Lichtenstein's Tension-Free Repair of Groin Hernias: A Single-Surgeon Experience with 321 Cases.
- Author:
Sang Yel WOO
1
;
Young Jung JO
;
Jung Ahn RHEE
;
Hae Chang JO
;
Byung Jo BAE
;
Sang Youn KIM
Author Information
1. Department of Surgery, Daegu Fatima Hospital, Daegu, Korea.
- Publication Type:Original Article
- Keywords:
Lichtenstein repair;
Tension-free hernioplasty;
Groin hernia
- MeSH:
Analgesics;
Anesthesia, Local;
Atrophy;
Granuloma, Foreign-Body;
Great Britain;
Groin*;
Hematoma;
Hernia*;
Herniorrhaphy;
Humans;
Length of Stay;
Male;
Postoperative Period;
Recurrence;
Retrospective Studies;
Seroma;
United States;
Urinary Retention
- From:Journal of the Korean Surgical Society
2001;61(6):609-613
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Tension-free hernioplasty has become the most popular procedure for the repair of groin hernias in the United States and United Kingdom. The purpose of this study is to describe a 7-year personal experience with Lichtenstein's tension-free groin hernia repair under local anesthesia. METHODS: We retrospectively studied the clinical outcome of 321 cases of Lichtenstein repairs, performed consecutively by an experienced surgeon between Jan. 1994 and Dec. 2000. RESULTS: Of the 321 cases, 242 (75.4%) were indirect, 34 (10.6%) were direct, 8 (2.5%) were femoral, 7 (2.2%) were pantaloon, and 30 (9.3%) were recurred hernias. The mean age was 55 years; 91% were male. The mean number of injections of analgesics required in the postoperative period was 3.2. The mean hospital stay following repair was 2.7 days. Complications occurred in 23 cases (7.1%). Most of these were minor, consisting of five cases of bruising or hematomas (1.6%), four superficial infections (1.3%), three seromas (0.9%), two hydroceles (0.6%), six patients with persisting groin pain for more than a month (1.8%), one foreign body granuloma, one urinary retention, and one testicular atrophy. There were no recurrences or operative deaths. CONCLUSION: Lichtenstein's tension-free hernioplasty is an easy and simple technique with less pain, minor complications and only rare instances of recurrence. This procedure can be performed on a same-day basis under local anesthesia. Lichtenstein repair may be the most promising technique for the repair of groin hernias.
