The short and long-term results of traditional and tension-free inguinal hernia repairs have been assessed in three surgical units. In order to standardise the results, hernias were classified according with Nyhus. There were 109 type I, 311 type II, 854 type III, and 125 type IV hernias. Follow-up was possible in 1201 patients (1249 hernia repairs). Postoperative course, postoperative pain, and recurrences were analysed. Recurrences ranged from 0.7% up to 9.3%. The tension-free methods of repair provided the most important advantages in term of low recurrence rate and early return to work even if, in our series, recurrences resulted mainly related to the type of hernia than to the type of repair. The Authors conclude that any hernia repair should be sized to the type of hernia defect in order to avoid over-treatment and abusive placing of a foreign body such as polypropylene mesh.

Rulli, F., Percudani, M., GALLINELLA MUZI, M., Tucci, G., Sianesi, M. (1998). From Bassini to tension-free mesh hernia repair. Review of 1409 consecutive cases. IL GIORNALE DI CHIRURGIA, 19(6-7), 285-289.

From Bassini to tension-free mesh hernia repair. Review of 1409 consecutive cases

RULLI, FRANCESCO;GALLINELLA MUZI, MARCO;TUCCI, GIANFRANCO;
1998-01-01

Abstract

The short and long-term results of traditional and tension-free inguinal hernia repairs have been assessed in three surgical units. In order to standardise the results, hernias were classified according with Nyhus. There were 109 type I, 311 type II, 854 type III, and 125 type IV hernias. Follow-up was possible in 1201 patients (1249 hernia repairs). Postoperative course, postoperative pain, and recurrences were analysed. Recurrences ranged from 0.7% up to 9.3%. The tension-free methods of repair provided the most important advantages in term of low recurrence rate and early return to work even if, in our series, recurrences resulted mainly related to the type of hernia than to the type of repair. The Authors conclude that any hernia repair should be sized to the type of hernia defect in order to avoid over-treatment and abusive placing of a foreign body such as polypropylene mesh.
1998
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/18 - CHIRURGIA GENERALE
English
Evaluation Studies as Topic; Postoperative Complications; Methods; Humans; Hernia, Inguinal; Recurrence; Pain, Postoperative; Surgical Mesh
Rulli, F., Percudani, M., GALLINELLA MUZI, M., Tucci, G., Sianesi, M. (1998). From Bassini to tension-free mesh hernia repair. Review of 1409 consecutive cases. IL GIORNALE DI CHIRURGIA, 19(6-7), 285-289.
Rulli, F; Percudani, M; GALLINELLA MUZI, M; Tucci, G; Sianesi, M
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/72118
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