[The surgical treatment of preperitoneal inguinal hernia: a comparison between the methods of Rives and Stoppa].
In groin hernia surgery pre-peritoneal prosthetic repair is a valid alternative to traditional inguinal repair in patients with a large area of transversalis fascia weakness: direct, inguinoscrotal, recurrent, bilateral hernias. Pre-peritoneal prosthetic surgical approach by Rives' technique (little unilateral prosthesis) has been used in 121 cases (24% bilateral and 67% recurrent hernias) and by Stoppa's technique (great bilateral prosthesis) in 95 cases (26% bilateral and 55% recurrent hernias). The results demonstrated 9.9% morbidity and 5.7% recurrences by Rives' technique vs 3.1 morbidity and complete absence of recurrences by Stoppa's technique. These results confirm the validity of large prosthetic pre-peritoneal repair in groin surgery.
Munegato
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Complesso Conv. Ospedale-Università, USSL n. 21, Regione Veneto, Padova.
Da Dalt
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Godina
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Pluchinotta
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Ferraro
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Zangrande
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Zotti
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D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D010537:Peritoneum; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications / Q000453:epidemiology; D012008:Recurrence; D013526:Surgical Mesh; D013536:Suture Techniques
D011093:Polyethylene Terephthalates; C025539:Lavsan