| Abstrakt: |
Background: Groin hernia still remains a significant clinical problem. However, current data do not support the recommendation of any available procedures as a gold standard. This study was designed to evaluate the outcome and benefit of open preperitoneal mesh repair. Objective: To evaluate the open preperitoneal mesh repair technique regarding complications, recurrences, safety and benefit. Patients and Methods: Between March 2005 and July 2006, a prospective study of 25 consecutive patients operated for groin hernia using an open preperitoneal mesh technique by a single surgeon was performed. The Outcome variables being analyzed included operative time, time to return to normal activity, pain level, complications and recurrence rate. Results: A good short-term outcome was found in this study. Wound infection occurred in only I patient. No seroma or recurrence was observed. Moreover, pain and hospital stay were not different from those obtained by other repair techniques. Conclusions: Open preperitoneal mesh repair is a safe procedure and gives a good result similar to those of the commonly used anterior approaches. It is easier to learn than laparoscopic repair and should be the procedure of choice for difficult inguinal hernias. [ABSTRACT FROM AUTHOR] |
