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Our preliminary results in application of Stoppa technique for recurrent groin hernia
1Transplantation and Surgical Clinic, Semmelweis University of Medicine, Budapest, Hungary.
Abstract:
In 1994 we have started the Stoppa technique which was only used for the recurrent groin hernia repair, when Mersilene mesh was implanted in preperitoneal position from a lower midline incision. From March, 1994 to March, 1996 seventeen Stoppa procedures were performed in our department (14 men, 3 women, mean age of 66 years). Type of hernias: 13 unilaterale, 3 bilaterale recurrent groin hernias and 1 primary bilaterale groin hernia combined with a lower midline incisional hernia. Operations were performed by 7 surgeons. The mean time of the surgery was 85 min. (35-165). The mean postoperative stay in the hospital was 9 days (7-19). The Stoppa technique could be performed in all patients. Serious early postoperative complications didn't occur. The two late recurrences were observed amongst the first five patients. All implanted mesh were well tolerated by the patients. Author believe, this procedure has some advantages: the site of the incision is located in a new place from where the dissection is easier than in the previous incision, the stich fistulas from the previous operation can be avoided, furthermore this method could be applicated for combined hernias located in the lower part of abdomen and it is cheaper than the laparoscopic hernioplasty.
Insights
The Stoppa technique, a preperitoneal mesh repair for groin hernias, demonstrated effectiveness with no serious early complications. Late recurrences were noted in initial cases, suggesting a learning curve for this hernia repair method.
Area of Science:
- Surgical Innovation
- Hernia Repair Techniques
- Minimally Invasive Surgery
Background:
- The Stoppa technique was introduced in 1994 for recurrent groin hernia repair.
- It involves preperitoneal implantation of Mersilene mesh via a lower midline incision.
Purpose of the Study:
- To evaluate the efficacy and safety of the Stoppa technique for groin hernia repair.
- To assess outcomes including complications, recurrence rates, and patient recovery.
Main Methods:
- Seventeen Stoppa procedures were performed between March 1994 and March 1996.
- The study included patients with recurrent and primary groin hernias, and combined abdominal hernias.
- Data collected included operative time, hospital stay, and postoperative complications.
Main Results:
- The Stoppa technique was successfully performed in all patients.
- No serious early postoperative complications were observed.
- Two late recurrences occurred among the first five patients; mesh was well-tolerated.
- Mean operative time was 85 minutes, and mean hospital stay was 9 days.
Conclusions:
- The Stoppa technique offers advantages including easier dissection, avoidance of previous stitch fistulas, and applicability to combined hernias.
- It is a cost-effective alternative to laparoscopic hernioplasty.
- The procedure is safe and effective for groin hernia repair, with potential for improvement in recurrence rates through experience.