Abstract
Purpose: To evaluate the results of use of the parietal prosthesis in inguinal hernia repair in open surgery. Patients and Methods: This was a retrospective descriptive study over a 10-year period from July 2003 to June 2012. It focused on 83 cases of inguinal hernia treated by parietal prosthesis in the surgical service “A” of Point G. university Hospital. were included in this study all patients operated on for inguinal hernia (any size hernia, hernia recurrence) who agreed with the technical implementation of a parietal prosthesis. Were not included in the study in patients operated for inguinal hernia service without use of the prosthesis and the patients underwent emergency surgery. Results: Male sex represented 85.50% of cases (n = 71), with a sex ratio of 5.91 in favor. The mean age was 54 ± 17.2 years for the extremes of 20 and 87 years. 34.9% in the study (29 patients) had a history of hernia cure simply by raphy. Of the 29 cases of recurrence, 18 or 63.1% were in their first relapse, 9 patients 31% were in their second recurrence and 2 patients or 6.9% were in their third offense. External oblique hernias accounted for 59% (n = 49). In 51.8% of cases the hernia was located on the right. The dissection of the hernia sac was easy in 70 patients or 84.3% of cases, it was difficult in 13 patients or 15.7% of cases. The hernia sac was buried in 43 patients resected in 40 patients or respective rates of 51.8% and 48.2%. The prosthesis used was polyester type in 97.5% (n = 81). Antibiotic prophylaxis was performed in all patients. The mean operative time was 48.3 minutes with extremes of 25 and 105 minutes. The average length of hospital stay was 1.5 days with a range of 1 day and 5 days. Conclusion: The use of the parietal prosthesis is one of the best procedures for hernia repair large diameter and hernia recurrence. The good results obtained in this series and others are to say that this procedure should be the first choice in the treatment of inguinal hernias to reduce recidivism. Keywords: inguinal hernia, treatment, prosthesis.
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