Tension-free hernioplasty: technical remarks and personal experience.

Abstract:

:The authors report their experience with 463 tension free hernioplasty procedures for inguinal and femoral hernias. The surgical technique included the insertion of both a polypropylene plug and a polypropylene mesh, and was carried out mostly in local anesthesia (84.2%) using bupivacaine 0.25% for ileoinguinal and ileohypogastric blockage and mepivacaine 0.5% for local infiltration. There was no major intraoperative complication; local postoperative complications were rare (10%) and easily managed; postoperative pain was frequently observed (66%), though mild and transient; resumption of working activity occurred within a month in 96.6% of cases; there were only 3 post-operative recurrences (respectively, at 1, 6 and 12 months). The authors conclude that the tension free hernioplasty is a simple, rapid, low-cost and effective technique, easily performed under local anesthesia.

journal_name

Ann Ital Chir

authors

Civello IM,Frontera D,Pittiruti M,Casale S,Zappalà S,Battista Doglietto G,Zucchetti F,Crucitti F

subject

Has Abstract

pub_date

1997-05-01 00:00:00

pages

343-5; discussion 345-6

issue

3

eissn

0003-469X

issn

2239-253X

journal_volume

68

pub_type

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