OBJECTIVE: To evaluate the use of Lichtenstein tension-free repair for incarcerated groin hernias. DESIGN: Prospective consecutive series. SETTING: Tertiary academic surgery department, Poland. SUBJECTS: 27 patients whose incarcerated groin hernias were operated on between November 1997 and June 2001. INTERVENTION: Tension-free hernia repair by the Lichtenstein technique. MAIN OUTCOME MEASURES: Morbidity, recurrence rates and mortality. RESULTS: There were 2 postoperative deaths unrelated to implantation of the mesh (myocardial and cerebral infarction). In 1 patient a subcutaneous fluid collection was noted and was successfully treated by evacuation of the fluid. The remaining 24 patients had no complications during follow-up (mean 18 months, range 2-42 months). CONCLUSION: Monofilament polypropylene mesh can be successfully used not only in elective operations, but also in emergency operations for incarcerated inguinal hernias.
OBJECTIVE: To evaluate the use of Lichtenstein tension-free repair for incarcerated groin hernias. DESIGN: Prospective consecutive series. SETTING: Tertiary academic surgery department, Poland. SUBJECTS: 27 patients whose incarcerated groin hernias were operated on between November 1997 and June 2001. INTERVENTION: Tension-free hernia repair by the Lichtenstein technique. MAIN OUTCOME MEASURES: Morbidity, recurrence rates and mortality. RESULTS: There were 2 postoperative deaths unrelated to implantation of the mesh (myocardial and cerebral infarction). In 1 patient a subcutaneous fluid collection was noted and was successfully treated by evacuation of the fluid. The remaining 24 patients had no complications during follow-up (mean 18 months, range 2-42 months). CONCLUSION: Monofilament polypropylene mesh can be successfully used not only in elective operations, but also in emergency operations for incarcerated inguinal hernias.
Authors: J Nieuwenhuizen; G H van Ramshorst; J G ten Brinke; T de Wit; E van der Harst; W C J Hop; J Jeekel; J F Lange Journal: Hernia Date: 2011-01-23 Impact factor: 4.739