» Articles » PMID: 16341485

Tension-free Hernioplasty Versus Conventional Hernioplasty for Inguinal Hernia Repair

Overview
Journal Surg Today
Specialty General Surgery
Date 2005 Dec 13
PMID 16341485
Citations 2
Authors
Affiliations
Soon will be listed here.
Abstract

Purpose: 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.

Citing Articles

Comparison of inguinal hernia repairs performed with lichtenstein, rutkow-robbins, and gilbert double layer graft methods.

Karaca A, Ersoy O, Ozkan N, Yerdel M Indian J Surg. 2015; 77(1):28-33.

PMID: 25829708 PMC: 4376828. DOI: 10.1007/s12262-013-0809-4.


Inguinal hernia.

Purkayastha S, Chow A, Athanasiou T, Tekkis P, Darzi A BMJ Clin Evid. 2009; 2008.

PMID: 19445744 PMC: 2908002.

References
1.
Nyhus L . Individualization of hernia repair: a new era. Surgery. 1993; 114(1):1-2. View

2.
Rutkow I, Robbins A . "Tension-free" inguinal herniorrhaphy: a preliminary report on the "mesh plug" technique. Surgery. 1993; 114(1):3-8. View

3.
Nyhus L . The recurrent groin hernia: therapeutic solutions. World J Surg. 1989; 13(5):541-4. DOI: 10.1007/BF01658868. View

4.
Amid P, SHULMAN A, LICHTENSTEIN I . Local anesthesia for inguinal hernia repair step-by-step procedure. Ann Surg. 1994; 220(6):735-7. PMC: 1234473. DOI: 10.1097/00000658-199412000-00004. View

5.
Rutkow I, Robbins A . Demographic, classificatory, and socioeconomic aspects of hernia repair in the United States. Surg Clin North Am. 1993; 73(3):413-26. DOI: 10.1016/s0039-6109(16)46027-5. View