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[The treatment of inguinal hernia: experience of a Operative Surgery Unit]
M L Vene1, E Mascitelli, T Rea
1Io Divisione Clinicizzata di Chirurgia Generale, Dipartimento di Scienze Chirurgiche Sperimentali e Cliniche, Università degli Studi G. d'Annunzio di Chieti.
Introduction:
550 patients submitted to surgical hernia reparation are reviewed for a retrospective analysis.
Personal Experience:
The case report shows a predominance of prosthesis reconstruction according to Trabucco (254 patients) and of the surgical technique of Shouldice (191 patients). Other procedures of the experience refer to the surgical techniques of Bassini (46 patients), Lichtenstein (46 patients), Mugnai/Ferrari (7 patients), Postenski (3 patients), Rives (2 patients), and Stoppa (1 patient).
Results:
The reconstruction procedure was performed from a number of surgeons, all let free to choice the kind of operation following his personal skill and preference, but always in the most correct technique way. The results were satisfying in terms of short hospital stay, both precocious and late low complications, and always without failure.
Discussion:
A first consideration is that there is no data from the literature that any prosthesis procedure offers a lower postoperative complication incidence than the Shouldice's technique, and our experience confirms this option.
Conclusions:
A surgeon can nowadays freely cultivate his preference for any of the possible procedures in reconstructing an inguinal hernia, but it is highly advisable that all the possibilities, also the pure surgical ones, remain in the surgeon's possibility of choice not to waste a precious previous surgical culture.