[Results of Shouldice femoral hernia repair. A prospective study of 94 operations].
At the Department of Surgery, RWTH Aachen, 89 patients with femoral hernia were operated upon between December 1, 1985 and November 30, 1993 and prospectively analyzed. Five patients had a bilateral hernia, 55 were located on the right and 29 on the left side. In 35.1% the operation was performed for incarceration and in 7 cases segments of small intestine had to be removed. Reparation was routinely done in a continuous double-layer technique. Local anaesthesia was mostly used in recent elective cases. Postoperatively, we saw 2 superficial wound infections an 5 subcutaneous fluid collections which had to be aspirated. There was no mortality. Average postoperative time in hospital was 5.5 days. Three recurrences were seen during follow-up. Routine ultrasound in cases of suspected femoral hernia helps to prevent delay of surgical therapy. The positive results justify the application of this technique even in the event of incarceration.
Chirurgische Klinik, Klinikum der RWTH Aachen.
H
H
Wolf
V
V
Schumpelick
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006550:Hernia, Femoral / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D011446:Prospective Studies; D013536:Suture Techniques; D014463:Ultrasonography
Ergebnisse der Femoralhernienreparation nach Shouldice. Eine prospektive Studie an 94 Operationen.