Inguinal Hernia
Hernia Repair
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Experience and Results
3200 procedures were performed by our team before July 1991 and October 2002.902 patients were available for follow up 6 weeks postoperatively. At that time, 5 patients, all males, presented a unilateral recurrence. 2 of the latter patients had a re-recurrence. In none of the patients who suffered a recurrence had the mesh been fixed.
52 patients presented a significant hematoma, that needed to be surgically drained in 2. 10 patients suffered an epididimytis-orchitis that resulted in testicular atrophy in one case. One patient treated by inguinal ring plasty presented genitofemoral neuralgia that subsided with anti-inflammatory medication.
There was no mortality.
It is noteworthy that all the recurrences in our TEP patients occurred in the cases treated before august 1995. 343 in this group of 360 patients, representing 548 hernias and treated before august 1995 could be followed for over 3 years ( median 46 months, range 37-60 ). Within this follow-up time only one late recurrence could be diagnosed on the 20th postoperative month in a Nyhus IV patient. The overall recurrence rate in this group amounts thus to 6, i.e. 1.7%.
Another patient in this sub-group of 360 patients developed intestinal obstruction on the 256th postoperative day. He was reexplored successfully by laparoscopic technique.
4 patients died of unrelated cause at least 6 months after treatment.
All 86 patients who had presented a Nyhus I or II type hernia and had been treated by ring plasty between august 1993 and september 1997 were thoroughly followed and reexamined every 6 months ( median follow-up of 48 weeks, range 6-210 ). No recurrences could be demonstrated.