title: Tension-free hernioplasty versus conventional hernioplasty for inguinal hernia repair.
abstract: OBJECTIVE
  To show the effectiveness of tension-free hernioplasty for inguinal hernia repair.
  
  
  METHODS
  We studied 106 patients who underwent inguinal hernia repair, as conventional hernioplasty in 52 and as tension-free hernioplasty in 54. We analyzed the operation time, postoperative complications, pain, time to resume daily activities, and frequency of recurrence in the short and long term.
  
  
  RESULTS
  The average age of the patients was 46.2 years. The operation time was significantly shorter in the tension-free group than in the conventional group, at 33 +/- 11.1 versus 49 +/- 8.8 min, respectively (P < 0.05). The overall complication rate was 10%, being 1.5% in the tension-free group and 13% in the conventional group (P = 0.4). The visual-analogue pain scores after surgery were lower in the tension-free group than in the conventional group (P = 0.01). Patients in the tension-free group returned to their normal activities sooner than those in the conventional group (P < 0.05).
  
  
  CONCLUSIONS
  Tension-free hernioplasty resulted in less pain and allowed patients to return to their daily activities sooner than conventional hernioplasty.
authors.affiliation: Departamento de Cirugía y Unidad de Investigación en Epidemiología, Clínica Hospital General zona y Medicina Familiar No. 1, Instituto Mexicano del Seguro Social, Colima, Mexico.
authors.forename: Emilio
authors.initials: E
authors.lastname: Prieto-Díaz-Chávez
authors.forename: José Luis
authors.initials: JL
authors.lastname: Medina-Chávez
authors.forename: Alejandro
authors.initials: A
authors.lastname: González-Ojeda
authors.forename: Rafael
authors.initials: R
authors.lastname: Coll-Cárdenas
authors.forename: Oscar
authors.initials: O
authors.lastname: Uribarren-Berrueta
authors.forename: Benjamín
authors.initials: B
authors.lastname: Trujillo-Hernández
authors.forename: Clemente
authors.initials: C
authors.lastname: Vásquez
mesh_terms: D000328:Adult; D004311:Double-Blind Method; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011183:Postoperative Complications; D020127:Recovery of Function; D012008:Recurrence; D013514:Surgical Procedures, Operative / Q000379:methods; D016896:Treatment Outcome