High Ligation for Indirect Inguinal Hernia in Young Adults.
- Author:
Hyun Jun YANG
1
;
Ki Hong KIM
;
Dong Yup SEO
;
Chang Kyu BYUN
;
Young Taek KOH
;
Suk Ho CHOI
Author Information
1. Department of General Surgery, National Police Hospital, Seoul, Korea. baly0213@naver.com
- Publication Type:Original Article
- Keywords:
High ligation;
Inguinal hernia;
Mesh
- MeSH:
Hematoma;
Hernia, Inguinal*;
Herniorrhaphy;
Humans;
Inpatients;
Ligation*;
Outpatients;
Recurrence;
Retrospective Studies;
Wound Infection;
Young Adult*
- From:Journal of the Korean Surgical Society
2007;72(5):392-396
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aim of this study was to compare three methods of hernioplasty: high ligation (HL), tissue repair (TR), and tension free (TF) and to determine the usefulness of high ligation for repair of indirect inguinal hernia in young adults. METHODS: One hundred thirty two patients who were under the age of 25 and who underwent repair of their inguinal hernia between January 2001 and December 2005 were reviewed retrospectively by using their inpatient and outpatient records and phone calls. Sixty seven, 23 and 42 patients underwent HL, TR and TF, respectively. The clinical features that were analyzed included location, type, signs and symptoms, operation method, complications and recurrence. RESULTS: The operation times were (mean+/-SD) 46.2+/-19.1, 56.0+/-11.5, and 61.8+/-14.9 minutes for HL, TR and TF, respectively. For the post-operative complications, there was 1 case of wound infection (1.5%) and 1 case of scrotal hematoma (1.5%) for HL; 1 case of wound infection (4.4%) and 1 case of scrotal swelling (4.4%) for TR; 3 cases of wound infection (7.0%), 2 cases of scrotal swelling (4.7%), 1 cases of intermittent pain (2.3%) and 1 case of scrotal hematoma (2.3%) for TF. Two patients in the HL group had recurrences, but there was no recurrence in the TR and TF groups. CONCLUSION: High ligation hernioplasty in young adults showed a shorter operation time, but there were no differences in the rate of complications between the methods. In the case of recurrence, it can be corrected by performing tissue repair or tension free hernioplasty because the normal anatomy may be preserved even after operation. Therefore, high ligation hernioplasty proved to be a useful method for repair of indirect inguinal hernia in young adults. In contrast, for the recurred or older age patients, tissue repair or tension free hernioplasty may be a more useful method.
