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[Day surgery for adult inguinal hernia]
1First Department of Surgery, Osaka City University Medical School, Japan.
Nihon Geka Gakkai Zasshi
|December 7, 2000
Summary
The mesh plug technique for adult inguinal hernia repair is a safe and effective day surgery option. While generally successful, some patients may require hospitalization for complications like hematoma or pain management.
Area of Science:
- Surgical techniques
- Hernia repair
- Minimally invasive surgery
Context:
- Adult inguinal hernias present a common surgical challenge.
- Day surgery offers benefits but requires careful patient selection and management.
- Traditional hernia repair methods may involve longer recovery times.
Purpose:
- To evaluate the efficacy and safety of the mesh plug technique for adult inguinal hernia repair performed as day surgery.
- To assess postoperative complications and quality of life following this minimally invasive approach.
Summary:
- The mesh plug technique involves freeing the inguinal canal and hernial sac, estimating the internal ring and posterior wall weakness, inserting a plug, and overlaying mesh.
- All 110 adult inguinal hernias repaired using this technique under local anesthesia were successful.
- Postoperative complications included 5 subcutaneous hematomas and 6 instances requiring hospitalization (1 for hematoma, 5 for pain control).
Impact:
- The mesh plug technique is a viable and effective method for day surgery inguinal hernia repair in adults.
- Local anesthesia contributes to the feasibility of day surgery for this procedure.
- The findings underscore the need for an on-call system and preparedness for potential postoperative hospitalizations.