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Cirugía paraguaya
On-line version ISSN 2307-0420
Abstract
FERREIRA-ACOSTA, Rosa María et al. Application of Lichtenstein technique for the treatment of inguinal hernias. Cir. parag. [online]. 2021, vol.45, n.2, pp.22-24. ISSN 2307-0420. https://doi.org/10.18004/sopaci.2021.agosto.22.
Objective:
to describe the results with the use of the Lichtenstein technique in the treatment of patients with inguinal hernia.
Materials and methods:
observational, descriptive, retrospective study in patients operated on for inguinal hernias, in the Segunda Cátedra de Clínica Quirúrgica, using the Lichtenstein technique, in the period from February 2015 to January 2020.
Results:
of the 495 patients, 405 were men and 90 women, with an average age of 51 years (range 19 to 86 years). The vast majority were primary hernias (91.5%), much less recurrent or complex. The predominant location was on the right side (48.5%), and 13% were bilateral. Elective surgery was performed under spinal anesthesia in 475 patients and general in 20, with an average surgical time of 90 minutes. 93% were treated as an outpatient basis with an average hospital stay of 16 hours. The rate of postoperative complications was 4.2%, being seromas and hematomas the most frequent complications. We registered 3 cases of hernia recurrences (0.6%)
Conclusion:
applying the Lichtenstein technique, it was possible to perform outpatient surgery in more than 90% of the cases, with a low rate of complications and hernia recurrence.
Keywords : Inguinal hernia; Lichtenstein procedure; prosthesis; recurrence; surgical site infection.