Abstract

BUITRAGO, Juliana et al. Do we adequately intervene inguinal hernias?. rev. colomb. cir. [online]. 2014, vol.29, n.2, pp.116-122. ISSN 2011-7582.

Background. Inguinal herniorraphy is the most common surgical procedure performed in general surgery. Using mesh surgical techniques has greatly reduced the relapse rate after the procedure, postoperative complications, recovery time and reintegration to daily activities. Methods. A retrospective observational study of patients diagnosed and surgically treated of inguinal hernia from November 2010 to September 2012 in a third level of care general hospital was performed. The data collection was done through a structured format and review of medical records. Results. In a total of 102 patients, 86.3% were male and 13.7% female, with ages ranging from14 to 88 years old. Most of them had a unilateral indirect hernia (57%) and 28% had a unilateral direct hernia 68 % of the patients were intervened with a mesh technique and all patients received mesh fixation. Most of mesh's type used in the procedures was polypropylene (88%); 18.6 % of patients presented posoperative complications (POP). Discussion. The studied institution showed a lower utilization rate of the Lichtenstein technique than expected according to current literature. The general morbidity rate was lower, but hematoma occurred twice as often than in most literature reports.

Keywords : hernia; inguinal; herniorrhaphy; prostheses and implants; surgical mesh; surgical fixation devices; recurrence.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )