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[Tension-free hernioplasty. Our experience]
D Bellone1, D Sacco, G Spidalieri
1Divisione di Chirurgia Generale, Ospedale Civile E. Agnelli, Pinerolo.
Background:
In recent years the "tension-free" techniques have been progressively replacing conventional hernioplasty by Bassini and Shouldice. Personal experience in the application of various techniques using a prosthesis to make the back wall of the inguinal canal stronger is described.
Methods:
From January 1995 to February 1996, 119 non-selected patients were examined; they were operated by Trabucco's (100 cases), Lichtenstein's (16 cases), Gilbert's (13 cases) and Rives's (1 case) techniques, using polypropylene prostheses. Patients were followed for ten months (range 4-18) after surgery with Day-hospital checks at 1 month, 4 months, 1 year and 18 months.
Results:
Mortality was not observed. Morbility presented in 12 cases: 2 suppurating wounds, 3 seromas, 2 hematomas, 2 temporary neuralgias of the genito-femoral nerve and 2 scrotal edemas. There was a recurrence (0.8%).
Conclusions:
The cases presented confirm the validity of the "tension-free" techniques, both for reduced incidence of complications and recurrences, and for a better compliance of the patient, compared with conventional techniques.