Abstract
Introduction: Various techniques have been developed for the repair of femoral hernia. The technique with the Lichtenstein Plug since 1989 has allowed to obtain a lower rate of complications and recurrences. AIM: The aim of this work is to review the experience of our basic group of work in the surgical treatment of femoral hernia using this technique. Methods: A retrospective descriptive observational study was conducted in our basic work group from the surgery service of the General Teaching Hospital “Enrique Cabrera” between 2009 and 2020, to which this surgical technique was applied (Plug Lichtenstein). We study the anatomical variants of hernias as well as post-operative complications and clinical evolution. Results: The mean age of the patients was 58.7 years (19-92 years), being the female with the highest incidence 81,7%, as well as, the most frequent location the right, 64.7%. The prosthesis used in the hernioplasty was that of polypropylene. Local anesthesia was applied to 48 patients (67,6%) of them. The average surgical time was25 minutes, (15-65 minutes). Ambulation was early and the average hospital stay was lessthan 24 hours, in most patients. Only one infectionof the wound and one hernia recurrence in one patient was confirmed. Conclusion: Therefore, we believe that the Lichtenstein Plug technique should be considered among the techniques of choice in the treatment of femoral hernia
Highlights
Various techniques have been developed for the repair of femoral hernia
The most used anesthesia was the local one, which was applied to 48 patients. 67,6%, followed by the regional one in 15 patients, 21.1% of the cases, table 2
We did not have any deaths and the highest morbidity occurred in the group of older patients. To get her with the high probability of strangulation of the femoral hernia, [9] we believe that all patients diagnosed with femoral hernia, regardless of age and surgical risk, should undergo a programmed procedure after adequate preparation, avoiding situations adverse events that increase morbidity and mortality, according to what was expressed by Porrero JL in 1993 and Chamary V.L. in 1993 [10,11,12]
Summary
Various techniques have been developed for the repair of femoral hernia. The technique with the Lichtenstein Plug since 1989 has allowed to obtain a lower rate of complications and recurrences. Many technical procedure has been developed to repair femoral hernia. Since 1989 the Lichtenstein Plug technique has diminished the post operative complication and recurrence. The advantages present, in term of pain and post operative discomfort, recovery of physical and labor activity are very good. This technique can be indicated in complicated hernia [1,2]. The aim of this article is to describe the surgical technique and to analyze the preliminary results of our series of 46 patients
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