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Preperitoneal prosthetic herniorrhaphy. One surgeon's successful technique
1Swedish Hospital Medical Center, Seattle, Wash.
Archives of Surgery (Chicago, Ill. : 1960)
|September 1, 1993
Summary
This study reviewed preperitoneal mesh inguinal herniorrhaphy in 204 patients, finding a low recurrence rate of 0.5%. This open surgical technique offers a favorable comparison to laparoscopic approaches for inguinal hernia repair.
Area of Science:
- General Surgery
- Surgical Innovation
Background:
- Inguinal hernia repair is a common surgical procedure.
- Preperitoneal mesh herniorrhaphy is an established open surgical technique.
- Laparoscopic herniorrhaphy is an emerging alternative.
Purpose of the Study:
- To evaluate the senior author's experience with preperitoneal mesh inguinal herniorrhaphy.
- To assess the recurrence rate of this surgical technique.
- To compare outcomes with published data and laparoscopic methods.
Main Methods:
- Retrospective review of 204 preperitoneal mesh inguinal herniorrhaphies.
- Follow-up of patients for a mean of 3.5 years.
- Literature review for comparative data.
Main Results:
- 152 primary and 52 recurrent inguinal hernias were repaired.
- A low recurrence rate of 0.5% (1 of 204) was observed.
- Wound complications occurred in 5.9% of cases.
Conclusions:
- Preperitoneal mesh inguinal herniorrhaphy demonstrates favorable outcomes.
- The technique shows a low recurrence rate, comparable to historical data.
- It serves as a benchmark for evaluating laparoscopic herniorrhaphy.
