Cargando…

Short- and long-term outcomes of incarcerated inguinal hernias repaired by Lichtenstein technique

INTRODUCTION: The use of tension-free inguinal hernia repair techniques using commercially available implants is now rather common. However, it is widely accepted that the use of biomaterials should be limited to non-infected surgical fields. As such, most current studies pertain to the application...

Descripción completa

Detalles Bibliográficos
Autores principales: Wysocki, Andrzej, Strzałka, Marcin, Migaczewski, Marcin, Budzyński, Piotr
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4105675/
https://www.ncbi.nlm.nih.gov/pubmed/25097686
http://dx.doi.org/10.5114/wiitm.2014.41630
_version_ 1782327416078729216
author Wysocki, Andrzej
Strzałka, Marcin
Migaczewski, Marcin
Budzyński, Piotr
author_facet Wysocki, Andrzej
Strzałka, Marcin
Migaczewski, Marcin
Budzyński, Piotr
author_sort Wysocki, Andrzej
collection PubMed
description INTRODUCTION: The use of tension-free inguinal hernia repair techniques using commercially available implants is now rather common. However, it is widely accepted that the use of biomaterials should be limited to non-infected surgical fields. As such, most current studies pertain to the application of various implants during the surgical repair of uncomplicated hernias. AIM: To compare the short- and long-term outcomes of incarcerated inguinal hernia repair using the Lichtenstein or Bassini technique. MATERIAL AND METHODS: Between 1997 and 2012, 107 patients were operated on an emergency basis due to the incarceration of inguinal hernias – 105 subjects were included for further analysis in our study. RESULTS: Postoperative complications were observed in 13 out of the 84 (15.5%) patients subjected to Lichtenstein repair. In 9 of these patients (10.7%), morbidity was associated with the surgical wound. In 2 cases (2.4%), a small inflammatory infiltration was observed and resolved within a few days. Serous fluid accumulation within the wound was observed in 3 patients (3.6%), but the fluid was successfully drained by puncture. Finally, hematoma formed in 4 cases (4.8%). In total, 4 complications (19%) were recorded in the group of 21 patients who were operated on with the Bassini technique. In 3 of these cases (14.3%), the complications were related to suppuration of the surgical wound. CONCLUSIONS: Polypropylene mesh may be safely implanted during the repair of incarcerated hernia and this approach is reflected by satisfactory long-term outcomes.
format Online
Article
Text
id pubmed-4105675
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Termedia Publishing House
record_format MEDLINE/PubMed
spelling pubmed-41056752014-08-05 Short- and long-term outcomes of incarcerated inguinal hernias repaired by Lichtenstein technique Wysocki, Andrzej Strzałka, Marcin Migaczewski, Marcin Budzyński, Piotr Wideochir Inne Tech Maloinwazyjne Original Paper INTRODUCTION: The use of tension-free inguinal hernia repair techniques using commercially available implants is now rather common. However, it is widely accepted that the use of biomaterials should be limited to non-infected surgical fields. As such, most current studies pertain to the application of various implants during the surgical repair of uncomplicated hernias. AIM: To compare the short- and long-term outcomes of incarcerated inguinal hernia repair using the Lichtenstein or Bassini technique. MATERIAL AND METHODS: Between 1997 and 2012, 107 patients were operated on an emergency basis due to the incarceration of inguinal hernias – 105 subjects were included for further analysis in our study. RESULTS: Postoperative complications were observed in 13 out of the 84 (15.5%) patients subjected to Lichtenstein repair. In 9 of these patients (10.7%), morbidity was associated with the surgical wound. In 2 cases (2.4%), a small inflammatory infiltration was observed and resolved within a few days. Serous fluid accumulation within the wound was observed in 3 patients (3.6%), but the fluid was successfully drained by puncture. Finally, hematoma formed in 4 cases (4.8%). In total, 4 complications (19%) were recorded in the group of 21 patients who were operated on with the Bassini technique. In 3 of these cases (14.3%), the complications were related to suppuration of the surgical wound. CONCLUSIONS: Polypropylene mesh may be safely implanted during the repair of incarcerated hernia and this approach is reflected by satisfactory long-term outcomes. Termedia Publishing House 2014-04-01 2014-06 /pmc/articles/PMC4105675/ /pubmed/25097686 http://dx.doi.org/10.5114/wiitm.2014.41630 Text en Copyright © 2014 Sekcja Wideochirurgii TChP http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Wysocki, Andrzej
Strzałka, Marcin
Migaczewski, Marcin
Budzyński, Piotr
Short- and long-term outcomes of incarcerated inguinal hernias repaired by Lichtenstein technique
title Short- and long-term outcomes of incarcerated inguinal hernias repaired by Lichtenstein technique
title_full Short- and long-term outcomes of incarcerated inguinal hernias repaired by Lichtenstein technique
title_fullStr Short- and long-term outcomes of incarcerated inguinal hernias repaired by Lichtenstein technique
title_full_unstemmed Short- and long-term outcomes of incarcerated inguinal hernias repaired by Lichtenstein technique
title_short Short- and long-term outcomes of incarcerated inguinal hernias repaired by Lichtenstein technique
title_sort short- and long-term outcomes of incarcerated inguinal hernias repaired by lichtenstein technique
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4105675/
https://www.ncbi.nlm.nih.gov/pubmed/25097686
http://dx.doi.org/10.5114/wiitm.2014.41630
work_keys_str_mv AT wysockiandrzej shortandlongtermoutcomesofincarceratedinguinalherniasrepairedbylichtensteintechnique
AT strzałkamarcin shortandlongtermoutcomesofincarceratedinguinalherniasrepairedbylichtensteintechnique
AT migaczewskimarcin shortandlongtermoutcomesofincarceratedinguinalherniasrepairedbylichtensteintechnique
AT budzynskipiotr shortandlongtermoutcomesofincarceratedinguinalherniasrepairedbylichtensteintechnique