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[Treatment of bilateral inguinal hernia by subperitoneal prosthetic parietoplasty. Value of PTFE]
B Baranger1, E Tardat, P Guyon
1Service de Chirurgie Viscérale, HIA Val de Grâce, Paris.
Insights
This study on bilateral groin hernia repair found expanded polytetrafluoroethylene (ePTFE) patches reliable. Recurrence rates were low (2.2%), with most issues stemming from technique, not the prosthetic material.
Area of Science:
- Surgical Innovation
- Gastroenterology
- Medical Device Technology
Context:
- Bilateral groin hernias present unique surgical challenges.
- Preperitoneal prosthetic repair is a common surgical approach.
- Evaluating prosthetic materials is crucial for patient outcomes.
Purpose:
- To assess the efficacy and safety of using expanded polytetrafluoroethylene (ePTFE) patches for bilateral groin hernia repair.
- To analyze complication rates and recurrence following this specific surgical technique.
Summary:
- A retrospective review of 211 patients undergoing bilateral groin hernia repair using ePTFE patches via a Pfannensteil approach.
- The study reported low complication rates, with no observed prosthesis infections or testicular atrophy.
- A recurrence rate of 2.2% was noted, primarily attributed to technical errors in repair.
Impact:
- Expanded PTFE demonstrates reliability and ease of use in preperitoneal hernia repair.
- Findings support ePTFE as a suitable prosthetic material for this procedure.
- Highlights the importance of surgical technique in minimizing hernia recurrence.
Abstract:
This retrospective study reviews 211 patients having sustained a bilateral groin hernia repair during a 3 year period. The procedure was the same for all the patients: via a Pfannensteil approach, a pre peritoneal prosthetic repair is performed, using two ePTFE patches, after resection of the hernial sacs and closure of the parietal gaps. The mean follow up was 2 years. During the post operative course, thirty seven of 211 patients sustained 10 local complications, 9 urethral catheter related complications and 11 residual pain. No prostheses infection or testicular atrophy was observed. Nine patients had recurrences (2.2% of 422 repairs). All the recurrences were due to incorrect technique, eight were successfully re operated on--Expanded PTFE is a reliable prosthetic material, easy to handle and well adapted to preperitioneal hernia repair.
