Prospective Study of Open Preperitoneal Mesh Herinioplasty: An Early Experience of 25 Consecutive Cases with Good Short-Term. Outcome

Authors

  • Suchart Lertkarnchang Department of Surgery, Rajavithi Hospital, Bangkok, Thailand
  • Taweesak Trivej Department of Surgery, Lerdsin Hospital, Bangkok, Thailand

Abstract

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.

References

1. Nilsson E. Outcomes. In: Kurzer M, Kark AE, Wantz GE, editors. Surgical management of abdominal wall hernias. London: Martin Dunitz; 1999, p. 11-9.

2. Bay-Nilsson E, Kehlet H. Steering committee of the Danish hernia database, Establishment of a national Danish hernia database: preliminary report. Hernia 1999;3:81-3.

3, Ijzermans JNM, de Wilt H, Hop WCJ. Recurrent inguinal hernia treated by classical hernioplasty. Arch Surg
1991;126:1097-100.

4. Pietri P, Gabrielli F. Recurrent inguinal hernia. Int Surg 1986;71:164-8.

5. Bendavid R. The need for mesh, In: Bendavid R, editor, Prostheses and abdominal wall hernias. Texas: G Landes; 1994. p.116-22.

6. Gianetta E, Cuneo S, Vitale B, Camerini G, Marini P, Stella M. Anteriortension-free repair of recurrent inguinal hernia under locall anesthesia: a 7-year experience in a teaching hospital. Ann Surg 2000:231:132-6.

7. Wantz GE, Testicular atrophy and chronic residual neuralgia as risks of inguinal hernioplasty. Surg Clin North Am 1993;73: 571-81.

8. Stoppa RE, Warlaumont CR. The preperitoneal approach and prosthetic repair of groin hernia. In; Nyhus LIM, Condon RE, editors. Hernia. 3d ed. Philadelphia: Lippincott; 1989. p.199-216.

9. Wantz GE, Giant prosthetic reinforcement of the visceral sac. Surg Gynecol Obstet 1989;169:408-17.

10. Nyhus LM, Pollack R, Bombeck CT, Donahue PE. The preperitoneal approach and prosthetic buttress repair for recurrent hernia. The evolution of a technique. Ann Surg
1988;208:733-7.

11. Wantz GE. Prosthetic repair of groin hernioplasties, In: Wantz GE, editor. Atlas of hernia surgery. New York: Raven Press; 1991. p.94-151.

12. Rignault DP. Properitoneal prosthetic inguinal hernioplasty through a Pfannenstiel approach. Surg Gynecol Obstet 1986;163:465-8.

13. Mozingo DW, Walters MJ, Otchy DP, Rosenthal D. Properitoneal synthetic mesh repair of recurrent inguinal hernias. Surg Gynecol Obstet 1994;174:33-5.

14. Hoffman HC, Traverso ALV. Preperitoneal prosthetic herniorrhaphy. One surgeon's successful technique. Arch Surg 1993;128:964-70.

15, Janu PG, Sellers KD, Mangiante EC. Recurrent inguinal hernia: preferred operative approach. Am Surg 1998;64: 569-74.

16. Beets GL, van Geldere D, Baeten CGMI, Go PM. Long-term results of giant prosthetic reinforcement of the visceral sac for complex recurrent inguinal hernia. Br J Surg 1995;83:203-6.

17. Huang CS. Surgical treatment of recurrent groin hernia. J Formos Med Assoc 1999;98:122-7.

18, Solorzano CC, Minter RM, Childers TC, Kilkenny JW, Vauthey JN. Prospective evaluation of the giant prosthetic reinforcement of the visceral sac for recurrent and complex bilateral inguinal hernias. Am J Surg 1999;177:19-22.

19. Lowham AS, Filipi CJ, Fitzgibbons RJ, et al. Mechanisms of hernia recurrence after preperitioneal mesh repair. Traditional and laparoscopic, Ann Surg 1997:225:422-31.

20. King MW, Soares BM, Guidoin R. The chemical, physical and structural properties of synthetic biomaterials used in hernia repair. In: Bendavid R, ed. Prostheses and abdominal wall hernias. Texas: RG Landes; 1994. p.191-206.

21. Rives J, Flament JB, Palot JP. Treatment of groin hernias with a Mersilene mesh via an inguinal approach: the J Rives' technique. In: Bendavid R, editor. Prostheses and abdominal wall hernias. Texas: RG Landes; 1994. p.435-42.

22. Cheatle GL. An operation for the radical cure of inguinal and femoral hernia. Br Med J 1920;11:168-9.

23. Henry AK, Operation for femoral hernias by a midline extraperitoneal approach. With a preliminary note on the use of this route for reducible inguinal hernia. Lancet 1936;1:531-3.

24. Read RC. Bilaterality and the prosthetic repair of large recurrent inguinal hernias. Am J Surg 1979; 138:788-93.

25. Stoppa R, Petit J, Henry X. Unsutured Dacron prosthesis in groin hernias. Int Surg 1975;60:411-12.

26. Hair A, Duffy K, McLean J, et al. Groin hernia repair in Scotland. Br J Surg 2000;87:1722-6.

27. Memon MA, Fitzgibbons RJ Jr. Assessing risks, costs, and benefits of laparoscopic hernia repair. Annu Rev Med 1998;49:95-109.

28. Felix E, Scott S, Crafton B, et al. The causes of recurrence after laparoscopic hernioplasty. A multicenter study. Surg Endosc 1998;12:226-31.

29. Champault GG, Rizk N, Catheline JM, Turner R, Boutelier P. Inguinal hernia repair: totally preperitoneal laparoscopic approach versus Stoppa operation: randomized trial of 100 cases. Surg Laparosc Endosc 1997;7:445-50.

30. Edwards CC I, Bailey RW. Laparoscopic hernia repair: the learning curve, Surg Laparosc Endosc 2000;10:149-53.

31. Liem MSL, van Steensel CJ, Boelhouwer RU, et al. The learning curve for totally extraperitoneal laparoscopic inguinal hernia repair. Am J Surg 1996;171:281-5.

32. MRC Laparoscopic Groin Hernia Trial Group. Laparoscopic versus open repair of groin hernia: randomised comparison. Lancet 1999:354:185-90.

33. EU Hernia Trialists Collaboration, Laparoscopic compared with open methods of groin hernia repair systematic review of randomized controlled trials. Br J Surg 2000;87:860-7.

34. Lasco JM. Preperitoneal bilateral inguinal herniorrhaphy: evolution of a technique from conventional to laparoscopic. Surg Endosc 1996;10:122-7.

35. Beets GL, Dirksen CD, Go PM, Geisler FE, Baeten CG, Kootstra G. Open or laparoscopic preperitoneal mesh repair for recurrent inguinal hernia? A randomized controlled trial. Surg Endosc 1999;13:323-7.

Downloads

Published

2008-06-30

How to Cite

1.
Lertkarnchang S, Trivej T. Prospective Study of Open Preperitoneal Mesh Herinioplasty: An Early Experience of 25 Consecutive Cases with Good Short-Term. Outcome. Thai J Surg [Internet]. 2008 Jun. 30 [cited 2024 Dec. 23];29(2):69-72. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/240889

Issue

Vol. 29 No. 2 (2008): April - June

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.