title: [Preperitoneal implantation of Dacron mesh for treatment of recurrent inguinal hernia and bilateral inguinal hernia].
abstract: The preperitoneal approach with implantation of a dacron sheet was applied in 37 patients with recurrent hernias and in 30 patients with primary bilateral hernias. In total 120 hernias were repaired. The patients were controlled prospectively for serious complications. The patients were examined every 3 months in the first and every 6 months in the second year after operation. The mean follow-up time was 17.2 months.
  
  
  RESULTS
  In one patient with a combined hernia an indirect hernia sac was not detected intraoperatively, so it persisted. Recurrences were not observed. COMPLICATIONS (hematoma, fluid collections, wound infections, intraabdominal adhesions) occurred in 13.2 of the patients.
  
  
  CONCLUSIONS
  The preperitoneal implantation of a dacron sheet is a safe and reliable procedure for treatment of recurrent groin hernias and primary hernias with a high risk of recurrence. The rate of infection is low under preventing measures.
authors.affiliation: I. Chirurgische Abteilung, Allgemeines Krankenhaus Barmbek, Hamburg.
authors.forename: E
authors.initials: E
authors.lastname: Gross
authors.forename: O
authors.initials: O
authors.lastname: Köfüncü
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010537:Peritoneum / Q000601:surgery; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications / Q000601:surgery*; D012008:Recurrence; D013526:Surgical Mesh; D013536:Suture Techniques
chemical_list: D011093:Polyethylene Terephthalates
vernacular_title: Die präperitoneale Implantation von Dacron-Netzen zur Behandlung von Leistenhernienrezidiven und doppelseitigen Leistenhernien.