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A Journal on Surgery

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Chirurgia 2000 April;13(2):67-70

language: Italian

Sutureless tension free repair for primary inguinal hernia. Report of six years' experience

Campanelli G., Bastazza M., Ruca A., Casirani R., Senni Buratti M., Nicolosi F. M.


Background. Up to few years ago, all surgical techniques for the treatment of inguinal hernia had a common defect: tension free on the suture line. This represents the main risk factor for hernia recurrence. When new prosthetic materials (mesh and plugs) were introduced, it was possible to perform surgery without modifying the normal anatomical structure and without creating an undesirable tension.
Methods. From January 1992 to December 1998 we performed 1405 inguinal hernia repairs for primitive hernia on 1317 patients. 1235 (93.8%) of them have undergone surgery in local anesthesia, while it was possible to treat 1198 (91%) of them in day surgery regimen. The recurrence of intraoperative and postoperative complications was very low (3.3%), these including seromas, hematomas and skin infections. The recurrence index after primitive inguinal hernia repair was extremely low (0.4%). Follow-up has been made for an average period of four years (with 1 to 7 years interval). This surgical technique for inguinal hernia repair showed to be simple, safe and characterised by prompt discharge which has been very much appreciated by the patients. Conclusions. Our own experience agrees with the international literature with a reduced percentage of complications and low costs for the community.

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