%0 Journal Article
%T Assessment of inguinal hernia treatment results in patients operated on with mesh using Lichtenstein, PHS and Robbins-Rutkow techniques
%A Andrzej Matyja
%A Wojciech Kibil
%A Rados£¿aw Pach
%A Rafa£¿ Solecki
%J Videosurgery and Other Miniinvasive Techniques
%D 2010
%I Termedia Publishing House
%X ntroduction: The inguinal region is a locus of minor resistance in the abdominal wall. Hernias in this area occur in the spacedescribed as the myopectineal orifice (Fruchaud). Among tensionless hernia repairs the most popular methods nowadaysare: Lichtenstein technique, Prolene Hernia System (PHS), ULTRAPRO Hernia System (UHS), mesh-plug and laparoscopicmethods (TAPP, TEP). It has not been established yet which one of the methods leads to the best treatment results.Aim: To evaluate treatment results of inguinal hernias in patients operated on with mesh using three techniques:Lichtenstein, PHS and mesh-plug.Material and methods: Between the years 2000 and 2007, 758 men and 35 women were operated on. The mean age was46.7. Spinal or general anaesthesia was used. One hundred and forty-four patients (18.1%) were operated on withoutantibiotic prophylaxis.Results: Seven hundred and ninety-three operations were performed: Lichtenstein technique was carried out in301 patients (37.9%), mesh-plug in 325 patients (40.9%) and PHS in 167 patients (21.2%). Spinal anaesthesia was performedin 787 patients (99.2%). General anaesthesia was necessary in 6 patients (0.8%) due to degeneration of thevertebral column. Complications observed include: wound suppuration, haematoma and seroma formation, chronicpain and hernia recurrence. Patients were discharged on the first postoperative day. Return to physical activity wasobserved usually 14 days after the operation.Conclusions: 1. The analysed methods did not differ according to complication and recurrence rates.2. In the authors¡¯ opinion the Lichtenstein method should remain the standard treatment of inguinal hernia.3. There are no indications for routine antibiotic prophylaxis in patients undergoing elective hernia operations with mesh.
%K Lichtenstein method
%K Mesh-plug
%K Prolene Hernia System
%K tensionless repair
%K mesh
%K chronic inguinal pain
%U http://www.termedia.pl/Original-paper-Assessment-of-inguinal-hernia-treatment-results-in-patients-operated-on-with-mesh-using-Lichtenstein-PHS-and-Robbins-Rutkow-techniques,42,14368,1,0.html