title: Meshless treatment of open inguinal hernia repair: a prospective study.
abstract: OBJECTIVE
  To evaluate two types of meshless open inguinal repair and to evaluate the recurrence rate.
  
  
  METHODS
  We operated on sequentially 98 men and 15 women with 144 unilateral or bilateral inguinal hernias between December 1988 and April 2007. The surgeries were performed by two experienced surgeons and divided into two groups: Bassini or McVay reconstructive surgery techniques. Bassini type reinforcements were employed for Nyhus II and IIIB with minor destruction of the posterior wall. Patients with Nyhus type IIIA, type IIIB with major destruction of the fascia transversalis, and type IIIC were subjected to the McVay technique.
  
  
  RESULTS
  Seventy-five hernias were corrected using the McVay technique. Only two recurrences (2.67%) were observed in this group. For group Bassini, two recurrences for 69 hernias (2.89%) were observed (p = 0.658). Mean age for the recurrent group was 56 years. No differences were observed between the ages of males and females (52 years).
  
  
  CONCLUSIONS
  Non-mesh repair in inguinal hernia can be safely used if performed by experienced surgeons.
authors.forename: Paulo
authors.initials: P
authors.lastname: Kassab
authors.forename: Ettore Ferrari
authors.initials: EF
authors.lastname: Franciulli
authors.forename: Carolina Kassab
authors.initials: CK
authors.lastname: Wroclawski
authors.forename: Elias Jirjoss
authors.initials: EJ
authors.lastname: Ilias
authors.forename: Osvaldo Antônio Prado
authors.initials: OA
authors.lastname: Castro
authors.forename: Carlos Alberto
authors.initials: CA
authors.lastname: Malheiros
mesh_terms: D034861:Abdominal Wall / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012008:Recurrence; D013526:Surgical Mesh; D013536:Suture Techniques; D016896:Treatment Outcome; D055815:Young Adult