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A Journal on Surgery
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,877
Minerva Chirurgica 1999 October;54(10):703-8
Tension free hernioplasty in recurrent inguinal hernia repair
Garavello A., Teneriello G. F., Manfroni S., Antonellis D.
Background. Despite the new surgical approach with ''tension free'' techniques, recurrent inguinal hernia repair remains a difficult surgical problem.
Methods. Personal experience in 61 cases of recurrent inguinal hernia is reported; in all patients a new hernioplasty with a «tension free» technique was performed. Medium follow-up of the study was 27 months (min 6 mm, max 56 mm); 3 recurrences were observed, 2 in Lichtenstein «plug» hernioplasty and 1 with the Trabucco technique.
Results. No recurrences were observed in Lichtenstein «mesh» hernioplasty group.
Conclusions. Lichtenstein ''mesh'' hernioplasty can solve every anatomical situation in hernia recurrence and good results, with little or any complications, are achievable; «plug» technique is easier but recurrences in other sites of a weak inguinal wall are possible.