title: Tension-free hernioplasty: technical remarks and personal experience.
abstract: The authors report their experience with 463 tension free hernioplasty procedures for inguinal and femoral hernias. The surgical technique included the insertion of both a polypropylene plug and a polypropylene mesh, and was carried out mostly in local anesthesia (84.2%) using bupivacaine 0.25% for ileoinguinal and ileohypogastric blockage and mepivacaine 0.5% for local infiltration. There was no major intraoperative complication; local postoperative complications were rare (10%) and easily managed; postoperative pain was frequently observed (66%), though mild and transient; resumption of working activity occurred within a month in 96.6% of cases; there were only 3 post-operative recurrences (respectively, at 1, 6 and 12 months). The authors conclude that the tension free hernioplasty is a simple, rapid, low-cost and effective technique, easily performed under local anesthesia.
authors.affiliation: Dept. of Surgery, Catholic University, Rome, Italy.
authors.forename: I M
authors.initials: IM
authors.lastname: Civello
authors.forename: D
authors.initials: D
authors.lastname: Frontera
authors.forename: M
authors.initials: M
authors.lastname: Pittiruti
authors.forename: S
authors.initials: S
authors.lastname: Casale
authors.forename: S
authors.initials: S
authors.lastname: Zappalà
authors.forename: G
authors.initials: G
authors.lastname: Battista Doglietto
authors.forename: F
authors.initials: F
authors.lastname: Zucchetti
authors.forename: F
authors.initials: F
authors.lastname: Crucitti
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006550:Hernia, Femoral / Q000473:pathology / Q000601:surgery*; D006552:Hernia, Inguinal / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D013526:Surgical Mesh; D013536:Suture Techniques