Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study

Yıl 2019, Cilt: 5 Sayı: 1, 1317 - 1324, 15.04.2019

Tayfun Bilgiç

https://doi.org/10.30569/adiyamansaglik.474539

Öz

Aim: The aim of this retrospective study was to evaluate
of 335 inguinal hernia
repair by Lichtenstein technique in elective inguinal hernia
management.

Materyal and Methods: Three hundred fifty-five
patients who administered to the General Surgery Clinic between Jan 2004 and
Jan 2006 underwent inguinal hernia repair with the “Lichtenstein-tension-free”
surgery technique were retrospectively evaluated in respect to demographics,
recurrence and postoperative complications. Follow-up data were obtained from hospital charts,
recurrence and late complications were evaluated in telephone interview.

Results: 313 patients out of 355 were
(88.2%) men and 42 (11.8%) were women. The mean age was 54 years (ranged 21-76
years). The hernia was on the right side in 241 patients (67.9%) and on the
left side in 91patients (25.6%). 194 of 355 (54.7%) patients have indirect hernia.
The postoperative mean hospital stay was 1.1 days (range 1-3 days). The most
common postoperative early complication was urinary retantion.  The late period complications
including chronic pain in 3 patients (0.8 %), testicular atrophy in 2 patients
(0.5 %), and recurrence in 4 patients (1.1%).

Conclusion: this study shown that
Lichtenstein technique for inguinal hernia repair  is a safe and feasible
surgery method in respect to 1.1% recurrence and 22.6% overall post-operative
complication rate. 

Anahtar Kelimeler

Inguinal hernia, Lichtenstein-tension-free technique, complications

CLASSIFICATION OF THE 355 OPERATED INGUINAL HERNIA AND THE POSTOPERATIVE EVALUATION OF THE LICHTENSTEIN METHOD

Öz

Amaç: Bu çalışmanın
amacı kliniğimizde inguinal herni nedeniyle opere edilen hastaların analizini
yapmak ve hastanın hastanede kalış süresini, post operatif rahatsızlığını,
iyileşme süresini ve “Lichtenstein-tension-free” gerilimsiz greft ile herni
tamiri operasyon yönteminin erken ve geç komplikasyonlarını tespit etmektir.

Yöntem:
Genel Cerrahi Kliniği’ne son 24 ay içerisinde başvuran ve inguinal herni tanısı
ile “Lichtenstein-tension-free” ameliyat yöntemi ile
opere edilen 355 hasta çalışmaya dahil edilmiştir.

Bulgular: Çalışmaya alınan
hastalardaki ameliyat eksplorasyon bulgusu değerlendirildiğinde 194 (%54.7)
hastada indirekt, 102 (%28.8) hastada direkt, 24 (%6.7) hastada pantolon ve 35
(%9.8) hastada femoral herni olduğu saptandı. Postoperatif takip edilen
hastalarda görülen erken komplikasyonlardan en sık spinal anesteziye bağlı
gelişen idrar retansiyonu (25
hasta, %7) gözlendi.
Çalışmaya dahil edilen hastaların geç dönem komplikasyonları sorgulandığında;
3 hastada nöralji (%0.8), 2 hastada (%0.5) testiküler atrofi,
1 hastada (%0.2) mesh reaksiyonu ve
4 hastada nüks (%1.1) saptandı.

Sonuç: Lichtenstein yöntemi modern ameliyat yönteminin gerektirdiği tüm istekleri
karşılar ve neredeyse sıfıra yakın nüks oranı bulunmaktadır

Anahtar Kelimeler

İnguinal herni, Lichtenstein-tension-free tekniği, komplikasyon

Kaynakça

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