpold,D. L. Sanders,N. Schouten,S. Smedberg,R. K. J. Simmermacher,Sathien Tumtavitikul,N. van Veenendaal,Dirk Weyhe,A. R. Wijsmuller +49 more
TL;DR: The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair.
Journal ArticleDOI
Open mesh versus laparoscopic mesh repair of inguinal hernia
Leigh Neumayer,Leigh Neumayer,Anita Giobbie-Hurder,Olga Jonasson,Robert J. Fitzgibbons,Dorothy D. Dunlop,James Gibbs,Domenic J. Reda,William G. Henderson +8 more
TL;DR: The open technique is superior to the laparoscopic technique for mesh repair of primary hernias and rates of recurrence after repair of recurrent hernia were similar in the two groups.
Journal ArticleDOI
Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal Hernia [International Endohernia Society (IEHS)]
Reinhard Bittner,Maurice E. Arregui,Thue Bisgaard,M. Dudai,George S. Ferzli,Robert J. Fitzgibbons,René H. Fortelny,Uwe Klinge,Ferdinand Köckerling,E. Kuhry,J. Kukleta,Davide Lomanto,Mahesh C. Misra,Agneta Montgomery,Salvador Morales-Conde,Wolfgang Reinpold,Jacob Rosenberg,Stefan Sauerland,Christine Schug-Pass,Kamaljit Singh,M. Timoney,Dirk Weyhe,Pradeep Chowbey +22 more
Journal ArticleDOI
Chronic postoperative pain : the case of inguinal herniorrhaphy
TL;DR: Predictive risk factors for chronic postoperative pain are: preoperative pain, repeat surgery, psychological vulnerability, workers compensation, a surgical approach with risk of nerve damage, moderate or severe intensity of acute postoperativePain, radiation therapy, neurotoxic chemotherapy, depression, neuroticism, and anxiety.
References
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The tension-free hernioplasty
TL;DR: With the use of modern mesh prosthetics, it is now possible to repair all hernias without distortion of the normal anatomy and with no suture line tension, allowing prompt resumption of unrestricted physical activity.
Journal Article
Open "tension-free" repair of inguinal hernias: the Lichtenstein technique
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TL;DR: This work has repaired difficult groin hernias during the past six years by an original procedure consisting of fitting an unsutured Dacron patch between the peritoneum and the muscular layers using a median lower abdominal incision.
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Marlex mesh, a new plastic mesh for replacing tissue defects. II. Clinical studies.
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