The Shouldice herniorrhaphy in the treatment of inguinal hernias: a prospective study on 775 patients.
The authors present a study of 775 patients who underwent a Shouldice herniorrhaphy between 1987 and 2000, as performed by one surgeon. Average patient age was 52 years, and 93% of patients were male. Local anesthesia with sedation was used in 643 cases (83%) and regional anesthesia in 13%. The length of the incision was 9.5 cm. The average duration of surgery was 57.5 min (40-75). Tolerance to local anesthesia with sedation was 93%, a similar percentage to that of general anesthesia. The most significant postoperative complications were: urinary retention 8%, headache 7%, and ecchymosis 6%. Hospitalization time in 76% of the cases was 1 day, while 20% of interventions were undertaken on an outpatient basis. The average absence from work was 20 days. The recurrence rate at 7 years was 2%.
Porrero
J L
JL
Surgery Service, Hospital General Universitario Gregorio Marañon, Madrid, Cantoblanco, Spain. porrero@eurociber.es
Hidalgo
M
M
Sanjuanbenito
A
A
Sanchez-Cabezudo
C
C
D000556:Ambulatory Surgical Procedures; D000765:Anesthesia, Conduction; D000772:Anesthesia, Local; D016292:Procedural Sedation; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007264:Inguinal Canal / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies