A TENSION FREE TECHNIQUE FOR REPAIR OF INGUINAL HERNIA: POSTERIOR PREPERITONEAL MESH HERNIOPLASTY
ÖMER FARUK AKINCI, ALİ UZUNKÖY, ALİ COŞKUN
Harran Üniversitesi Tıp Fakültesi, Araştırma ve Uygulama Hastanesi, Genel Cerrahi Kliniği, ŞANLIURFA
This study was planned to evaluate the open posterior preperitoneal mesh hernioplasty (PPMH) technique in the repair of inguinal hernia. Between June 1995 and July 1998, 72 patients with 82inguinal hernia were operated using PPMH technique. Small transvers incision and laparoscopic instrument in the open PPMH repair were used. The availability of staples facilitated easy fixation of the mesh. The postoperative pain, operation time, complications, analgesic requirements, time to return to normal activity, hospital costs and recurrences were recorded. The mean operative time was 27.86 (range 21-40) minute. At the postoperative 4th hours mean visual analogue scale values were 5.75, which were 1.95 at 12th hours. The mean cost of the operation was 468 USD. The mean postoperative intramuscular non narcotic analgesic drug requirement was 1.27 times a day. The mean time to return to normal activity was 12.80 days. There was only one recurrence. Posterior preperitoneal mesh technique is simple and can be performed in the repair of groin hernia with acceptable rates of complications.
Keywords: TENSION-FREE REPAIR, MESH HERNIOPLASTY, PREPERITONEAL APPROACH