A new open anterior tension-free onlay patch technique for inguinofemoral hernia repair.
BACKGROUND
The high rate of misdiagnosed, coincident, or recurrent femoral hernias while or after mesh herniorrhaphy suggests its systematic search. We introduced a new open anterior tension-free mesh herniorrhaphy with a novel design.


METHODS
A description of the operative technique and patients demographics is presented.


RESULTS
Two hundred sixty-eight hernias were repaired with this technique in a 5-year period. Two hundred twelve patients had a primary inguinal hernia. An unsuspected femoral hernia was discovered in 39 patients with a preoperatively diagnosed inguinal hernia. Operative time was 45 minutes, most patients were discharged in less than 24 hours, no recurrence has been noted, and minor complications were present. Most patients had minimal pain and returned to their normal activities within 10 days after surgery.


CONCLUSIONS
This technique has the same advantages of open tension-free repairs, allows identification of femoral hernias, and protects a herniorrhaphy for recurrence.
Department of Surgery, Adolfo Ruiz Cortines National Medical Center, Cuauhtemoc S/N entre Raz y Guzman y Cerbantes y Padilla, Formando Hogar, Veracruz, Mexico 91897. hereyes@megared.net.mx
Hugo Enrique
HE
Reyes-Devesa
Fermín
F
Martinez-Dejesús
Gustavo
G
Martínez-Mier
Julio Cesar
JC
Viñas-Dozal
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006550:Hernia, Femoral / Q000175:diagnosis / Q000601:surgery*; D006552:Hernia, Inguinal / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D055502:Secondary Prevention; D012680:Sensitivity and Specificity; D013526:Surgical Mesh; D013514:Surgical Procedures, Operative / Q000379:methods*; D013718:Tensile Strength; D016896:Treatment Outcome
D011126:Polypropylenes