ONE-HUNDRED AND NINE CASES OF TENSION-FREE HERNIA REPAIR FOR ADULT INGUINAL AND FEMORAL HERNIA

Abstract

We studied 109 cases of tension-free hernia repair for adult inguinal and femoral hernia during 26 months from March 1996 to April 1998. There were 73 cases of external inguinal hernia, 25 cases of internal inguinal hernia, four cases of internal and external inguinal hernia, and seven cases of femoral hernia. Operative procedure was mesh plug+onlay graft in all cases. Operating time was 43±15min. (mean±standard deviation: M±SD), and it came to 38±12min in recent 10 cases. No postoperative antibiotics has been administered since November 1996, but no case of mesh infection has been seen. Postoperative complications were observed in 19 cases, which included 13 cases of retension of exudate and one case of recurred left internal inguinal hernia. Postoperative pain was slight and the patients were possible to be discharged from the hospital on the next day of operation. Tension-free hernia repair performed in a series of 109 cases of inguinal and femoral hernia is thought to be excellent method that is easy in operative procedure, short in operating time, offers less postoperative pain and stretching sensation, and is low in recurrence rate.