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A Journal on Surgery

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Chirurgia 2001 February;14(1):21-4

language: English

Mesh repair of inguinal hernia. Day-case operation under local anesthetic

Pavlidis T., Lazaridis C. N., Atmatzidis K. S., Makris J. G., Papaziogas B. T., Papaziogas T. B.


Background. To evaluate the effectiveness of the tension-free mesh repair of inguinal hernia.
Methods. In a prospective study 100 consecutive patients were operated for 122 inguinal hernia over a 3- year period with follow-up for 1-4 years. All patients underwent open ''tension- free''' hernioplasty under lidocaine local anaesthesia. To strengthen the transversalis fascia, a preperitoneal polypropylene mesh was inserted and secured with polypropylene interrupted sutures. The main outcome measures were clinical assessment of pain, wound healing and scrotal condition plus hospital stay, disability and return to work, and long-term recurrence.
Results. All patients had an uneventful postoperative course requiring mild or no analgesia and were discharged the next day, returning to normal activity one week later. To- date no recurrence has been seen and any other complaint have been noted.
Conclusions. The tension- free repair ensures a more anatomical repair and provides a satisfactory short- term outcome and a minimal recurrence rate.

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