Inguinal hernioplasty: the gold standard of hernia repair.
On the basis of a critical review of 936 inguinal hernioplasties performed in 8 years, the authors present their good long-term results with tension-free techniques including the original Lichtenstein technique, Lichtenstein with a sutured mesh and annulorrhaphy of the deep inguinal ring, and Lichtenstein with plug. The only two recurrences in this case series occurred with the original technique. Suturing of the mesh and deep inguinal ring annulorrhaphy proved to be reliable and inexpensive. Results were equivalent with the use of the plug, despite the presence of an additional foreign body. In conclusion, the results obtained with the three variants are practically equivalent, and the choice of technique may depend on the preference and experience of the surgeon.
Forte
A
A
Department of Surgical Sciences and Applied Medical Technologies, Francesco Durante IVth Surgical Clinic, University La Sapienza, Viale del Policlinico 1, 00161, Roma, Italy. angelo.forte@uniroma1.it
D'Urso
A
A
Palumbo
P
P
Lo Storto
G
G
Gallinaro
L S
LS
Bezzi
M
M
Beltrami
V
V
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications; D019919:Prosthesis Implantation / Q000009:adverse effects*; D020127:Recovery of Function / Q000502:physiology; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013525:Surgical Instruments; D013526:Surgical Mesh; D013997:Time Factors