Evaluation of Fascia Transversalis Plication: A Safe and Efficient Technique in No-Mesh Inguinal Hernia Repair
Abstract
Aim: Different techniques have been developed for the surgical treatment of inguinal hernias. Fascia transversalis plication technique has successfully been applied in our clinic for 15 years as a modified tension repair technique without mesh. The aim of this study was to retrospectively investigate the long-term outcomes.
Material and Methods: Inguinal hernia patients who had undergone fascia transversalis plication technique between January 2015 and January 2016 were questioned via telephone. The presence of any symptoms regarding late term complications were questioned in detail. Patients with symptoms were referred to the hospital and examined. Descriptive statistics were determined.
Results: Eighty-four out of 185 patients were reached. The mean follow-up period was 15.82 ± 2.75 months. Of the 84 patients, 12 (14.3%) had at least one of the symptoms. Recurrence was found in 2 (2.2%) of 92 hernia repairments applied to 84 patients. A total of 9 patients (11.0%) were found to have pain complaints. Pain averages of these 9 patients were 2 ± 0.87 (minimum 1, maximum 3) according to visual analog scale.
Conclusion: Fascia transversalis plication repair is a safe hernia repair technique with low complications and recurrence rates. The absence of use of mesh and significant shortening in the duration of surgeries are important advantages of this technique.
References
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- 7 Rutkow IM, Robbins AW. Open mesh plug hernioplasty. Prob Gen Surg. 1995;12:121-127.
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Abstract
References
- 1 Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. The Lancet 2003;362:1561–1571
- 2 Fitzgibbons RJ, Forse, RA. Clinical practice. Groin hernias in adults. N Engl J Med. 2015;372:756–763.
- 3 Korkmaz NB, Öğünç G, Mesci A. The isokinetic and isometric analysis of laparoscopic and conventional inguinal hernia repair effects on physical activity. Ulus Cerrahi Derg. 2011;27:20-24.
- 4 Coskun F, Ozmen MM, Moran M, et al. New technique for inguinal hernia repair. Hernia. 2005;9:32-36.
- 5 Dinç T, Cete HM, Saylam B, et al. Comparison of Coskun and Lichteinstein hernia repair methods for groin hernia. Ann Surg Treat Res. 2015;89:138-144.
- 6 Gopal SV, Warrier A. Recurrence after groin hernia repair-revisited. Int J Surg. 2013;11:374-377.
- 7 Rutkow IM, Robbins AW. Open mesh plug hernioplasty. Prob Gen Surg. 1995;12:121-127.
- 8 Falagas ME, Kasiakou SK. Mesh-related infections after hernia repair surgery. Clin Microbiol Infect. 2005;11:3-8.
- 9 Callesen T, Bech K, Kehlet H. Prospective study of chronic pain after groin hernia repair. Br J Surg. 1999;86:1528-1531.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | August 20, 2017 |
| Published in Issue | Year 2017 |