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

Andrzej Wysocki; Marcin Strzałka; Marcin Migaczewski; Piotr Budzyński

doi:10.5114/wiitm.2014.41630

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abstract:

Original paper

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

Andrzej Wysocki

,

Marcin Strzałka

,

Marcin Migaczewski

,

Piotr Budzyński

Videosurgery Miniinv 2014; 9 (2): 196–200

DOI: https://doi.org/10.5114/wiitm.2014.41630

Online publish date: 2014/04/01

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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.

keywords:

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

Andrzej Wysocki , Marcin Strzałka , Marcin Migaczewski , Piotr Budzyński

incarcerated inguinal hernias, Lichtenstein technique

Andrzej Wysocki

,

Marcin Strzałka

,

Marcin Migaczewski

,

Piotr Budzyński