open access

Vol 6, No 1 (2004)
Published online: 2004-03-16
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Comparison of early and long-term results of inguinal hernia repairs with selected surgical techniques

Zbigniew Pasieka, Maciej Amsolik, Michał Kusiński, Krzysztof Kuzdak
Chirurgia Polska 2004;6(1):19-25.

open access

Vol 6, No 1 (2004)
Published online: 2004-03-16

Abstract

Background: Inguinal hernia repairs are among the most frequently performed surgical procedures. Recently, steady progress in the applied methods and surgical techniques and a significant refinement of introduced material quality have been observed. More often tension-free techniques and laparoscopic approaches to abdominal hernias are employed. The variety of methods is associated with a dilemma of adequate surgical technique selection.
The aim of this study is to evaluate the outcome of groin hernia repairs with different surgical approaches on the basis of 776 patients.
Material and methods: We analysed 638 classic tissue repairs, 106 tension-free and 32 laparoscopic inguinal hernia repairs, taking operative and hospitalisation time, early postoperative complications, the number of recurrences, patients’ approval and satisfaction as well as the time taken for their recovery into consideration.
Results: It has been demonstrated that the shortest mean hospitalisation time, the fewest complications and a lack of recurrences have been noted after the tension-free method (PHS). This method is gaining widespread acceptance as being the most preferable technique of patients as well as guaranteeing rapid recovery.
Conclusions: On the basis of our results, we have concluded that the most preferable technique of groin hernia repair is tension-free method, however other approaches are still applicable in selected cases.

Abstract

Background: Inguinal hernia repairs are among the most frequently performed surgical procedures. Recently, steady progress in the applied methods and surgical techniques and a significant refinement of introduced material quality have been observed. More often tension-free techniques and laparoscopic approaches to abdominal hernias are employed. The variety of methods is associated with a dilemma of adequate surgical technique selection.
The aim of this study is to evaluate the outcome of groin hernia repairs with different surgical approaches on the basis of 776 patients.
Material and methods: We analysed 638 classic tissue repairs, 106 tension-free and 32 laparoscopic inguinal hernia repairs, taking operative and hospitalisation time, early postoperative complications, the number of recurrences, patients’ approval and satisfaction as well as the time taken for their recovery into consideration.
Results: It has been demonstrated that the shortest mean hospitalisation time, the fewest complications and a lack of recurrences have been noted after the tension-free method (PHS). This method is gaining widespread acceptance as being the most preferable technique of patients as well as guaranteeing rapid recovery.
Conclusions: On the basis of our results, we have concluded that the most preferable technique of groin hernia repair is tension-free method, however other approaches are still applicable in selected cases.
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Keywords

inguinal hernia; classics tissue repair and tension-free method; laparoscopic approach

About this article
Title

Comparison of early and long-term results of inguinal hernia repairs with selected surgical techniques

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 6, No 1 (2004)

Pages

19-25

Published online

2004-03-16

Bibliographic record

Chirurgia Polska 2004;6(1):19-25.

Keywords

inguinal hernia
classics tissue repair and tension-free method
laparoscopic approach

Authors

Zbigniew Pasieka
Maciej Amsolik
Michał Kusiński
Krzysztof Kuzdak

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