Hernia inguinal recidivada: tratamiento ambulatorio con anestesia local por la vía abierta anterior / Ambulatory repair of recurrent hernias: experience in 70 cases
Acevedo F., Alberto; León S., Jorge; García P., Gabriel.
Rev. chil. cir
; 67(5): 511-517, oct. 2015. tab
Artigo
em Espanhol
| LILACS | ID: lil-762624
Background:
Recurrence is the most common long term complication of inguinal hernia repair.aim:
To report the experience of ambulatory treatment of hernia recurrence. Patients andMethods:
Seventy patients aged 56 +/- 14 years (59 men), with a low surgical risk and a body mass index below 40 kg/m² were admitted to the program. The surgical repair of the hernia was performed under local anesthesia on an ambulatory basis. All patients received antibiotic and prophylaxis for venous thrombosis.Results:
The surgical procedure lasted 54 +/- 25 minutes. A tissue repair was performed in 12 cases and a prosthetic one in 48. The ductus deferens was accidentally sectioned in one case. The postoperative complications were one hematoma which did not require surgery and two superficial infections that healed in an ambulatory basis. A long term follow up, for 9.3 +/- 1.9 years after surgery was possible in 79 percent of cases. Two recurrences (3.5 percent) were observed and one patient complained of a light, intermittent pain in the inguinal region. There were two recurrences after tissue repair, both occurring after a Lichtenstein repair (4.2 percent). Ninety two percent of patients were satisfied or very satisfied with the procedure.Conclusion:
Ambulatory treatment of recurrent hernias is feasible and safe.
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