Tension-free repair versus modified Bassini technique (Andrews technique) for strangulated inguinal hernia: a comparative study.
BACKGROUND
To compare tension-free hernia repair to a modified Bassini technique (Andrew's technique) used to treat complicated inguinal hernia.


METHODS
In the period 1990-2004, 75 patients were submitted to emergency operation because of strangulated inguinal hernia. 33 patients underwent tension-free repair utilizing a polypropylene mesh (group A), whereas the remaining 42 patients underwent a modified Bassini technique (group B).


RESULTS
Mean operative time was significantly longer for group B (91.5+/-9.3 min vs 75.7+/-10.5 min, p<0.05). Postoperative hospital stay was also significantly longer in group B compared to group A (10.3+/-3.4 days vs 4.5+/-2.1 days, p<0.01). Postoperative complication rate did not differ significantly between the two groups (5/33, 15.1% vs 5/42, 11.9%, p=n.s.). No mesh had to be removed. At follow-up (mean 9+/-4.2 years), there was one recurrence in group A (1/33, 3%) and two recurrences in group B (2/42, 4.7%) (p=n.s.).


CONCLUSIONS
The presence of a strangulated inguinal hernia cannot be considered a contraindication for the use of a prosthetic mesh.
Papaziogas
B
B
2nd Surgical Department of the Aristotle University of Thessaloniki, Fanariou str. 16, 551 33, Thessaloniki, Greece. papaziog@med.auth.gr
Lazaridis
Ch
Ch
Makris
J
J
Koutelidakis
J
J
Patsas
A
A
Grigoriou
M
M
Chatzimavroudis
G
G
Psaralexis
K
K
Atmatzidis
K
K
D000368:Aged; D015331:Cohort Studies; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007813:Laparotomy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D011183:Postoperative Complications / Q000453:epidemiology; D011336:Probability; D012008:Recurrence; D012189:Retrospective Studies; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D013526:Surgical Mesh; D014102:Torsion Abnormality; D016896:Treatment Outcome
D011126:Polypropylenes