Preperitoneal repair (open posterior approach) for recurrent inguinal hernias previously treated with Lichtenstein tension-free hernioplasty

Karatepe O., Acet E., Altiok M., ADAŞ G. T., Cakir A., Karahan S.

Hippokratia, cilt.14, sa.2, ss.119-121, 2010 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 14 Sayı: 2
  • Basım Tarihi: 2010
  • Dergi Adı: Hippokratia
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.119-121
  • Anahtar Kelimeler: recurrent inguinal hernia, preperitoneal repair, Lichtenstein tension free hernioplasty, open posterior approach, mesh repair, anterior approach
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Background: The repair of recurrent inguinal hernias after prosthetic mesh repair is usually diffucult due to considerable technical challenge and complications. There is also a greater risk of developing further recurrence. The aim of this study was to investigate the outcome of preperitoneal repair (open posterior approach) for recurrent inguinal hernias after Lichtenstein tension-free hernioplasty. Methods: We performed a prospective clinical study in 44 patients having recurrent inguinal hernias the period 2002-2008. Preperitoneal repair was performed on all patients who have had Lichtenstein tension-free hernioplasty previously. The age, gender, operating time, hospital stay, postoperative complication rates and recurrence rates of patients were evaluated. Results: There were no serious intraoperative complications. There were 36 men and 9 women in the study, whose average age was 38.45 (25-68) years. The average operative time and hospital stay were 44.56 (30-120) min and 1.6 (1-3) days, respectively. Complications included 4.5% seromas, 4.5% hematomas and urinary retention in 9.09% patients. Follow-up to date is 1-90 months (range, median 40 months). Conclusions: We concluded that the preperitoneal repair (open posterior approach) in recurrent inguinal hernias after Lichtenstein tension-free hernioplasty is a safe and efficient method with low complication and rerecurrence rates.