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[Nylon-Darn herniorrhaphy: the method of choice in treatment of primary inguinal hernia]
Dejan Ivanov1, Sinisa Babović, Mirjana Ivanov
1Klinika za abdominalnu i endokrinu hirurgiju, Institut za hirurgiju, Klinicki centar Vojvodine, Novi Sad. djnivanov@yahoo.com
Introduction:
Nylon-Darn herniorrhaphy is a classic, open technique, simple to perform with a low recurrence rate. It is a "tension-free" method of herniorrhaphy. The aim of study was to analyze the results of Nylon-Darn herniorrhaphy at our clinic and point out advantages and disadvantages of the technique.
Material And Methods:
This study, dating back to May 1999 and up to May 2005, included 116 patients who underwent Nylon-Darn herniorrhaphy for primary inguinal hernia. Patients were operated at the Clinic for Abdominal and Endocrine Surgery, Institute of Surgery, Clinical center Novi Sad and if without complications, left on the first postoperative day. Two patients had cholelithiasis and laparoscopic cholecystectomy was performed simultaneusly. Intra- and postoperative complications were analyzed.
Results:
The overall complication rate in our study was 22.4%. There was no perioperative mortality and intraoperative complications. The mean age of 112 males and 4 females was 51 years. An average duration of the operative procedure was 49.2 min, and the patients left hospital after 2.17 days. General endotracheal anestesia was performed in 69 cases and spinal in 47.
Conclusion:
Based on the results of Nylon-Darn herniorrhaphy in our study and on the results in the literature, this technique could be the method of choice for primary inguinal hernia repair. It is suitable for registrars and young surgeons working in clinics not specialized in this pathology.
