[Lichtenstein alloplastic repair of inguinal hernia].
Tension-free repair, a prerequisite for long-term stability, cannot always be achieved with conventional techniques established for groin reconstruction. Lichtenstein gathered substantial experience simply by closing the hernia in a tension-free fashion using prosthetic material. However, most surgeons fearing graft infection are reluctant to further evaluate this technique. In a feasibility study we entered 70 patients (29 patients with recurrent hernia) receiving a polypropylene mesh (Marlex) to bridge the defect from the inguinal ligament to the internal oblique muscle. Only 1 wound infection and 1 local hematoma requiring reoperation were observed. Nearly 2 years follow-up data revealed no case of recurrence. The Lichtenstein procedure deserves more attention from surgical community and might be a reliable technique esp. in large hernias and redos.
Pinocy
J
J
Allgemeine Chirurgie, Chirurgische Universitätsklinik Tübingen.
Köveker
G
G
Büsing
M
M
Becker
H D
HD
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005240:Feasibility Studies; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011095:Polyethylenes; D011126:Polypropylenes; D019736:Prostheses and Implants; D012008:Recurrence; D012086:Reoperation; D013526:Surgical Mesh; D013536:Suture Techniques
C016674:Plastipore; D011095:Polyethylenes; D011126:Polypropylenes
Die alloplastische Reparatur des Leistenbruchs nach Lichtenstein.