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Recurrent groin hernia surgery after primary open inguinal procedures: a reappraisal of the open preperitoneal
M Tuuliranta1, T Antikainen1, T Heiskanen1
1Department of Gastroenterological Surgery, Jyväskylä Central Hospital, Keskussairaalantie 19, 40620, Jyväskylä, Finland.
Purpose:
There are several methods for repairing recurrent inguinal hernia, depending on the type of initial repair. Our aim was to analyze our long follow-up results on the open preperitoneal repair for patients with recurrent inguinal hernia.
Methods:
Our retrospective survey included 135 consecutive recurrent inguinal hernia patients, operated on during 1999-2010, with a mean follow-up time of 8.7 years.
Results:
During the mean follow-up time of 8.7 years, only four (3%) patients developed a re-recurrence. Two of these patients were asymptomatic, and the two other were operated on. Early postoperative complications occurred in four (3%) patients. The complications comprised one hematoma, one seroma, and two infections. Chronic pain was diagnosed in five (3.7%) patients, but their symptoms disappeared spontaneously within a few years.
Conclusions:
We conclude that in competent hands, the open preperitoneal repair (Ugahary) is a good surgical option in operating recurrent inguinal hernias.
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