Description of M-shaped preperitoneal hernioplasty for inguinocrural hernias - 26/08/11
, José B Seoane, M.D., Ph.D. a, Carlos Moreno, M.D., Ph.D. a, Enrique Moreno, M.D., Ph.D. bAbstract |
Background |
The efficacy of preperitoneal herniorrhaphy is controversial in the surgical literature. The development of totally extraperitoneal video-assisted hernioplasty has stimulated further interest in long-term results of open techniques. Some of the main advantages of the two most extended preperitoneal open approaches (Stoppa and Nyhus operations) are combined in the author’s technique described here.
Methods |
Between March 1995 and June 1998, 180 consecutive patients with a total of 202 inguinocrural hernias were treated by an open sutureless preperitoneal repair, using a lateral approach, with placement of a 12 × 10 cm polypropylene mesh.
Results |
Mean operating time was 48 minutes. Overall morbidity rate was 7%. Mean hospital length of stay was 2.16 days. After an average follow up of 3.5 years, the overall recurrence rate was 0.57%.
Conclusions |
M-shaped preperitoneal hernioplasty is a single, safe, and easy repair for inguinocrural hernias, regardless of the type of hernia or the concomitant clinicopathological features of the patient.
Le texte complet de cet article est disponible en PDF.Keywords : Inguinal hernia, Preperitoneal approach, Prosthesis, Recurrence
Plan
Vol 185 - N° 2
P. 108-113 - février 2003 Retour au numéro
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